Outcomes of clients in need of intensive team care in Flexible Assertive Community Treatment in Sweden

Figures & data

Table 1. Description of socio-demographic factors for Flexible ACT clients at the time they were assigned to the Flexible ACT board (baseline), n = 96.

Age in years at baseline (mean ± SD)	48 (±15)
Gender
Male	47 (49%)
Female	49 (51%)
Married/partnership	6 (6%)
Living alone	80 (83%)
Ethnicity
Native	70 (73%)
Immigrant	26 (27%)
Living arrangements
Independent accommodation	52 (54%)
Supported accommodation >24 h	20 (21%)
Supported accommodation <24 h	19 (20%)
Homeless	5 (5%)
Educational level
Comprehensive school	41 (43%)
Sixth Form College	34 (35%)
College and University	21 (22%)
Work history (six months before baseline)
Unemployed	90 (94%)
Diagnosis
F20-F29 schizophrenia, schizotypal, and delusional disorders	88 (92%)
F30-F39 mood [affective] disorders	3 (3%)
F60-F69 disorders of adult personality and behavior	1 (1%)
F00-F09 organic, including symptomatic, mental disorders	3 (3%)
F99-F99 unspecified mental disorder	1 (1%)
Years since first contact with mental health services (mean ± SD)	18 (±13)

Table 2. Flexible ACT client changes in social outcomes and everyday functioning 18-months after assignment to the Flexible ACT board.

	Measurement points
Variables	Baseline median (range) (n)	18-months median (range) (n)	z value	p value^a
Objective Social Outcomes Index (SIX)
1. Employment	0 (0–80) (96)	0 (0–2) (84)	−0.265	.791
2. Accommodation	1 (0–2) (96)	1 (0–2) (84)	−0.000	1.000
3. Partnership/family	0 (0–2) (96)	0 (0–1) (84)	−0.000	1.000
4. Friendship	0 (0–1) (96)	1 (0–1) (84)	−3.024	.002
SIX sum score	2 (0–6) (96)	2 (0–6) (84)	−1.460	.144
Practical and Social Functioning Scale (PSF)
1. Care for self	2 (0–10) (93)	4 (0–10) (84)	−2.675	.007
2. Self-care/cloths	10 (0–10) (93)	9 (0–10) (84)	−2.363	.018
3. Meals and food	5 (0–10) (93)	6 (0–10) (84)	−3.211	.001
4. Care for belongings	5 (0–10) (93)	7 (0–10) (84)	−3.380	.001
5. Managing finances	5 (0–10) (93)	6 (0–10) (84)	−3.266	.001
6. Use transportation	5 (0–10) (93)	5 (0–10) (84)	−1.567	.117
7. Social contacts	4 (0–10) (93)	5 (0–10) (84)	−3.890	.001
8. Conversations	6 (0–10) (93)	7 (0–10) (84)	−3.174	.002
9. Ability to work	3 (0–10) (93)	4 (0–10) (84)	−2.780	.005
10. Leisure activities	2 (0–10) (93)	3 (0–10) (84)	−3.337	.001
PSF sum score	44 (3–98) (93)	56 (3–100) (84)	−4.241	.001

^aSignificant findings are shown in italic.

Table 3. Changes in healthcare use among Flexible ACT clients 18-months pre- and post-assignment to the Flexible ACT board.

	Measurement points
Variables	18-months pre- ACT^a	18-months post- ACT^a
Healthcare use	Median (range) n = 93	Median (range) n = 84	z value	p value^b
Hospital admissions	1 (0–14)	1 (0–9)	−0.039	.969
Inpatient hospital days	16 (0–372)	17 (0–545)	−3.285	.001
Psychiatric outpatient visits	25 (0–458)	37 (0–279)	−3.534	.001

^a Assignment to the Flexible ACT board.

^b Significant findings are shown in italic.