The Overlooked Part of Flexible Assertive Community Treatment—A Retrospective Study on Factors Related to Discharge from FACT for Clients with a Psychotic Disorder

Eva de Bruijn, Eline C. Jochems, André I. Wierdsma, Yolande Voskes

Research output: Contribution to journalArticleAcademicpeer-review


Flexible assertive community treatment (FACT) is a recovery-based treatment and its manual describes discharge criteria for clients who are recovered. Yet research on discharge is lacking. In this retrospective and observational study, between 2009 and 2019, we explored how sociodemographic, clinical, and treatment factors are associated with planned discharge or no discharge. We included 1734 clients with a psychotic disorder of which 38.5% were discharged after a mutual decision that FACT was no longer necessary. Logistic regression analysis was used to create a discharge profile which was more favorable for discharged clients. They were older at the start of FACT, had lower HoNOS scores, were diagnosed with another psychotic disorder, and had fewer contacts with non-FACT members. Discharge is a part of FACT and is more common than anticipated. While this study provides preliminary answers, further research is necessary to better understand discharge and its associated factors.
Original languageEnglish
Pages (from-to)1313-1320
Number of pages8
JournalCommunity Mental Health Journal
Issue number7
Early online date2023
Publication statusPublished - Oct 2023


  • Discharge
  • FACT
  • Planned
  • Psychotic disorders
  • Recovery

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