Assertive community treatment and medication compliance in the homeless mentally ill

Am J Psychiatry. 1997 Sep;154(9):1302-4. doi: 10.1176/ajp.154.9.1302.

Abstract

Objective: This study describes medication compliance rates among a group of homeless mentally ill subjects who received assertive community treatment.

Method: The medication compliance of 77 homeless persons who had been referred to an assertive community treatment program was prospectively evaluated at baseline and quarterly for 1 year.

Results: A minority of the cohort (29%) was compliant at entry into the assertive community treatment program. Compliance significantly increased after 3 months (57%) and remained high through the year. Medication compliance was associated with fewer psychiatric symptoms but not with better housing placements or fewer days in the hospital.

Conclusions: Medication compliance rates among a cohort of homeless persons with severe mental illness were markedly higher after they entered a program of assertive community treatment.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Cohort Studies
  • Community Mental Health Services / methods*
  • Female
  • Humans
  • Ill-Housed Persons / psychology*
  • Male
  • Mental Disorders / drug therapy*
  • Mental Disorders / psychology
  • Middle Aged
  • Patient Compliance*
  • Prospective Studies
  • Psychotropic Drugs / therapeutic use
  • Treatment Outcome
  • Treatment Refusal

Substances

  • Psychotropic Drugs