Comparison of readmission rate before and after joining assertive community treatment program in mental health hospital in Jeddah, Saudi Arabia

Comparison of readmission rate before and after joining assertive community treatment program in mental health hospital in Jeddah, Saudi Arabia | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Comparison of readmission rate before and after joining assertive community treatment program in mental health hospital in Jeddah, Saudi Arabia Ebtihaj O. Fallata, Ibrahim A. Alalawi, Saud A. Aljohani, Akram A. Alharbi, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-9012894/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 14 You are reading this latest preprint version Abstract Background Patients with serious mental illness frequently return to the hospital, which increases the cost of healthcare and lowers their quality of life. Programs for Assertive Community Treatment (ACT) offer extensive, community-based assistance to lower the use of inpatient services. At a mental health facility in Jeddah, Saudi Arabia, this study evaluated the effect of ACT on hospital readmission rates. Methods At Erada & Mental Health Hospital, a retrospective analysis was carried out on 202 ACT patients who fit standard criteria and had at least three mental admissions in the preceding year. Medical data were used to extract information on hospital admissions, comorbidities, psychiatric diagnoses, and demographics. Hospital admissions were compared between the years prior to and following ACT participation. Results Participants had a mean age of 45.56 ± 11.68 years; most were male (65.3%), single (55%), non-working (91.1%), and smokers (60.4%). Schizophrenia was the most frequent diagnosis (74.8%), followed by bipolar disorder (10.4%) and schizoaffective disorder (4.5%). Before ACT, 35.1% had two admissions, 26.7% had > 2, and 20.8% had none. After ACT, 84.2% had no admissions, reflecting a significant reduction (mean 1.98 ± 1.67 vs 0.22 ± 0.53; Wilcoxon = 10.98, p < 0.001). Pre-ACT admissions were associated with gender and education, while diagnosis and hyperlipidemia also influenced admission rates. No variable significantly affected post-ACT admissions. Conclusion ACT's efficacy as a community-based intervention to enhance continuity of care and lower readmission rates was demonstrated by its correlation with a significant decrease in hospital admissions and its apparent ability to lessen disparities in pre-existing hospital utilization. mental health assertive community treatment hospital readmissions Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Under Review Version 1 posted Reviews received at journal 15 May, 2026 Reviews received at journal 13 May, 2026 Reviews received at journal 08 May, 2026 Reviewers agreed at journal 03 May, 2026 Reviewers agreed at journal 28 Apr, 2026 Reviewers agreed at journal 22 Apr, 2026 Reviewers agreed at journal 20 Apr, 2026 Reviews received at journal 17 Apr, 2026 Reviewers agreed at journal 11 Apr, 2026 Reviewers invited by journal 09 Apr, 2026 Editor invited by journal 19 Mar, 2026 Editor assigned by journal 18 Mar, 2026 Submission checks completed at journal 15 Mar, 2026 First submitted to journal 15 Mar, 2026 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-9012894","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":621680456,"identity":"d68aca63-b226-4348-93e3-80b073c1ca49","order_by":0,"name":"Ebtihaj O. Fallata","email":"","orcid":"","institution":"Eradah and Mental health complex","correspondingAuthor":false,"prefix":"","firstName":"Ebtihaj","middleName":"O.","lastName":"Fallata","suffix":""},{"id":621680457,"identity":"9307feaf-dae4-4152-92c7-f1d496f10895","order_by":1,"name":"Ibrahim A. Alalawi","email":"","orcid":"","institution":"Eradah and Mental health complex","correspondingAuthor":false,"prefix":"","firstName":"Ibrahim","middleName":"A.","lastName":"Alalawi","suffix":""},{"id":621680458,"identity":"c6c2193a-8aba-4881-90d8-82f23b811730","order_by":2,"name":"Saud A. Aljohani","email":"","orcid":"","institution":"Eradah and Mental health complex","correspondingAuthor":false,"prefix":"","firstName":"Saud","middleName":"A.","lastName":"Aljohani","suffix":""},{"id":621680459,"identity":"51aeb60d-4d65-4799-bbf4-4d5b2c4169a1","order_by":3,"name":"Akram A. Alharbi","email":"","orcid":"","institution":"Eradah and Mental health complex","correspondingAuthor":false,"prefix":"","firstName":"Akram","middleName":"A.","lastName":"Alharbi","suffix":""},{"id":621680460,"identity":"c6ee688d-3371-4fdb-ba55-80dea495cc33","order_by":4,"name":"Sohaib E. Althagafi","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA8ElEQVRIie2PvYrCQBDHEwYmzZ5pZ8l5voISsNSHCVilszoEPwhoo/c424eF5BUObPwAKxsLIXcoOInWWUvB/RUzU8yPmb/jWCyviOdg2Xz0knTDg2gYFYBKkXORRe1SwaeVKcVdKiej4id+tin+e9QQ2eD7HPc+0YHt7rdGIQ1eZ/UTEWfJ1k0V8WMYhnHdGQ1IH0sYI19ZSwWsCAzqlBYr8rqcEHKWoVQTs9JmJRCFrhT3pLRZ6WjoBs1pTvxYFLgqFwiGLF/57CCPlxG1Fkl6+lOjvu8l231t/BJ3fu8gqmpar7g81OKpbYvFYnk3bsv4QGHLt+wbAAAAAElFTkSuQmCC","orcid":"","institution":"Second Health Cluster","correspondingAuthor":true,"prefix":"","firstName":"Sohaib","middleName":"E.","lastName":"Althagafi","suffix":""},{"id":621680461,"identity":"49f9db4a-9eaa-4fd0-83c0-5956a312cc50","order_by":5,"name":"Hanady O. Fallatah","email":"","orcid":"","institution":"Al-Noor Specialized Hospital","correspondingAuthor":false,"prefix":"","firstName":"Hanady","middleName":"O.","lastName":"Fallatah","suffix":""}],"badges":[],"createdAt":"2026-03-02 18:09:10","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-9012894/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-9012894/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":107483411,"identity":"b66049b4-9ede-4b9d-b922-3d1ea63c0ac2","added_by":"auto","created_at":"2026-04-22 02:27:37","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":347880,"visible":true,"origin":"","legend":"","description":"","filename":"Edit.pdf","url":"https://assets-eu.researchsquare.com/files/rs-9012894/v1_covered_9534e442-b499-4874-aa4e-cf23e3fa0356.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Comparison of readmission rate before and after joining assertive community treatment program in mental health hospital in Jeddah, Saudi Arabia","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"discover-mental-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"dimh","sideBox":"Learn more about [Discover Mental Health](https://www.springer.com/44192)","snPcode":"","submissionUrl":"","title":"Discover Mental Health","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Discover Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"mental health, assertive community treatment, hospital readmissions","lastPublishedDoi":"10.21203/rs.3.rs-9012894/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-9012894/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003ePatients with serious mental illness frequently return to the hospital, which increases the cost of healthcare and lowers their quality of life. Programs for Assertive Community Treatment (ACT) offer extensive, community-based assistance to lower the use of inpatient services. At a mental health facility in Jeddah, Saudi Arabia, this study evaluated the effect of ACT on hospital readmission rates.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eAt Erada \u0026amp; Mental Health Hospital, a retrospective analysis was carried out on 202 ACT patients who fit standard criteria and had at least three mental admissions in the preceding year. Medical data were used to extract information on hospital admissions, comorbidities, psychiatric diagnoses, and demographics. Hospital admissions were compared between the years prior to and following ACT participation.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eParticipants had a mean age of 45.56\u0026thinsp;\u0026plusmn;\u0026thinsp;11.68 years; most were male (65.3%), single (55%), non-working (91.1%), and smokers (60.4%). Schizophrenia was the most frequent diagnosis (74.8%), followed by bipolar disorder (10.4%) and schizoaffective disorder (4.5%). Before ACT, 35.1% had two admissions, 26.7% had\u0026thinsp;\u0026gt;\u0026thinsp;2, and 20.8% had none. After ACT, 84.2% had no admissions, reflecting a significant reduction (mean 1.98\u0026thinsp;\u0026plusmn;\u0026thinsp;1.67 vs 0.22\u0026thinsp;\u0026plusmn;\u0026thinsp;0.53; Wilcoxon\u0026thinsp;=\u0026thinsp;10.98, p\u0026thinsp;\u0026lt;\u0026thinsp;0.001). Pre-ACT admissions were associated with gender and education, while diagnosis and hyperlipidemia also influenced admission rates. No variable significantly affected post-ACT admissions.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003e ACT's efficacy as a community-based intervention to enhance continuity of care and lower readmission rates was demonstrated by its correlation with a significant decrease in hospital admissions and its apparent ability to lessen disparities in pre-existing hospital utilization.\u003c/p\u003e","manuscriptTitle":"Comparison of readmission rate before and after joining assertive community treatment program in mental health hospital in Jeddah, Saudi Arabia","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-04-17 21:19:08","doi":"10.21203/rs.3.rs-9012894/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"editorInvitedReview","content":"","date":"2026-05-15T08:06:23+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-05-13T22:57:03+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-05-08T16:49:10+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"321070259608505811905437648211518424704","date":"2026-05-03T18:06:58+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"232439455264861589954019450263115787155","date":"2026-04-28T17:00:07+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"192130544120078074676087586978197075280","date":"2026-04-23T01:50:13+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"86195962544330019050461516387629900247","date":"2026-04-20T19:05:26+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-04-17T22:20:06+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"76934182151719352919314040502275952630","date":"2026-04-11T18:19:11+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2026-04-09T18:16:28+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2026-03-19T16:12:43+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2026-03-18T05:21:27+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2026-03-15T12:49:58+00:00","index":"","fulltext":""},{"type":"submitted","content":"Discover Mental Health","date":"2026-03-15T12:45:13+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"discover-mental-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"dimh","sideBox":"Learn more about [Discover Mental Health](https://www.springer.com/44192)","snPcode":"","submissionUrl":"","title":"Discover Mental Health","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Discover Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"3d9e2267-b8e5-474c-bca4-7e69ac186ab3","owner":[],"postedDate":"April 17th, 2026","published":true,"recentEditorialEvents":[{"type":"editorInvitedReview","content":"","date":"2026-05-15T08:06:23+00:00","index":90,"fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-05-13T22:57:03+00:00","index":89,"fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-05-08T16:49:10+00:00","index":88,"fulltext":""},{"type":"reviewerAgreed","content":"321070259608505811905437648211518424704","date":"2026-05-03T18:06:58+00:00","index":87,"fulltext":""}],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2026-04-17T21:19:08+00:00","versionOfRecord":[],"versionCreatedAt":"2026-04-17 21:19:08","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-9012894","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-9012894","identity":"rs-9012894","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}