ABSTRACT Many Assertive Community Treatment (ACT) teams transition consumers to less intensive services as the teams struggle to provide services for new clients, which is a concerning capacity-and-demand issue in many communities. However, evidence regarding such transitions is limited. The purpose of this study was to identify demographic characteristics and outcomes of consumers who were transitioned from ACT. A retrospective cohort design was used and included 671 individuals with serious mental illnesses who received ACT services. Bivariate and multivariate models were used to examine factors associated with transition from ACT. Consumers who transitioned were significantly more likely to have a diagnosis of mood disorders versus schizophrenia or schizoaffective disorders and individuals with history of prior incarceration were also significantly more likely to transition as compared to individuals with no such histories. Future research will benefit from further exploration of the factors influencing transition from ACT.

中文翻译：

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从积极的社区治疗过渡到服务强度较低的消费者的人口统计学和临床​​特征

摘要由于许多团队努力为新客户提供服务，因此许多自信社区治疗（ACT）团队将消费者转变为强度较低的服务，这在许多社区中都是一个涉及能力和需求的问题。但是，有关这种过渡的证据有限。这项研究的目的是确定从ACT过渡后的消费者的人口统计特征和结果。使用回顾性队列设计，包括671名患有严重精神疾病的患者接受了ACT服务。使用双变量和多变量模型检查与从ACT过渡相关的因素。相比没有精神病史或精神分裂症或精神分裂症的患者，有过过渡的消费者更有可能诊断出情绪障碍，而且有过前入狱史的患者与没有此类病史的患者相比，也更有可能发生过渡。进一步的研究将受益于对影响从ACT过渡的因素的进一步探索。