Evidence map›Paper›PMID 37015828›Full record

SynthesisDrug and alcohol review2023

Health outcomes and service use patterns associated with co-located outpatient mental health care and alcohol and other drug specialist treatment: A systematic review.

Clare Glover-Wright, Kym Coupe, Alexander Charles Campbell, Claire Keen, Patrick Lawrence, Stuart A Kinner, Jesse T Young

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Drug and alcohol review, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
12.2field-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

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Clare Glover-WrightCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0003-1532-0632
Kym CoupeCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0001-7491-7573
Alexander Charles CampbellCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0003-4092-7436
Claire KeenCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0002-4875-1300
Patrick LawrenceFirst Step, Melbourne, Australia.
Stuart A KinnerCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0003-3956-5343
Jesse T YoungCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0001-5702-372X
The University of Melbourne · AUGriffith University · AUHealth First · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

issuesDespite long-standing recommendations to integrate mental health care and alcohol and other drug (AOD) treatment, no prior study has synthesised evidence on the impact of physically co-locating these specialist services on health outcomes. APPROACH: We searched Medline, PsycINFO, Embase, Web of Science and CINAHL for studies examining health outcomes associated with co-located outpatient mental health care and AOD specialist treatment for adults with a dual diagnosis of substance use disorder and mental illness. Due to diversity in study designs, patient populations and outcome measures among the included studies, we conducted a narrative synthesis. Risk of bias was assessed using the MASTER scale. KEY

findingsTwenty-eight studies met our inclusion criteria. We found provisional evidence that integrated care that includes co-located mental health care and AOD specialist treatment is associated with reductions in substance use and related harms and mental health symptom severity, improved quality of life, decreased emergency department presentations/hospital admissions and reduced health system expenditure. Many studies had a relatively high risk of bias and it was not possible to disaggregate the independent effect of physical co-location from other common aspects of integrated care models such as care coordination and the integration of service processes. IMPLICATIONS: There are few high-quality, peer-reviewed studies establishing the impact of co-located mental health care and AOD specialist treatment on health outcomes. Further research is required to inform policy, guide implementation and optimise practice.

conclusionIntegrated care that includes the co-location of mental health care and AOD specialist treatment may yield health and economic benefits.

Indexed as

Mental HealthSubstance-Related DisordersAdultHumansOutcome Assessment, Health CareOutpatientsQuality of Lifealcohol and other drug treatmentcommunity mental health servicesdiagnosisdual (psychiatry)mental disorderssystematic review

Identifiers

PMID37015828
PMCPMC10946517
OpenAlexW4362529931

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.