First adaptation of a family-based ACT model in mainland China: a pilot project

Abstract

Objective: This study reports findings from a preliminary evaluation of the first implementation of the assertive community treatment (ACT) model in mainland China.

Methods: Over six months, the pilot study compared a group of patients (N=15) and family caregivers who received ACT services with a control group (N=16) who received standard community services. Data on hospitalization days, relapse frequency, psychiatric symptoms, social and vocational functioning, general mental health status, family burden, and level of social support for family caregivers were examined.

Results: ACT patients had no admissions, compared with two in the control group; they also had significantly lower psychopathology and higher social functioning scores. No significant differences in outcome measures for family caregivers were found.

Conclusions: The study found preliminary support for implementing ACT in mainland China. Implementation could contribute to reducing admission and psychopathology and improving social functioning. Further research on ways to enhance family caregivers' experience is warranted.