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1 ACT-J 1, *1, *1, *1 *1 ACT GAF GAF 16 1 GAF ACT GAF CP ACT
2 Assertive Community Treatment(ACT ACT-J , GAF GAF Allness ACT Dartmouth ACT Fidelity Scale N=55:52 GAF global Assessment of Functioning BPRS Brief Psychiatric Rating Scale SPSS for Windows 12.0 SPSS Inc. R
3 Mann-Whitney tree-based model regression treeclassification tree decision tree ± ± ± ±11.2 IC Q-Q Wilcoxon -17.5±65.1:14.5±84.8; Z=-1.98, p=.048 (44.7±66.0 : 27.2±57.6; Z=-1.99, p=.047) R rpart ± ±79.1 p= GAF GAF GAF
4 GAF GAF 15.5 GAF GAF CP 5.0± ±3.1 p= ± ±1.3 p=.035 GAF 47.8± ±11.3 p=.027 GAF CP ACT ACT GAF
5 20 50 ACT ACT GAF CP ACT ACT ACT ACT
6 1. Bond GR, McGrew JH, Fekete DM: Assertive outreach for frequent users of psychiatric hospitals: a meta-analysis. J Ment Health Adm 22:4-16, Burns T, Fioritti A, Holloway F, Malm U, Rossler W: Case Management and Assertive Community Treatment in Europe. Psychiatr Serv 52: , Allness DJ, Knoedler WH: The PACT Model of Community-Based Treatment for Persons with Severe and Persistent Mental Illness: A Manual for PACT Start-Up. Arlington, VA: The National Alliance for the Mentally Ill; [ ] 19 R ( ) f
7 N=118 N=76 (mean±sd) 40.1± ±9.0 60(50.9%) 29(38.2%) * 58(49.2%) 47(61.9%) F2 F31 104(88.1%) 71(93.4%) * 14(11.9%) 5(6.6%) 52(44.1%) 21(27.6%) * 66(55.9%) 55(72.4%) mean±sd 1.0± ±1.1 mean±sd 59.7± ±93.9 mean±sd 0.8± ±1.2 mean±sd 1.7± ±7.8 * GAF GAF *P< mean±sd mean±sd 44.5± ± ± ±11.6 7
8 N=55 N=52 (mean±sd) 37.9± ± (43.6%) 30(57.7%) 31(56.4%) 22(42.3%) F2 F31 48(87.3%) 47(90.4%) 7(12.7%) 5(9.6%) 27(49.1%) 20(38.5%) 28(50.9%) 32(61.5%) mean±sd 1.1± ±1.1 mean±sd 64.8± ±74.7 mean±sd 1.0± ±1.4 mean±sd 1.3± ±5.0 mean±sd 44.7± ±40.2 * GAF GAF mean±sd mean±sd 45.2± ± ± ±9.2 mean±sd 25.1±9.9(N=54) 28.2±10.0 mean±sd 26.7±10.6(N=54) 29.6± (81.8%) 43(82.7%) 10(18.2%) 9(17.3%) 40(72.7%) 42(80.8%) 15(27.3%) 10(19.2%) mean±sd 13.2±2.4(N=49) 12.7±2.4(N=48) *P<.05 8
9 Q-Q 9
10 N=55 N= ± ±40.2 * 27.2± ± ± ±84.8 * P<.05 N=55 N=52 mean±sd 0.6± ±0.7 mean±sd 0.7± ±0.7 * mean±sd 0.7± ±0.9 mean±sd 0.6± ±0.9 *P<.05 10
11 11
12 GAF GAF 12
13 N=47 N=42 N=44 N=33 N=37 N=29 4.9± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±3.1 * 5.1± ± ± ± ± ± ± ±1.3 * 1.8± ± ± ± ± ± ± ± ± ± ± ±8.7 *P<.05 GAF GAF (N=37) * (N=27) P<.05 N=51 N=51 N=50 N=48 CP mean±sd 603.3± ± ± ±
14 ACT-J ACT-J
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13 ACT 156-8585 2-1-8 TEL03-3304-5701 14 10 30 ACTassertive community treatment 1 ACT ACT ACT ACT Fidelity ScaleACT ACT ACT ACT ACT Fidelity 2000, 2001; 1994 Tessler & Gamache 2000 14 1 2002 1986 1994
More information1. - - - 2 - - 3 - - 4 - 1 Muser KT, Bond GR, Drake RE, et al(1998). Model of community care for severe mental illness: A review of research on case management. Schizophrenia Bulletin, 24(1): 33-74. -
More informationACT ACT ACT ACT ACT ACT ACT M-GTA ACT ACT ACT ACT ACT ACT ACT ACT Since, although Assertive Community Treatment ACT or similar programs have been seen
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