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Review: compulsory community treatment does not improve social functioning or service use in people with severe mental illness

QuestionQuestion

Is compulsory community treatment for people with severe mental illness clinically effective and cost-effective?

Outcomes

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.

MethodsDesign

Systematic review and meta-analysis.

Data sources

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…

Posted in: Meta-analyses - Systematic Reviews on 06/26/2011 | Link to this post on IFP |
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