{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:08:40Z","timestamp":1787807320064,"version":"build-2784847793"},"reference-count":26,"publisher":"American Psychiatric Association Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psych Res and Clin Practice"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study used data from a multi\u2010site evaluation of six assisted outpatient treatment (AOT) programs to assess the effectiveness of AOT on treatment adherence, clinical functioning, and social functioning outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sites provided primary data (e.g., structured client interviews across multiple timepoints) and subsets of secondary data on Medicaid\/non\u2010Medicaid service encounters, local\/state arrest records, and public\/private hospitalizations. One of the six sites provided primary data for a comparison population. Pre\u2010post analyses pooled data across each of the six AOT sites and incorporated robustness checks using comparison and secondary data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 392 AOT clients, appointment and treatment adherence increased by more than 24% and 20%, respectively, in 6\u2010 and 12\u2010month follow\u2010up windows relative to baseline. Symptomology, perceived mental health ratings, life satisfaction, and therapeutic alliance scores all improved significantly. Violent behavior was reduced by more than 19%, and suicidal ideation decreased by more than 24%. There was more than a 40% reduction in the percentage of clients with any psychiatric inpatient episodes, and more than an 8\u2010night reduction in the number of nights spent in psychiatric inpatient care. The proportion of clients with arrests decreased by more than 19%, those with any illicit drug use decreased by more than 14%, and in the 6\u00a0months following entry into AOT, there was a 12% reduction in the proportion of clients experiencing any homelessness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings point to significant improvements across a range of client outcomes upon receipt of AOT, spanning domains of treatment adherence, clinical functioning, and social functioning outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1176\/appi.prcp.20240162","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T08:34:19Z","timestamp":1746174859000},"page":"174-181","source":"Crossref","is-referenced-by-count":3,"title":["Clinical and Social Functioning Outcomes of Assisted Outpatient Treatment: Results From a Multisite Evaluation"],"prefix":"10.1176","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0266-2521","authenticated-orcid":false,"given":"Kiersten L.","family":"Johnson","sequence":"first","affiliation":[{"name":"RTI International  Research Triangle Park North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J.","family":"Parish","sequence":"additional","affiliation":[{"name":"RTI International  Research Triangle Park North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elysha","family":"Theis","sequence":"additional","affiliation":[{"name":"RTI International  Research Triangle Park North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A.","family":"Van Dorn","sequence":"additional","affiliation":[{"name":"Policy Research Associates, Inc.  Delmar New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Callahan","sequence":"additional","affiliation":[{"name":"Policy Research Associates, Inc.  Delmar New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey W.","family":"Swanson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marvin S.","family":"Swartz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"230","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Civil commitment and the mental health care continuum: historical trends and principles for law and practice","author":"Fitch L"},{"key":"e_1_2_6_3_1","unstructured":"American Psychiatric Association.Position statement on involuntary outpatient commitment and related programs of assisted outpatient treatment.https:\/\/www.psychiatry.org\/getattachment\/d50db97b\u201059aa\u20104dd4\u2010a0ec\u2010d09b4e19112e\/Position\u2010Involuntary\u2010Outpatient\u2010Commitment.pdf(2015). 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