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Correspondence to: T Burns, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK; Tom.firstname.lastname@example.org
What factors affect the efficacy of intensive case management in reducing rates of hospital re-admission for people with severe mental health illness?
Time in hospital (mean days per month).
Systematic review of randomised controlled trials (with meta-analysis and meta-regression).
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 stay and covariates. Covariates included: trial size, year of study, country of study, baseline hospital use, similarity of the intervention to assertive community treatment (assessed …
Source of funding: Policy research programme, Department of Health.
▸ An additional reference list is published online only at http://ebmh.bmj.com/content/vol11/issue2
Competing interests: None.
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