<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Brekke, E</style></author></authors><secondary-authors><author><style face="normal" font="default" size="100%">Lamu, A</style></author><author><style face="normal" font="default" size="100%">Angeles, R</style></author><author><style face="normal" font="default" size="100%">Clausen, H</style></author><author><style face="normal" font="default" size="100%">Landheim, A</style></author></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Changes in inpatient mental health treatment and related costs before and after flexible assertive community treatment: a naturalistic observational cohort study</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Flexible Assertive Community Treatment (FACT)</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2025</style></year><pub-dates><date><style  face="normal" font="default" size="100%">02/2025</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://rdcu.be/YcfWinELV7La</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">25</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Bakgrunn&lt;/strong&gt;&lt;br /&gt;Flexible Assertive Community Treatment (FACT) innføres nå i det norske psykiske helsevernet. Tiltaket har som mål å sikre helhetlige og rettighetsbaserte tjenester for personer med alvorlig psykisk lidelse og sammensatte behov, men er også motivert av antatt kostnadseffektivitet. Det er behov for kunnskap om konsekvensene av denne tjenesteinnovasjonen. Formålet med studien var å undersøke endringer i totalt antall innleggelser og tvangsinnleggelser i psykisk helsevern, samt tilhørende endringer i kostnader knyttet til liggedøgn, før og etter inkludering i FACT for personer med alvorlig psykisk lidelse og sammensatte behov i Norge.&lt;br /&gt;&lt;strong&gt;Metode&lt;/strong&gt;&lt;br /&gt;I denne naturalistiske observasjonsstudien av 397 pasienter ved åtte norske FACT-team sammenlignet vi totalt antall innleggelser og tvangsinnleggelser, totalt antall liggedøgn og liggedøgn ved tvang, samt kostnadene knyttet til disse, i to perioder: 24 måneder før og 24 måneder etter inkludering i FACT. Vi benyttet parret t-test.&lt;br /&gt;&lt;strong&gt;Resultater&lt;/strong&gt;&lt;br /&gt;Det var en signifikant reduksjon i antall tvangsinnleggelser, liggedøgn ved tvang og totale liggedøgn etter inkludering i FACT. Vi fant en liten, men ikke statistisk signifikant, reduksjon i det totale antallet innleggelser i psykisk helsevern. Det var en signifikant reduksjon i kostnadene knyttet til både totale liggedøgn og liggedøgn ved tvang.&lt;br /&gt;&lt;strong&gt;Konklusjon&lt;/strong&gt;&lt;br /&gt;Pasienter i FACT ble lagt inn til døgnbehandling like ofte som før inkludering i FACT, men tvangsinnleggelser forekom sjeldnere. Videre ble varigheten av både tvangsinnleggelser og totale innleggelser redusert, med en tilhørende kostnadsreduksjon som forventet. Resultatene tyder på at målrettede og tidsriktige tiltak fra FACT kan redusere behovet for langvarig døgnbehandling med tvang, noe som innebærer færre ulemper for den enkelte og en mer effektiv ressursbruk i helsetjenesten.&lt;/p&gt;</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Stuen, HK</style></author><author><style face="normal" font="default" size="100%">Landheim, A</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, J</style></author><author><style face="normal" font="default" size="100%">Wynn, R</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">How clinicians make decisions about CTOs in ACT: a qualitative study</style></title><secondary-title><style face="normal" font="default" size="100%">International Journal of  Mental Health Systems</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">ACT</style></keyword><keyword><style  face="normal" font="default" size="100%">Community Treatment Order</style></keyword><keyword><style  face="normal" font="default" size="100%">CTO</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2018</style></year><pub-dates><date><style  face="normal" font="default" size="100%">11/2018</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://ijmhs.biomedcentral.com/articles/10.1186/s13033-018-0230-2</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">12</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3&gt;BACKGROUND:&lt;/h3&gt;&lt;p&gt;The first 12 Norwegian assertive community treatment (ACT) teams were piloted from 2009 to 2011. Of the 338 patients included during the teams&amp;#39; first year of operation, 38% were subject to community treatment orders (CTOs). In Norway as in many other Western countries, the use of CTOs is relatively high despite lack of robust evidence for their effectiveness. The purpose of the present study was to explore how responsible clinicians reason and make decisions about the&amp;nbsp;continued use of CTOs, recall to hospital and the&amp;nbsp;discontinuation of CTOs within an ACT setting.&lt;/p&gt;&lt;h4&gt;METHODS:&lt;/h4&gt;&lt;p&gt;Semi-structured interviews with eight responsible clinicians combined with patient case files and observations of treatment planning meetings. The data were analysed using a modified grounded theory approach.&lt;/p&gt;&lt;h4&gt;RESULTS:&lt;/h4&gt;&lt;p&gt;The participants emphasized that being part of a multidisciplinary team with shared caseload responsibility that provides intensive services over long periods of time allowed for more nuanced assessments and more flexible treatment solutions on CTOs. The treatment criterion was typically used to justify the need for CTO. There was substantial variation in the responsible clinicians&amp;#39; legal interpretation of dangerousness, and some clinicians applied the dangerousness criterion more than others.&lt;/p&gt;&lt;h4&gt;CONCLUSIONS:&lt;/h4&gt;&lt;p&gt;According to the clinicians, many patients subject to CTOs were referred from hospitals and high security facilities, and decisions regarding the continuation of CTOs typically involved multiple and interacting risk factors. While patients&amp;#39; need for treatment was most often applied to justify the need for CTOs, in some cases the&amp;nbsp;use of CTOs was described as a tool to contain dangerousness and prevent harm.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">51</style></issue><label><style face="normal" font="default" size="100%">TUD</style></label></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Stuen, HK</style></author><author><style face="normal" font="default" size="100%">Landheim, A</style></author><author><style face="normal" font="default" size="100%">Rugkåsa, J</style></author><author><style face="normal" font="default" size="100%">Wynn, R</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Responsibilities with conflicting priorities: a qualitative study of ACT providers' experiences with community treatment orders</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Health Services Research (Open Access)</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">ACT</style></keyword><keyword><style  face="normal" font="default" size="100%">Community Treatment Order</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2018</style></year><pub-dates><date><style  face="normal" font="default" size="100%">04/2018</style></date></pub-dates></dates><urls><web-urls><url><style face="normal" font="default" size="100%">https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3097-7</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">290</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h4&gt;BACKGROUND:&lt;/h4&gt;&lt;p&gt;Patients with severe mental illness may be subjected to Community Treatment Orders (CTOs) in order to secure that the patients adhere to treatment. Few studies have investigated the use of CTOs within an Assertive Community Treatment (ACT) setting, and little is known about how the tension between the patients&amp;#39; autonomy and the clinicians&amp;#39; responsibility to act in the patients&amp;#39; best interest are resolved in practice. The aim of this study was to explore the service providers&amp;#39; experiences with CTOs within an ACT setting.&lt;/p&gt;&lt;h4&gt;METHODS:&lt;/h4&gt;&lt;p&gt;The study was based on reviews of case files of 15 patients, eight individual qualitative in depth interviews and four focus group interviews with service providers involved in ACT and decisions related to CTOs. A modified grounded theory approach was used to analyze the data.&lt;/p&gt;&lt;h4&gt;RESULTS:&lt;/h4&gt;&lt;p&gt;The main theme &amp;#39;responsibility with conflicting priorities&amp;#39; emerged from data analysis (case file reviews, individual interviews and focus group interviews). The balance between coercive approaches and the emphasis on promoting patient autonomy was seen as problematic. The participants saw few alternatives to CTOs as long-term measures to secure ongoing treatment for some of the patients. However, participants perceived the ACT model&amp;#39;s comprehensive scope as an opportunity to build rapport with patients and thereby better meet their needs. The team approach, the ACT providers&amp;#39; commitment to establish supportive relationships and the frequent meetings with patients in their home environment were highlighted. The ACT approach gave them insight into patients&amp;#39; everyday lives and, in some cases a greater sense of security when considering whether to take patients off CTOs.&lt;/p&gt;&lt;h4&gt;CONCLUSIONS:&lt;/h4&gt;&lt;p&gt;Many of the participants viewed CTOs as helpful in securing long-term treatment for patients. CTO decision-making was described as challenging and complex and presented the providers with many dilemmas. The ACT approach was considered as helpful in that it afforded comprehensive, patient-centered support and opportunities to build rapport.&lt;/p&gt;</style></abstract><issue><style face="normal" font="default" size="100%">1</style></issue><label><style face="normal" font="default" size="100%">TUD</style></label></record></records></xml>