Evidence map›Paper›PMID 32703326›Full record

SynthesisEuropean psychiatry : the journal of the Association of European Psychiatrists2020

EPA guidance on the quality of mental health services: A systematic meta-review and update of recommendations focusing on care coordination.

W Gaebel, A Kerst, B Janssen, T Becker, M Musalek, W Rössler, M Ruggeri, G Thornicroft, J Zielasek, J Stricker

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. EPA guidance on cultural competence training: a critical update and meta-review.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Care coordination for persons with mental health challenges: a scoping review.International journal of mental health systems · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

W GaebelDepartment of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.
A KerstDepartment of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.
B JanssenLVR-Klinik Langenfeld, Langenfeld, Germany.
T BeckerDepartment of Psychiatry II, University of Ulm, Bezirkskrankenhaus Günzburg, Germany.
M MusalekAnton Proksch Institute, Vienna, Austria.
W RösslerDepartment of Psychiatry and Psychotherapy, Charité, Universitätsmedizin Berlin, Berlin, Germany.
M RuggeriSection of Psychiatry, Department of Public Health and Community Medicine, University of Verona, Verona, Italy.
G ThornicroftCentre for Global Mental Health, Institute of Psychiatry, Psychology &Neuroscience, King's College, London, United Kingdom.
J ZielasekLVR-Institute for Healthcare Research, Cologne, Germany.
J StrickerDepartment of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.ORCID 0000-0002-8302-8169

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe quality of mental health services is crucial for the effectiveness and efficiency of mental healthcare systems, symptom reduction, and quality of life improvements in persons with mental illness. In recent years, particularly care coordination (i.e., the integration of care across different providers and treatment settings) has received increased attention and has been put into practice. Thus, we focused on care coordination in this update of a previous European Psychiatric Association (EPA) guidance on the quality of mental health services.

methodsWe conducted a systematic meta-review of systematic reviews, meta-analyses, and evidence-based clinical guidelines focusing on care coordination for persons with mental illness in three literature databases.

resultsWe identified 23 relevant documents covering the following topics: case management, integrated care, home treatment, crisis intervention services, transition from inpatient to outpatient care and vice versa, integrating general and mental healthcare, technology in care coordination and self-management, quality indicators, and economic evaluation. Based on the available evidence, we developed 15 recommendations for care coordination in European mental healthcare.

conclusionsAlthough evidence is limited, some concepts of care coordination seem to improve the effectiveness and efficiency of mental health services and outcomes on patient level. Further evidence is needed to better understand the advantages and disadvantages of different care coordination models.

Indexed as

Societies, MedicalAmbulatory CareCase ManagementCost-Benefit AnalysisCrisis InterventionEuropeHumansInpatientsMental DisordersMental Health ServicesQuality of LifeCare coordinationintegrated caremental healthquality

Identifiers

PMID32703326
PMCPMC7443789

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.