Evidence map›Paper›PMID 34751660›Full record

ArticleJMIR research protocols2021

Home Treatment for Acute Mental Health Care: Protocol for the Financial Outputs, Risks, Efficacy, Satisfaction Index and Gatekeeping of Home Treatment (FORESIGHT) Study.

Sara Levati, Zefiro Mellacqua, Maria Caiata-Zufferey, Emiliano Soldini, Emiliano Albanese, Maddalena Alippi, Emilio Bolla, Raffaella Ada Colombo, Severino Cordasco, Wolfram Kawohl and 6 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 45% of its field
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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

16 authors at 5 institutions in 3 countries.

Sara Levati *Competence Centre for Healthcare Practices and Policies, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.ORCID https://orcid.org/0000-0003-4520-1378
Zefiro Mellacqua *Organizzazione sociopsichiatrica cantonale, Mendrisio, Switzerland.ORCID https://orcid.org/0000-0002-7142-4156
Maria Caiata-ZuffereyCompetence Centre for Healthcare Practices and Policies, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.ORCID https://orcid.org/0000-0003-4197-8913
Emiliano SoldiniResearch Methodology Competence Centre, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.ORCID https://orcid.org/0000-0002-9577-5567
Emiliano AlbaneseInstitute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland.ORCID https://orcid.org/0000-0001-7330-8530
Maddalena AlippiOrganizzazione sociopsichiatrica cantonale, Mendrisio, Switzerland.ORCID https://orcid.org/0000-0002-4159-0508
Emilio BollaOrganizzazione sociopsichiatrica cantonale, Mendrisio, Switzerland.ORCID https://orcid.org/0000-0003-1515-9295
Raffaella Ada ColomboOrganizzazione sociopsichiatrica cantonale, Mendrisio, Switzerland.ORCID https://orcid.org/0000-0001-6372-2746
Severino CordascoOrganizzazione sociopsichiatrica cantonale, Mendrisio, Switzerland.ORCID https://orcid.org/0000-0003-1389-6021
Wolfram KawohlPsychiatric Services Aargau, Argau, Switzerland.ORCID https://orcid.org/0000-0002-5224-4563
Giuseppina LarghiOrganizzazione sociopsichiatrica cantonale, Mendrisio, Switzerland.ORCID https://orcid.org/0000-0002-2434-8445
Angela LisiResearch Methodology Competence Centre, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.ORCID https://orcid.org/0000-0003-0326-9139
Mario LucchiniDepartment of Sociology and Social Research, University of Milan Bicocca, Milan, Italy.ORCID https://orcid.org/0000-0001-7422-8081
Simona RossaOrganizzazione sociopsichiatrica cantonale, Mendrisio, Switzerland.ORCID https://orcid.org/0000-0001-7776-8630
Rafael Traber *Organizzazione sociopsichiatrica cantonale, Mendrisio, Switzerland.ORCID https://orcid.org/0000-0002-0737-3147
Luca Crivelli *Competence Centre for Healthcare Practices and Policies, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.ORCID https://orcid.org/0000-0002-0206-0918
Organizzazione Sociopsichiatrica Cantonale · CHUniversity of Applied Sciences and Arts of Southern Switzerland · CHUniversità della Svizzera italiana · CHUniversity of Milano-Bicocca · ITUniversity Psychiatric Hospital · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCrisis Resolution and Home Treatment (CRHT) teams represent a community-based mental health service offering a valid alternative to hospitalization. CRHT teams have been widely implemented in various mental health systems worldwide, and their goal is to provide care for people with severe acute mental disorders who would be considered for admission to acute psychiatric wards. The evaluation of several home-treatment experiences shows promising results; however, it remains unclear which specific elements and characteristics of CRHT are more effective and acceptable.

objectiveThis study aims to assess the acceptability, effectiveness, and cost-effectiveness of a new CRHT intervention in Ticino, Southern Switzerland.

methodsThis study includes an interventional, nonrandomized, quasi-experimental study combined with a qualitative study and an economic evaluation to be conducted over a 48-month period. The quasi-experimental evaluation involves two groups: patients in the northern area of the region who were offered the CRHT service (ie, intervention group) and patients in the southern area of the region who received care as usual (ie, control group). Individual interviews will be conducted with patients receiving the home treatment intervention and their family members. CRHT members will also be asked to participate in a focus group. The economic evaluation will include a cost-effectiveness analysis.

resultsThe project is funded by the Swiss National Science Foundation as part of the National Research Program NRP74 for a period of 48 months starting from January 2017. As of October 2021, data for the nonrandomized, quasi-experimental study and the qualitative study have been collected, and the results are expected to be published by the end of the year. Data are currently being collected for the economic evaluation.

conclusionsCompared to other Swiss CRHT experiences, the CRHT intervention in Ticino represents a unique case, as the introduction of the service is backed by the closing of one of its acute wards. The proposed study will address several areas where there are evidence gaps or contradictory findings relating to the home treatment of acute mental crisis. Findings from this study will allow local services to improve their effectiveness in a challenging domain of public health and contribute to improving access to more effective care for people with severe mental disorders.

trial registrationISRCTN registry ISRCTN38472626; https://www.isrctn.com/ISRCTN38472626. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/28191.

Indexed as

accessibilityacute mental healthcarecommunity-basedcrisiscrisis resolutioneconomicefficacyhomehome carehome treatmenthome visitsmental healthmental health servicespublic healthriskrisks

Identifiers

PMID34751660
PMCPMC8663595
OpenAlexW3182355814

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.