TITLE

Distinctive Trajectory Groups of Mental Health Functioning Among Assertive Community Treatment Clients: An Application of Growth Mixture Modelling Analysis

AUTHOR(S)
Wilk, Piotr; Vingilis, Evelyn; Bishop, Joan E. H.; Wenqing He; Braun, John; Forchuk, Cheryl; Seeley, Jane; Mitchell, Beth
PUB. DATE
December 2013
SOURCE
Canadian Journal of Psychiatry;Dec2013, Vol. 58 Issue 12, p670
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: Assertive community treatment (ACT) studies that have used conventional, statistical growth modelling methods have not examined different trajectories of outcomes or covariates that could influence different trajectories, even though heterogeneity in outcomes has been established in other research on severe mental illness. The purpose of our study was to examine the general trend in mental health functioning of ACT clients over a 2-year follow-up time period, to discover groups of ACT clients with distinctive longitudinal trajectories of mental health functioning, and to examine if some of the key sociodemographic and illness-related factors influence group membership. Method: A 2-year, prospective, within-subjects study of 216 ACT clients within southern Ontario, collected functional outcome data at baseline and 12 and 24 months using the Colorado Client Assessment Record. Baseline covariates included sex, primary diagnosis, number of comorbidities, hospitalization history, and duration of illness. Growth mixture modelling (GMM) was used to examine trajectories. Results: Clinical staff assessments of ACT clients showed a statistically significant improvement in functioning and 84% achieved successful community tenure. GMM analysis identified 2 classes of ACT clients: class 1 (79.63% of clients) experienced lower and stable overall functioning, and class 2 (20.37%) showed a better baseline functioning score and improvement in the overall functioning over time. Class membership was predicted by the number of comorbidities and diagnosis. Conclusions: Our study suggests general stability in overall functioning for the sampled ACT clients over 2 years, but significant heterogeneity in trajectories of functioning.
ACCESSION #
93324955

 

Related Articles

  • Developing a model of recovery in mental health. Noiseux, Sylvie; Tribble, Denise St-Cyr; Leclerc, Claude; Ricard, Nicole; Corin, Ellen; Morissette, Raymond; Lambert, Roseline // BMC Health Services Research;2009, Vol. 9, Special section p1 

    Background: The recovery process is characterized by the interaction of a set of individual, environmental and organizational conditions common to different people suffering with a mental health problem. The fact that most of the studies have been working with schizophrenic patients we cannot...

  • UTILIZAREA DE SERVICII MEDICALE DE CÄ‚TRE PACIENÅ¢II CU PROBLEME DE SÄ‚NÄ‚TATE MINTALÄ‚. simionescu, T.; Mincă, Dana galieta // Acta Medica Transilvanica;sep2011, Vol. 16 Issue 3, p3 

    Objective: The aim of this study was to examine the degree of use of general medical services among persons with a mental illness from the district of Cluj in 2010. Methods: A total of 370 persons with a mental illness were identified through the ICD-10 classification codes in the database of...

  • Psychiatric Comorbidity in Amputees With Average Sociodemographic Status and the Role of Theologics and Family Support In A Conflict Zone. Muzaffar, Nasir; Mansoor, Imtiaz; Hafeez, Arifa; Margoob, Mushtaq // Australasian Journal of Disaster & Trauma Studies;2012, Vol. 2012 Issue 1, p31 

    Aim: The present study is aimed at assessing the various socio demographic variables of amputees in a conflict zone of South Asia with regard to psychiatric comorbidities in a productive age group. Materials and methods: A cohort of 100 amputees diagnosed and identified as per DSM-IV lead...

  • PERFIL SOCIODEMOGRÁFICO E CLÍNICO DE PACIENTES EM INTERNAÇÕES PSIQUIÁTRICAS VOLUNTÁRIAS E INVOLUNTÁRIAS. Nogueira Oliveira, Maria Selma; Maia Pinto, Francisco José; de Aguiar, Jaina Bezerra; Monteiro Sampaio, Rafaella Maria; de Medeiros, Carlos Robson Bezerra // Revista Brasileira em Promoção da Saúde;out/dez 2011, Vol. 24 Issue 4, p361 

    Objective: To assess the sociodemographic and clinical profile of patients in psychiatric hospitalizations of voluntary inpatients (IPV) and involuntary (IPI), in psychiatric hospitals of Fortaleza-CE, Brazil, under contract with the Unified Health System (SUS). Methods: A quantitative study,...

  • Åžizofreni Hastalarının Cinsel YaÅŸama Ä°liÅŸkin Öznel Düşüncelerinin Cinsiyetler Arası KarşılaÅŸtırması. Doğu, Basri; Güler, Jülide; Çıtak, Serhat; Altunkaynak, Yavuz; Alpay, Nihat // Klinik Psikiyatri Dergisi;2012, Vol. 15 Issue 4, p238 

    Objectives: The aim of this study was to evaluate the relation of schizophrenic outpatients' subjective thoughts about their sexual functioning, The psychiatrists' attitudes about sexual function and sexual dysfunction of schizophrenic patients and sociodemographic variables of the patients'....

  • Regional differences in psychiatric disorders in Chile. Vicente, Benjamin; Kohn, Robert; Rioseco, Pedro; Saldivia, Sandra; Navarrette, Gonzalo; Veloso, Paula; Torres, Silverio // Social Psychiatry & Psychiatric Epidemiology;Dec2006, Vol. 41 Issue 12, p935 

    Psychiatric epidemiological surveys in developing countries are rare and are frequently conducted in regions that are not necessarily representative of the entire country. In addition, in large countries with dispersed populations national rates may have low value for estimating the need for...

  • Can gender differences in the prevalence of mental disorders be explained by sociodemographic factors? Klose, M.; Jacobi, F. // Archives of Women's Mental Health;2004, Vol. 7 Issue 2, p133 

    Summary Background and aims: Epidemiological studies throughout the world consistently reported higher rates of depression and anxiety disorders in women, whereas men consistently show higher rates of substance and antisocial disorders. The present study examined factors potentially contributing...

  • Actitudes hacia el trastorno mental y hacia la búsqueda de ayuda psicológica profesional. Una revisión sistemática de estudios en Europa, Estados Unidos, Latinoamérica y el Caribe. Ramírez, Leonardo Yovany Álvarez; Carvajal, Lizbeth Carolina Pernía // MedUNAB;abr2007, Vol. 10 Issue 1, p50 

    The present study had the intention to review like a systematic method the studies carried out in countries of Europe, United States, Latin America, and the Caribbean about attitudes towards the mental disorder and the search of professional support in case of mentals disorders, its...

  • Mental Health. Couch, John // Pulse;2/23/2004, Vol. 64 Issue 8, p34 

    Part VII. Present tips for British general practitioners who are earning quality and outcomes framework points for mental health services. Total points available; Production of a register of patients with severe long-term mental health problems; Accuracy of prescribed medication; Review of...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics