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Outreach treatment was as effective as hospital treatment for comorbid intellectual disabilities and psychiatric disorders

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Question In patients with intellectual disabilities and psychiatric disorders, is outreach treatment as effective as hospital treatment?


28 week randomised controlled trial.


Psychiatric hospital in Venray, the Netherlands.


50 patients (mean age 31 y, 76% men) who had a mild or borderline intellectual disability and were considered to require inpatient hospital treatment on the basis of the severity of their mental illness. Patients who required institutionalisation on legal grounds were excluded. Patients were recruited from referrals to a 48 bed Dutch psychiatric hospital.


Patients were allocated to hospital treatment (n=25) or outreach treatment (n=25). Patients in the hospital treatment group received 24 hours/day of care consisting of psychopharmacological medicine, behavioural therapy, social skills training, education, and structured daily activities. …

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