A Controlled Trial of Home-Based Acute Psychiatric Services

Burns, Tom; Raftery, James; Beadsmoore, Alan; McGuigan, Sean; Dickson, Mark A.

doi:10.1192/bjp.163.1.55

Cited by 112 publications

(50 citation statements)

References 22 publications

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“…The first was the attrition rate of the sample over 12 months; this was similar for day patients and inpatients and comparable with other studies in an inner city area 2 19 20. Secondly, only 103 (55%) patients had a resident carer to interview; this reflects the small social network of such patients and compares favourably with the 28-32% in other studies 19 21 22…”

Section: Discussionsupporting

confidence: 83%

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Cost effectiveness of day and inpatient psychiatric treatment: results of a randomised controlled trial

Creed

Mbaya²,

Lancashire³

et al. 1997

BMJ

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Objective: To evaluate the effectiveness of an antismoking campaign conducted by the Health Education Board for Scotland. Design: Descriptive survey of adult callers to a telephone helpline (Smokeline) for stopping smoking; panel study of a random sample of adult callers; assessment of changes in prevalence of smoking in Scotland before and after introduction of the helpline Setting: Telephone helpline. Subjects: Callers to Smokeline over the initial one year period. Detailed information was collected on a 10% sample (n = 8547). A cohort of adult smokers who called Smokeline (total n = 848) was followed up by telephone interview three weeks, six months, and one year after the initial call. Main outcome measures: Numbers of adult smokers calling helpline; changes in smoking behaviour, especially stopping smoking among cohort members; and changes in prevalence of smoking in the general population. Results: An estimated 82 782 regular adult smokers made genuine contact with Smokeline over the year, representing about 5.9% of all adult smokers in Scotland. At one year 143 of the cohort of 848 callers (23.6%; 95% confidence interval 20.2% to 27.0%) reported that they had stopped smoking, and 534 (88.0%; 85.4% to 90.6%) reported having made some change. About 19 500 (16 700 to 22 350) adult smokers, equivalent to 1.4% (1.2% to 1.6%) of the mean adult smoking population, stopped smoking with direct help from Smokeline. During the second year of the campaign (1994) smoking prevalence among 25-65 year olds in Scotland was 6% (2.0% to 10.0%) lower than it had been before the start of the campaign. Conclusion: The Health Education Board for Scotland's antismoking campaign reached a high number of adult smokers, was associated with a highly acceptable quit rate among adults given direct help through Smokeline, and contributed considerably to an accelerated decline in smoking prevalence in Scotland.

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Section: Discussionsupporting

confidence: 83%

“…These patients represented only 30-40% of potential admissions2 and were therefore not as ill as patients included in other intensive community treatment programmes in Britain 19 25. They were more comparable to patients in early intervention studies22 26 27 and cannot be generalised to all acutely ill patients.…”

Section: Discussionmentioning

confidence: 96%

Cost effectiveness of day and inpatient psychiatric treatment: results of a randomised controlled trial

Creed

Mbaya²,

Lancashire³

et al. 1997

BMJ

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“…There is widespread evidence in medicine that more comprehensive assessments can lead to more effective treatments. [18][19][20] Second, clinicians asked patients to indicate their satisfaction and wishes. Thus, it focuses the communication on the patient's views and makes it patient-centred.…”

Section: The Dialog Interventionmentioning

confidence: 99%

Effective patient–clinician interaction to improve treatment outcomes for patients with psychosis: a mixed-methods design

Priebe

Golden

Kingdon

et al. 2017

Programme Grants Appl Res

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et al. Effective patient-clinician interaction to improve treatment outcomes for patients with psychosis: a mixed-methods design. Programme Grants Appl Res 2017;5(6). Programme Grants for Applied ResearchISSN 2050-4322 (Print) ISSN 2050-4330 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0108-10023. The contractual start date was in April 2010. The final report began editorial review in October 2015 and was accepted for publication in August 2016. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, CCF, NETSCC, PGfAR or the Department of Health. If there are verbatim quotations included in this publicatio...

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“…Significant within-group change in the CID total score was also found in a controlled trial of home-based acute psychiatric services compared to hospital-based care [139,140,141]. Both groups improved significantly during the first 6 weeks, with some slow consolidation thereafter.…”

Section: Resultsmentioning

confidence: 90%

The Clinical Interview for Depression: A Comprehensive Review of Studies and Clinimetric Properties

Guidi

Fava

Bech

et al. 2010

Psychother Psychosom

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Background: A comprehensive assessment of the wide spectrum of depressive symptomatology, particularly in its subclinical forms, is lacking in standard rating scales. There is also an emerging need for instruments that can detect small differences in therapeutic studies and have good sensitivity. The purpose of this paper is to review the clinimetric characteristics of Paykel’s Clinical Interview for Depression (CID) and to examine the results of the studies in which the interview has been used. Methods: Published reports which involved the use of the CID were identified by searching the following electronic databases: Medline, PsychINFO, EMBASE, and Web of Science. A manual search of the literature was also performed. Results: The initial strategies yielded 169 published reports for potential inclusion in the review: 98 are discussed here. The CID has been used extensively in a variety of studies, including descriptive studies, classification by means of factor analysis and cluster analysis, and predictor variables of response to treatment or relapse. The CID has also been used as an outcome measure in several controlled clinical trials and follow-up studies of pharmacotherapy and psychotherapy of affective disorders. It has been shown to be valid and reliable, to discriminate depressives from controls, or different subgroups of depressed patients, and to reflect changes during the course of treatment, particularly when individual symptoms are considered. Conclusions: Evidence from these studies highlights the utility of the CID in clinical research and practice. Its clinimetric characteristics, particularly the broad evaluation of affective symptomatology and the sensitivity to change, make it an instrument of choice in therapeutic trials.

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A Controlled Trial of Home-Based Acute Psychiatric Services

Cited by 112 publications

References 22 publications

Cost effectiveness of day and inpatient psychiatric treatment: results of a randomised controlled trial

Cost effectiveness of day and inpatient psychiatric treatment: results of a randomised controlled trial

Effective patient–clinician interaction to improve treatment outcomes for patients with psychosis: a mixed-methods design

The Clinical Interview for Depression: A Comprehensive Review of Studies and Clinimetric Properties

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