Table 3 Effect youth-ACT on general functioning
From: The effect of youth assertive community treatment: a systematic PRISMA review
Reference | Main results | Follow-up (months) | Assessment instruments | Effect sizea & 95% CIb | |
|---|---|---|---|---|---|
Adrian & Smith (2014) [46] | Compared to baseline 50% of the adolescents treated with youth-ACT showed improvement in general functioning according to CGAS score at discharge. Adolescents with psychotic and mood disorders improved more that patients with neurotic disorders | P-Tc | CGAS | Baseline compared with discharge CGAS-scores: ACT combined with inpatient care: Only ACT: | 1.3 (1.0, 1.6) 1.5 (1.3, 1.7) |
Baier et al. (2013) [6] | Youth-ACT associated with significant improvement in social functioning measured with HoNOSCA (school attendance, and peer and family relations) | P-Tc | HoNOSCA | HoNOSCA-scores: Sum-score: Peer relations: Family relations: School attendance: | 1.3 (0.8, 1,8) 0.4 (0.0, 0.9) 0.5 (0.0, 1.0) 0.6 (0.1, 1.1) |
Chai et al. (2012) [48] | Significant improvement in clinician-rated levels of social functioning. Adolescents treated with youth-ACT showed increase in school attendance | P-Tc | CGAS School attendance registration form | School attendance: | 0.7 (0.4, 1.1) |
Godley et al. (2015) [52] | Small significant improvement in pro-social activities. No significant differences in school attendance and family problems | 3, 6, 9, 12 | GAIN | Pro-social activities: | 0.2 (−0.2, 0.4) |
McFarlane et al. (2014) [40] | Adolescents with psychotic symptoms treated with youth-ACT showed significantly higher GAF-outcomes, increased school attendance or work (21%) compared to those who received Community Care (7.0%) | 6, 12, 24 | GAF | GAF-score: | 0.3 (0.0, 0.5) |
McGarvey et al. (2014) [41] | Decrease in average number of days missing school (5.3 to 2.6 days) or being expelled from school (0.2 to 0.01 days) compared to baseline | 3, 6, 12 | GAIN | School attendance: Decrease in days expelled from school: | 0.7 (0.4, 1.1) 0.6 (0.3, 0.9) |
Schley et al. (2008) [42] | Youth-ACT decreased the frequency of violence and crime | P-Tc | Structured self-developed questionnaire | Crime: Violence: | 0.6 (0.1, 1.2) 0.9 (0.3, 1.5) |
Urben et al. (2016) [43] | Adolescents treated with youth-ACT showed significant improvements in HoNOSCA social-score which include the items family relations, peer relations and school attendance. | 3, 6, 9 | HoNOSCA | HoNOSCA Sum score: Social-score: School attendance: | 0.6 (0.0, 1.2) 0.8 (0.1, 1.2) 0.8 (0.2, 1.4) |