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. Author manuscript; available in PMC: 2014 Jun 2.
Published in final edited form as: Cochrane Database Syst Rev. 2008 Jan 23;(1):CD000384. doi: 10.1002/14651858.CD000384.pub2
Methods Allocation: ’random allocation’, no further details.
Blinding: none.
Duration: 2 years.
Setting: San Francisco, USA.
Participants Diagnosis: schizophrenia (57% paranoid) (Mosher criteria).
N=141.
Age: mean 23, range 15-38 years.
Sex: 50% women.
Marital status: 84% single.
Race: 10% black.
Social class: 85% III -V.
History: ’short-term’ 31; ’long-term’ 29.
Interventions
  1. Short term admission (21-28 days): early discharge plan, rapid assessment, “crisis resolution” management ethos, phenothiazine medication; long-range recommendations for further post-discharge treatment or rehabilitation. N=71

  2. Long-term admission (90-120 days): assessment (2-3 weeks), psychotherapy, phenothiazine medication and/or “major rehabilitative measures” (change of home/job or workshop placement). N=70

    Similar fixed drug regimes across groups.

Outcomes Readmission.
Average length of hospital stay.
Delay in discharge.
Leaving hospital prematurely.
Lost to follow-up.
Mental state. HSRS, PEF.
Unemployed.
Economic data.
Unable to use -
Social function: KAS, Behavior Inventory (no SD).
User satisfaction: PSECS (no SD).
Family burden: PEF (no SD).
Employment status: BFR, PEF, PSECS , FMECS (no SD).
Notes Mosher criteria - see Mosher 1971.
Differences reported between groups (long stay - more education, higher socio-economic status, better pre-morbid adjustment & higher mean dose antipsychotics - 644 mg CPZ equivalents versus 328 mg).
First report on subset of 61 people (Glick 1974) presented only usable data from PEF & HSRS (percentage not improved)
Risk of bias
Item Authors’ judgement Description
Allocation concealment? Unclear B - Unclear