Assertive community treatment (ACT) for substance use disorders — evidence summary

Summary of the evidence

Rating:
Unknown effectiveness

A systematic review without meta-analysis (Penzenstadler et al 2019, 5 datasets) found no clear superiority of results of assertive community treatment (ACT) in reducing substance use (compared to control group).

ACT originally developed for patients with severe mental illness, providing personalized, high intensity, holistic and integrated multidisciplinary community care services.

Details

Note: this evidence summary is only valid for the outcomes, target groups, settings and substances/patterns of use described below.

Name of response option:
Assertive community treatment
Desired outcome(s):
reduce substance use
Area(s)
Treatment
Specific substance or pattern of use:
alcohol
co-morbidity
not-drug specific
amphetamines
cannabis
cocaine
new psychoactive substances (NPS)
opioids
prescription medicines
tobacco
Target group(s) or setting(s):
communities
dual-diagnosis patients
emergency department
ethnic minority
families
law enforcement
pregnant women
PWID – people who inject drugs
school
women
prison
young people
partygoers/nightlife

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