Community outreach for patients who have difficulties in maintaining contact with mental health services: longitudinal retrospective study of the Japanese outreach model project

Table 1 Comparison of model elements

Team/model characteristics	ACT (DACT) ¹⁾	AO ²⁾	JOMP	Japanese regular outpatient care (Public insurance) ³⁾
Target population	Patients suffering severe mental illness (SMI)	High users of mental health services	Quit their psychiatric outpatient treatment for more than 3 month	Patients with mental illness
Involved service providers	Multiprofessional	Multiprofessional psychiatrist, nurse and others	Psychiatrist, Nurse, PSW, OT, CP, Peer-staff'	Psychiatrist others: as necessary
24/7 service	Yes	Yes	Yes	No
Case management	Yes	Yes	Yes	Optional
Home treatment	Yes	Yes	Yes	No
Patient to clinical staff ratios	12:1	>10:1	3:1–20:1	80:1⁴⁾
Duration of relation	Long term	Long term	Evaluate every six month	Depends on patients

ACT, assertive community treatment; DACTS; dartmouth assertive community treatment scale.
AO, assertive outreach; JOMP, Japanese outreach model project.
SMI, severe mental illness; OT, occupational therapist; SW, social worker; CP, clinical psychologist.
1) Teague, Bond & Drake (1998). Program fidelity in assertive community treatment. American journal of orthopsychiatry, 68(2), 216–233.
2) Department of Health. (2001). Mental health policy implementation guide.
3) http://www.mhlw.go.jp/bunya/iryouhoken/iryouhoken15/dl/2-11.pdf (in Japanese).
4) http://wwwhourei.mhlw.go.jp/cgi-bin/t_docframe.cgi?MODE=tsuchi%26DMODE=CONTENTS%26SMODE=NORMAL%26KEYWORD%26EFSNO=1154 (in Japanese).

ISSN: 1471-244X