Statistics from Altmetric.com
Is compulsory community treatment for people with severe mental illness clinically effective and cost-effective?
The primary outcomes were health services contact and utilisation (admission to hospital and length of stay) and social functioning (imprisonment, police contact and arrests). Secondary outcomes included remaining in contact with psychiatric services, employment, homelessness, mental state, quality of life, satisfaction with care and adverse events.
Systematic review and meta-analysis.
Cochrane Schizophrenia Group Register 2003 and 2008, and the Science Citation Index. Studies listed in the reference lists of identified studies were obtained. Authors of included studies and experts in the field were contacted to identify further studies.
Study selection and analysis
Randomised controlled trials (RCTs) of compulsory community treatment compared with standard care for people with severe mental illness (mainly schizophrenia and schizophrenia-like disorders, bipolar disorder or depression with psychotic features). Studies in people with substance abuse alone were not eligible.
Two randomised clinical trials (n=416) met inclusion criteria. Both were carried out in the USA, most of the participants had psychosis and about 40% were women. These trials assessed court ordered …
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.