International differences in home treatment for mental health problems. Results of a systematic review


Burns, T; Catty, J; Watt, H; Wright, C; Knapp, M; Henderson, J; (2002) International differences in home treatment for mental health problems. Results of a systematic review. The British journal of psychiatry, 181. pp. 375-82. ISSN 0007-1250 DOI: https://doi.org/10.1192/bjp.181.5.375

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Abstract

BACKGROUND: It is perceived that North American home treatment studies reveal greater success in reducing days in hospital than do European studies. There are difficulties in extrapolating findings internationally. AIMS: We aimed to determine whether North American studies find greater reductions in days in hospital and whether experimental service patients in North American studies spend less time in hospital. METHOD: The results of a systematic review were analysed with respect to study location. Service components ascertained through follow-up were utilised to interpret the meta-analyses conducted. RESULTS: Most of the 91 studies found were from the USA and UK. North American studies found a difference of one hospital day (per patient per month) more than European studies but there was no difference in experimental data between the two locations. CONCLUSIONS: North American studies demonstrate greater differences in days in hospital but patients in their experimental services seem to spend no fewer days in hospital, implying a disparity in control services.

Item Type: Article
Keywords: *Community Mental Health Services, Comparative Study, Follow-Up Studies, Great Britain, *Home Care Services, Hospitals, Psychiatric/*utilization, Human, Length of Stay/*statistics & numerical data, Mental Disorders/*therapy, Support, Non-U.S. Gov't, United States, Community Mental Health Services, Comparative Study, Follow-Up Studies, Great Britain, Home Care Services, Hospitals, Psychiatric, utilization, Human, Length of Stay, statistics & numerical data, Mental Disorders, therapy, Support, Non-U.S. Gov't, United States
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Medical Statistics
PubMed ID: 12411261
Web of Science ID: 179108900005
URI: http://researchonline.lshtm.ac.uk/id/eprint/15445

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