A pre-post study design: evaluating the effectiveness of a new community-based integrated service model on patient outcomes

Abstract This study aimed to evaluate a new service model, Specialists Together In the Community (STIC), in terms of patient outcomes.This model integrates Flexible Assertive Community Treatment (FACT)-principles with expertise of specialized teams that offer diagnosis-related outpatient treatment.In a pre-post design, symptoms and quality 15-eg2373cl of life of 930 former FACT-patients were measured repeatedly pre- and post-STIC.

Regarding patients in former specialized teams, pre- and post-treatment social functioning and symptoms were measured for the pre- (n = 944) and post-STIC (n = 544) groups.Against expectation, symptoms of former FACT-patients remained stable post-STIC compared to a slight decrease pre-STIC.According to expectation, pre- and post-STIC groups had an equal symptom reduction.

Unexpectedly, the post-STIC group equi-jec 7 did not improve more on social functioning than the pre-STIC group.Explorative analysis showed less treatment contacts in the post-STIC group.The highly similar patient outcomes post-STIC could be improved by monitoring process outcomes and prolonging study duration.

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