Ten year outcomes of participants in the REACT (Randomised Evaluation of Assertive Community Treatment in North London) study

Table 1 Ten year outcomes for REACT study participants by original treatment allocation

Outcome	Assertive community treatment			Community mental health team
Outcome	N = 99			N = 104
Inpatient service use	Mean (SD)	Median	IQR	Mean (SD)	Median	IQR
Total inpatient days	1049 (1037)	671	301, 1515	948 (950)	592	256, 1333
Total admissions	6 (5)	5	2, 8	5 (4)	5	2, 7
Days per admission	236 (422)	119	70, 286	215 (304)	124	64, 239
Involuntary admissions	4 (4)	3	1, 6	4 (4)	4	2, 6
Admissions	N	n (%)		N	n (%)
Any admission	99	90 (91)		104	93 (89)
Number of admissions	99			104
1 admission		14 (14)			7 (7)
2 admissions		6 (6)			8 (8)
> 2 admissions		70 (71)			78 (75)
Involuntary	99	84 (85)		104	92 (88)
Intensive Care Unit	99	24 (24)		104	28 (27)
Low Secure Unit	99	2 (2)		104	0 (0)
Medium Secure Unit	99	6 (6)		104	5 (5)
High Secure Unit	99	1 (1)		104	0 (0)
Supervised discharge*	93	23 (25)		99	21 (21)
Social outcomes	N	n (%)		N	n (%)
Currently in employment or other occupation	99	31 (31)		104	39 (38)
Any employment or occupation 36 months to 10 years	99	61 (62)		104	59 (57)
Currently involved in social or leisure activities	81	38 (47)		80	30 (38)
Currently in contact with family	84	60 (71)		85	50 (59)
Currently living in supported accommodation	99	39 (39)		104	52 (50)
Any supported accommodation last 10 years	99	64 (65)		104	58 (56)
Adverse events	N	n (%)		N	n (%)
Lost to follow-up^a	83	8 (10)		76	12 (16)
Homelessness	99	20 (20)		104	23 (22)
Physical assault on another person^b	99	51 (52)		104	62 (60)^c
Physical assault on a stranger	99	26 (26)		104	22 (21)
Sexual offence	99	11 (11)		104	20 (19)
Arson	99	12 (12)		103	13 (13)
Prison	99	19 (19)		104	29 (28)
Deliberate self-harm (DSH)	99	23 (23)		104	30 (29)
Recurrent DSH^d	99	8 (8)		104	7 (7)

* Supervised discharge = Community Treatment Order or Section 25 of the Mental Health Act (1983).
^aLost to follow-up defined as no face-to-face contacts between staff and clients in previous three months (this variable is not measured over the last 10 years).
^bThe victim could be known to the perpetrator or a stranger.
^cThe most serious assault was one incident of manslaughter.
^dRecurrent deliberate self-harm defined as at least five episodes in two years.

ISSN: 1471-244X