SynthesisThe Cochrane database of systematic reviews2000
Community mental health teams (CMHTs) for people with severe mental illnesses and disordered personality.
Synthesis in The Cochrane database of systematic reviews, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- [Team-based community psychiatry: importance of context factors and transferability of evidence from studies].Der Nervenarzt · 2012Guideline
- Community mental health teams (CMHTs) for people with severe mental illnesses and disordered personality.The Cochrane database of systematic reviews · 2007Pooled it
- A systematic review of home treatment services--classification and sustainability.Social psychiatry and psychiatric epidemiology · 2004Pooled it
- Prompts to encourage appointment attendance for people with serious mental illness.The Cochrane database of systematic reviews · 2001Pooled it
- A multicenter randomized controlled trial of aftercare services for severe mental illness: study protocol.BMC psychiatry · 2013Trial
- Efficacy of home treatment of patients with mental disorders - a research review.Postepy psychiatrii neurologii · 2021Review
- Successful participation of patients in interprofessional team meetings: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2017Article
- Community mental health care worldwide: current status and further developments.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2016Article
- [Innovative patient-centered care systems: International perspectives].Der Nervenarzt · 2015Review
- The prevalence of personality disorder, its comorbidity with mental state disorders, and its clinical significance in community mental health teams.Social psychiatry and psychiatric epidemiology · 2010Article
- [Innovative care models for treating psychosis].Der Nervenarzt · 2006Article
- [Care requirements for severe mental disorders. Scientific evidence for integration of clinical psychiatry and community psychiatry].Der Nervenarzt · 2005Review
- ["Home treatment" for mental illness. Concept definition and effectiveness].Der Nervenarzt · 2005Review
- Mental illness in my backyard.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2001Article
- Clinical team functioning and IT innovation: a study of the diffusion of a point-of-care online evidence system.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
- Updated by
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClosure of asylums and institutions for the mentally ill, coupled with government policies focusing on reducing the number of hospital beds for people with severe mental illness in favour of providing care in a variety of non-hospital settings underpins the rationale behind care in the community. A major thrust towards community care has been the development of community mental health teams (CMHT).
objectivesTo evaluate the effects of community mental health team (CMHT) treatment for anyone with serious mental illness. SEARCH STRATEGY: Electronic searches of Biological Abstracts (1982-1997), the Cochrane Library (1998, Issue 2), EMBASE (1980-1997), MEDLINE (1966-1997), PsycLIT (1974-1997) and SCISEARCH (1997) were undertaken. The Journal of Personality Disorders was hand searched, and contact was made with colleagues at ENMESH, ISSPD and in forensic psychiatry. SELECTION CRITERIA: All randomised or quasi-randomised controlled trials of CMHT management versus non-team standard care. DATA COLLECTION AND ANALYSIS: The selection of trials, assessment of quality and data extraction was undertaken independently and in parallel by two reviewers. Where possible the data were entered into RevMan and an intention-to-treat analysis undertaken. Tests of heterogeneity were undertaken. MAIN
resultsCMHT management may be associated with fewer deaths by suicide and in suspicious circumstances (OR 0.32 CI 0.09-1.12). It causes less people to be dissatisfied with their care (OR 0.34 CI 0.2-0.59) and to leave the studies early (OR 0.61 CI 0.45-0.83). No clear difference was found in admission rates, overall clinical outcomes and duration of in-patient hospital treatment, although this was partly a consequence of poorly presented data. REVIEWER'S
conclusionsCommunity mental health team management is not inferior to non-team standard care in any important respects and is superior in promoting greater acceptance of treatment. It may also be superior in reducing hospital admission and avoiding death by suicide.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.