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Review: More high quality studies needed to determine the effects on patient outcomes of psychiatric care guideline implementation

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Stefan Weinmann

Correspondence to: Stefan Weinmann, Department of Psychiatry II, BKH Guenzberg, University of Ulm, D-89312 Guenzberg, Germany;



What are the effects of implementation of psychiatric guidelines on patient and provider outcomes?


Provider performance or patient outcomes.



Systematic review.

Data sources:

MEDLINE, EMBASE, Cochrane Trials Register, CINAHL and PsycINFO were searched in March 2006. Reference lists of guidelines and other publications and websites were searched to identify English and non-English studies. A hand search of a selection of journals published between 1996 and 2005 was also performed.

Study selection and analysis:

Randomised controlled trials (RCTs), non-randomised comparative studies, and before-and-after studies examining the effects of implementing psychiatric guidelines on either service provider performance or patient outcomes in a primary care or professional mental health setting were included. Exclusions: non-adult studies; specific diagnostic guidelines (for example, ICD-10 primary care guidelines); studies of more than one guideline; guidelines as only one component of a complex care programme; disease management programmes; illness awareness programmes; studies of integrated delivery or collaborative care. The …

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  • Source of funding:University of Ulm.


  • Competing interests: AHC has worked on the Speakersâ Bureau of Eli Lilly.