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Main
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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
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Register:
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Netherlands Trial Register |
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Last refreshed on:
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28 April 2013 |
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Main ID: |
NTR896 |
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Date of registration:
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10/11/2006 |
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Primary sponsor: |
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Public title:
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Assertive community treatment (ACT)versus casemanagement in treating homeless patients with severe mental illness; a randomized controlled trial.
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Scientific title:
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Assertive community treatment (ACT)versus casemanagement in treating homeless patients with severe mental illness; a randomized controlled trial. - N/A |
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Date of first enrolment:
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1/7/2005 |
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Target sample size:
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68 |
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Recruitment status: |
complete |
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URL:
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http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=896 |
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Study type:
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intervention |
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Study design:
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Randomised: Yes; Masking: None; Control: Active; Group: Parallel; Type: 2 or more arms, randomized
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Countries of recruitment
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The Netherlands
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Contacts
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Name:
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Jeroen Bastiaan
Zoeteman |
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Address:
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Mentrum Mental Health Organisation
Rehabteam
Sarphatistraat 8-14
1017 WS
Amsterdam
The Netherlands |
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Telephone:
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+ 31 20 5904590 |
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Email:
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jeroen.zoeteman@mentrum.nl |
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Affiliation:
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Name:
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Jeroen Bastiaan
Zoeteman |
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Address:
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Mentrum Mental Health Organisation
Rehabteam
Sarphatistraat 8-14
1017 WS
Amsterdam
The Netherlands |
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Telephone:
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+ 31 20 5904590 |
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Email:
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jeroen.zoeteman@mentrum.nl |
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Affiliation:
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Key inclusion & exclusion criteria
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Inclusion criteria: 1. Registered as patient of the Rehabteam, Mentrum;
2. Diagnosed as having a severe mental illness;
3. Sleeping at least one night outside or in a shelter in the last month.
Exclusion criteria: 1. Severe harddrug addiction.
Age minimum:
Age maximum:
Gender:
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Health Condition(s) or Problem(s) studied
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Mental illness, Homeless patients, Assertive community treatment (ACT)
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Intervention(s)
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Workers from the Rehabteam of Mentrum Mental Health Organisation in Amsterdam, Netherlands, has in the past decade treated homeless patients via the casemanagement treatment model. The team is formed by specialised psychiatric nurses who were backed by a consulting psychiatrist for drugtreatment and (involuntary) admissions. In the last years workers felt that they lacked time and specific knowledge to consilidate the progression they made in treatment. For instance: when a patient was motivated for drugtreatment, at the same time the medical insurance was stopped, because the patient could not pay the bills, etc. Sitevisits to other teams in different cities and countries brougt the idea of assertive community treatment. In july 2005 a separate ACT-team was started within the Rehabteam. The ACT-team attracted a social worker, an experience worker, an office manager, etc. The remaining Rehabteam kept working via the casemanagementmodel. Only a portion of the homeless patients could be assigned for the ACT-team. A random sample of the homeless patients was assigned to the ACT-team. This made a comparison with the casemanagement team possible.
Intervention 1:
Assertive community treatment team; treatment during 24 months.
Intervention 2:
Casemanagement team; treatment during 24 months.
Data from the teamworkers/nurses will be collected at the start, after 12 months and after 24 months.
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Primary Outcome(s)
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1. More stabile housing in the ACT-group;
2. Less social hindrance (i.e. police contacts);
3. Higher quality of life.
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Secondary Outcome(s)
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1. 'More' psychiatric care (i.e. medication, regaular contacts);
2. In the first 12 months more, in the second year less psychiatric admissions (-days).
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Source(s) of Monetary Support
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Mentrum Mental Health Amsterdam
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