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. 2009 Apr 15;2009(2):CD006410. doi: 10.1002/14651858.CD006410.pub2

Evans 2003.

Methods RCT
Participants Young people with emotional and behavioural disorders who were referred to psychiatric services due to a mental health crisis
Number recruited=296 and 238 available at follow‐up
Home Builders Crisis Intervention=90
Enhanced Home Based Crisis Intervention=85
Crisis Case Management=63
Interventions Family preservation service: the focus is on the identification of family and individual psychosocial, cultural, community and welfare needs. Components include relationship building, reframing problems, anger management, communication, setting treatment goals and cognitive behavioural therapy. The aim is to prevent an out‐of‐home placement for children at high risk. Short‐term out‐of‐home placement from 3 days is permitted for respite care purposes in some cases. Services can respond 24 hours a day and are time limited, ranging from 6 to 12 weeks, with 2 families per therapist. Therapists are supervised by a child psychiatrist, who also provides consultation and referral services. Registered nurses and social workers also provide care.
Outcomes Standardised measures: Child Behaviour Checklist, severity, family adaptability and cohesion, self concept
Notes Length of follow up: at discharge and 6 months
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear