Evidence map›Paper›PMID 35524608›Full record

ArticleWorld psychiatry : official journal of the World Psychiatric Association (WPA)2022

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care.

Sonia Johnson, Christian Dalton-Locke, John Baker, Charlotte Hanlon, Tatiana Taylor Salisbury, Matt Fossey, Karen Newbigging, Sarah E Carr, Jennifer Hensel, Giuseppe Carrà and 4 more

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

Article in World psychiatry : official journal of the World Psychiatric Association (WPA), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 6 pooled it
25.7field-weighted citation impact, top 1% 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

78 citing papers in PubMed, 6 syntheses or guidelines pooled it, 143 citations in OpenAlex.

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  14. Real-world comprehensive care of people living with schizophrenia: recommendations across different settings and clinical stages.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
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18 more citing papers are in PubMed but not listed here.

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

14 authors at 11 institutions in 6 countries.

Sonia JohnsonDivision of Psychiatry, University College London, London, UK.
Christian Dalton-LockeDivision of Psychiatry, University College London, London, UK.
John BakerSchool of Healthcare, University of Leeds, Leeds, UK.
Charlotte HanlonCentre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Tatiana Taylor SalisburyCentre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Matt FosseyFaculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Chelmsford, UK.
Karen NewbiggingDepartment of Psychiatry, University of Oxford, Oxford, UK.
Sarah E CarrHealth Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Jennifer HenselDepartment of Psychiatry, University of Manitoba, Winnipeg, MB, Canada.
Giuseppe CarràDepartment of Medicine and Surgery, University of Milano Bicocca, Milan, Italy.
Urs HeppIntegrated Psychiatric Services Winterthur, Zürcher Unterland, Winterthur, Switzerland.
Constanza CaneoDepartamento de Psiquiatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Justin J NeedleCentre for Health Services Research, School of Health Sciences, City, University of London, London, UK.
Brynmor Lloyd-EvansDivision of Psychiatry, University College London, London, UK.
King's College London · GBUniversity College London · GBAnglia Ruskin University · GBCamden and Islington NHS Foundation Trust · GBCity, University of London · GBIntegrierte Psychiatrie Winterthur · CHPontificia Universidad Católica de Chile · CLUniversity of Birmingham · GBUniversity of Leeds · GBUniversity of Manitoba · CAUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute services for mental health crises are very important to service users and their supporters, and consume a substantial share of mental health resources in many countries. However, acute care is often unpopular and sometimes coercive, and the evidence on which models are best for patient experience and outcomes remains surprisingly limited, in part reflecting challenges in conducting studies with people in crisis. Evidence on best ap-proaches to initial assessment and immediate management is particularly lacking, but some innovative models involving extended assessment, brief interventions, and diversifying settings and strategies for providing support are potentially helpful. Acute wards continue to be central in the intensive treatment phase following a crisis, but new approaches need to be developed, evaluated and implemented to reducing coercion, addressing trauma, diversifying treatments and the inpatient workforce, and making decision-making and care collaborative. Intensive home treatment services, acute day units, and community crisis services have supporting evidence in diverting some service users from hospital admission: a greater understanding of how best to implement them in a wide range of contexts and what works best for which service users would be valuable. Approaches to crisis management in the voluntary sector are more flexible and informal: such services have potential to complement and provide valuable learning for statutory sector services, especially for groups who tend to be underserved or disengaged. Such approaches often involve staff with personal experience of mental health crises, who have important potential roles in improving quality of acute care across sectors. Large gaps exist in many low- and middle-income countries, fuelled by poor access to quality mental health care. Responses need to build on a foundation of existing community responses and contextually relevant evidence. The necessity of moving outside formal systems in low-resource settings may lead to wider learning from locally embedded strategies.

Indexed as

Acute careacute day unitscrisis housescrisis re­solu­tion and home treatment teamsemergency departmentsinpatient psychiatric wardsintensive home treatmentmental health crises

Identifiers

PMID35524608
PMCPMC9077627
OpenAlexW4229022301

What OpenQuestion holds

Textmetadata
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.