Twenty-four hour care for schizophrenia

Abstract

From the single, small and ill-reported, included study, the hostel ward type of facility appeared cheaper and positively effective. Currently, the value of this way of supporting people - which could be considerable - is unclear. Trials are needed. Any 24 hour care 'ward-in-a-house' is likely to be oversubscribed. We argue that the only equitable way of providing care in this way is to draw lots as to who is allocated a place from the eligible group of people with serious mental illness. With follow-up of all eligible for the placements - those who were lucky enough to be allocated a place as well as people in more standard type of care - real-world evaluation could take place. In the UK further randomised control trials are probably impossible, as many of these types of facilities have closed. The broader lesson of this review is to ensure early and rigorous evaluation of fashionable innovations before they are superseded by new approaches.

Wohninterventionen für Menschen mit schweren psychischen Störungen – Internationale Evidenz aus RCTs

“…Hinsichtlich der untersuchten Outcomes verweisen die Ergebnisse auf die hohe Bedeutung der Wohnstabilität. Mit Ausnahme einer älteren Arbeit der Cochrane Collaboration [28] liegt bisher keine systematische Übersicht vor, in der für die Bewertung der Effektivität ausschließlich RCTs berücksichtigt wurden. Die zitierte Arbeit enthielt lediglich eine RCT; das Review ging der Frage nach der Effektivität von kleinen stationären Wohneinheiten nach.…”

A case study of the organisation of research knowledge by systematic reviews within the mental health care field

“…By applying the inclusion criteria on the full text of these reviews, we singled out 57 reviews for further critical appraisal. We only included the reviews that were of good methodological quality, [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] which we assessed using the AMSTAR checklist 25 (17/57). As three of these 17 identified reviews did not include any studies, 9,13,15 we extracted data from 14 systematic reviews.…”

Appendix A: Terminologies

“…This type of care is necessary for those who need help to manage selfcare and other aspects of daily living [23]. In medium-and high-income settings, when patients who have previously received long-term inpatient care for many years are discharged to community care, the outcomes are favorable for the majority [24] (the evidence for low-income settings is not clear).…”

“…Three main categories of such residential care can be identified: r 24-hour staffed residential care: This may include high-staffed hostels, residential care homes, or nursing homes, depending on whether the staff have professional qualifications. These facilities aim to maximize the social functioning and independence of the patient while optimizing medication and psychosocial interventions [23]. r Day-staffed residential facilities: These are hostels or residential homes which are staffed during the day.…”