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Review: Intensive case management for severe mental illness reduces rehospitalisation when previous hospital use has been high

T Burns

Correspondence to: T Burns, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK; Tom.burns@psych.ox.ac.uk

QUESTION
Question:
What factors affect the efficacy of intensive case management in reducing rates of hospital re-admission for people with severe mental health illness?

Outcomes:
Time in hospital (mean days per month).

METHODS
Design: Systematic review of randomised controlled trials (with meta-analysis and meta-regression).

Data sources: MEDLINE, EMBASE, PsychINFO, and CINAHL from inception to January 2007.

Study selection and analysis: Randomised controlled trials (RCTs) comparing intensive case management (allocated case manager with caseload of 20 people) to standard care (community mental health team or outpatients) or low intensity management (caseload of >20 people), for community dwelling people with severe mental health illness (schizophrenia or other similar disorder, depression with psychosis, or bipolar disorder). Exclusions: trials with acute crisis team intervention or control condition involving hospital-based care. A random effects meta-regression was used to examine the relation between hospital . . . [Full text of this article]

Alan Rosen, Gary R Bond, Maree Teesson

University of Sydney, University of Wollongong, Sydney NSW, Australia
Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, USA
University of NSW, Sydney NSW, Australia