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. 2017 Jan 6;2017(1):CD007906. doi: 10.1002/14651858.CD007906.pub3

Comparison 2. Intensive Case Management versus non‐Intensive Case Management.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Service use: 1. Average number of days in hospital per month ‐ by about 24 months 21 2220 Mean Difference (IV, Random, 95% CI) ‐0.08 [‐0.37, 0.21]
1.1 skewed data (sample size ≧ 200) 3 694 Mean Difference (IV, Random, 95% CI) ‐0.58 [‐1.93, 0.76]
1.2 skewed data (sample size < 200) 18 1526 Mean Difference (IV, Random, 95% CI) ‐0.03 [‐0.33, 0.28]
2 Service use: 1a. Average number of days in hospital per month ‐ by medium/long term follow up (skewed data, sample size ≧ 200) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
2.1 by medium term FUP (18 months) 1 237 Mean Difference (IV, Random, 95% CI) 0.60 [‐1.25, 2.45]
2.2 by long term FUP (8.5 years) 1 203 Mean Difference (IV, Random, 95% CI) 0.80 [‐1.47, 3.07]
3 Service use: 2. Not remaining in contact with psychiatric services 4   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
3.1 by medium term 1 73 Risk Ratio (M‐H, Random, 95% CI) 0.27 [0.08, 0.87]
3.2 by long term 3 1182 Risk Ratio (M‐H, Random, 95% CI) 0.82 [0.34, 1.98]
3.3 by medium term FUP (18 months) 1 251 Risk Ratio (M‐H, Random, 95% CI) 0.42 [0.17, 1.05]
4 Service use: 3a. Admitted to hospital ‐ by long term 3 1132 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.75, 1.12]
5 Service use: 3b. Average number of admissions (skewed data ‐sample size ≧ 200) 2   Mean Difference (IV, Random, 95% CI) Subtotals only
5.1 ‐ by long term (24 months) 1 678 Mean Difference (IV, Random, 95% CI) ‐0.18 [‐0.41, 0.05]
5.2 by medium term FUP (18 months) 1 237 Mean Difference (IV, Random, 95% CI) ‐0.10 [‐0.60, 0.40]
5.3 by long term FUP (8.5 years) 1 203 Mean Difference (IV, Random, 95% CI) 1.0 [‐0.25, 2.25]
6 Service use: 3c. Average number of admissions (skewed data) ‐ by medium term     Other data No numeric data
7 Adverse event: 1a. Death ‐ any cause 7   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
7.1 by short term 1 193 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
7.2 by medium term 3 294 Risk Ratio (M‐H, Random, 95% CI) 2.92 [0.12, 69.43]
7.3 by long term 5 1637 Risk Ratio (M‐H, Random, 95% CI) 0.90 [0.46, 1.75]
7.4 by medium term FUP (18 months) 1 251 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.32, 2.95]
7.5 by long term FUP (8.5 years) 1 251 Risk Ratio (M‐H, Random, 95% CI) 1.15 [0.63, 2.09]
8 Adverse event: 1b. Death ‐ suicide 8   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
8.1 by short term 1 193 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
8.2 by medium term 6 929 Risk Ratio (M‐H, Random, 95% CI) 1.61 [0.26, 9.85]
8.3 by long term 3 1152 Risk Ratio (M‐H, Random, 95% CI) 0.88 [0.27, 2.84]
8.4 by medium term FUP (18 months) 1 251 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.03, 3.09]
9 Global state: 1. Leaving the study early 9 2195 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.52, 0.99]
9.1 by medium term 2 225 Risk Ratio (M‐H, Random, 95% CI) 0.64 [0.13, 3.07]
9.2 by long term 7 1970 Risk Ratio (M‐H, Random, 95% CI) 0.70 [0.52, 0.95]
10 Global state: 2a. Average endpoint score (HoNOS, high = poor) ‐ by long term 1 239 Mean Difference (IV, Random, 95% CI) ‐0.40 [‐1.77, 0.97]
11 Global state: 2b. Average endpoint score (HoNOS, high = poor) ‐ skewed data     Other data No numeric data
11.1 medium term     Other data No numeric data
11.2 long term     Other data No numeric data
12 Global state: 3a. Not compliant with medication ‐ by medium term 1 73 Risk Ratio (M‐H, Random, 95% CI) 1.14 [0.42, 3.05]
13 Global state: 3b. Compliance with medication ‐ average endpoint sub‐scale score (ROMI) ‐ by long term 1   Mean Difference (IV, Random, 95% CI) Subtotals only
13.1 compliance sub‐scale (high = good) 1 239 Mean Difference (IV, Random, 95% CI) 0.60 [‐0.05, 1.25]
13.2 non‐compliance sub‐scale (high = poor) 1 239 Mean Difference (IV, Random, 95% CI) ‐0.60 [‐1.63, 0.43]
14 Global state: 3c. Compliance with medication ‐ average endpoint sub‐scale score (ROMI, score 1‐3, skewed data)     Other data No numeric data
14.1 medium term ‐ compliance sub‐scale (high = good)     Other data No numeric data
14.2 medium term ‐ non‐compliance sub‐scale (high = poor)     Other data No numeric data
14.3 long term ‐ compliance sub‐scale (high = good)     Other data No numeric data
14.4 long term ‐ non‐compliance sub‐scale (high = poor)     Other data No numeric data
15 Social functioning: 1. Contact with legal system (various measurements) 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
15.1 by medium term ‐ contact with the police 1 73 Risk Ratio (M‐H, Random, 95% CI) 0.32 [0.04, 2.97]
15.2 by long term ‐ imprisoned 2 959 Risk Ratio (M‐H, Random, 95% CI) 1.15 [0.64, 2.08]
15.3 by long term ‐ arrested 1 251 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.53, 1.42]
15.4 by medium term FUP (18 months) ‐ imprisoned 1 251 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.47, 2.44]
15.5 by long term FUP (8.5 years) ‐ imprisoned 1 214 Risk Ratio (M‐H, Random, 95% CI) 0.7 [0.43, 1.14]
16 Social functioning 2. Employment status (various measurements) 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
16.1 spent >1 day employed ‐ by medium term 1 73 Risk Ratio (M‐H, Random, 95% CI) 1.46 [0.45, 4.74]
16.2 on paid employment ‐ by medium term 1 73 Risk Ratio (M‐H, Random, 95% CI) 0.97 [0.14, 6.54]
16.3 unemployed ‐ by long term FUP (8.5 years) 1 214 Risk Ratio (M‐H, Random, 95% CI) 1.10 [0.91, 1.34]
17 Social functioning: 3a. Accommodation status (various measurements) 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
17.1 by medium term ‐ living in supported accommodation 1 73 Risk Ratio (M‐H, Random, 95% CI) 2.59 [0.75, 9.01]
17.2 by long term ‐ homelessness 1 251 Risk Ratio (M‐H, Random, 95% CI) 0.69 [0.34, 1.38]
17.3 by medium term FUP (18 months) ‐ living independently 1 251 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.84, 1.13]
17.4 by medium term FUP (18 months) ‐ living in supported accomodation 1 251 Risk Ratio (M‐H, Random, 95% CI) 0.83 [0.38, 1.77]
17.5 by medium term FUP (18 months) ‐ homelessness 1 251 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.47, 1.49]
17.6 by long term FUP (8.5 years) ‐ living in supported accomodation 1 214 Risk Ratio (M‐H, Random, 95% CI) 1.05 [0.75, 1.48]
17.7 by long term FUP (8.5 years) ‐ homelessness 1 214 Risk Ratio (M‐H, Random, 95% CI) 0.92 [0.55, 1.53]
18 Social functioning: 3b. Accommodation status ‐ average days per month in stable accommodation 2   Mean Difference (IV, Random, 95% CI) Subtotals only
18.1 by short term 1 203 Mean Difference (IV, Random, 95% CI) ‐0.20 [‐2.48, 2.08]
18.2 by medium term 1 203 Mean Difference (IV, Random, 95% CI) 0.10 [‐2.15, 2.35]
18.3 by long term 2 901 Mean Difference (IV, Random, 95% CI) ‐0.19 [‐1.37, 1.00]
19 Social functioning: 4a. Substance abuse ‐ by long term 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
19.1 alcohol abuse 1 251 Risk Ratio (M‐H, Random, 95% CI) 1.10 [0.67, 1.83]
19.2 illicit drug abuse 1 251 Risk Ratio (M‐H, Random, 95% CI) 1.08 [0.69, 1.71]
19.3 alcohol ‐ remission from alcohol use disorder (AUS score < 3) 1 223 Risk Ratio (M‐H, Random, 95% CI) 0.86 [0.65, 1.14]
20 Social functioning: 4b. Substance abuse ‐ average endpoint score (SATS, low = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
20.1 by short term 1 203 Mean Difference (IV, Random, 95% CI) 0.07 [‐0.28, 0.42]
20.2 by medium term 1 203 Mean Difference (IV, Random, 95% CI) ‐0.11 [‐0.55, 0.33]
20.3 by long term 1 203 Mean Difference (IV, Random, 95% CI) 0.11 [‐0.41, 0.63]
21 Social functioning: 4c. Alcohol ‐ abuse (various measurements, skewed data)     Other data No numeric data
21.1 short term ‐ days using alcohol during previous 6 months (TLFB)     Other data No numeric data
21.2 short term ‐ average endpoint score (AUS, high = poor)     Other data No numeric data
21.3 medium term ‐ days using alcohol during previous 6 months (TLFB)     Other data No numeric data
21.4 medium term ‐ average endpoint score (AUS, high = poor)     Other data No numeric data
21.5 long term ‐ days using alcohol during previous 6 months (TLFB)     Other data No numeric data
21.6 long term ‐ average endpoint score (AUS, high = poor)     Other data No numeric data
22 Social functioning: 5a. Average endpoint score (LSP, high = poor) ‐ by long term 1 239 Mean Difference (IV, Random, 95% CI) 4.0 [‐0.61, 8.61]
23 Social functioning: 5b. Average endpoint score (SFQ, high = poor) ‐ skewed data     Other data No numeric data
23.1 by medium term     Other data No numeric data
23.2 by long term     Other data No numeric data
24 Mental state: 1a. General symptoms ‐ average endpoint score (various scales) 2   Mean Difference (IV, Random, 95% CI) Subtotals only
24.1 by short term (BPRS‐24 items, high = poor) 1 203 Mean Difference (IV, Random, 95% CI) ‐0.65 [‐3.99, 2.69]
24.2 by medium term (BPRS‐24 items, high = poor) 1 203 Mean Difference (IV, Random, 95% CI) ‐1.62 [‐4.76, 1.52]
24.3 by long term (BPRS‐24 items, high = poor) 1 203 Mean Difference (IV, Random, 95% CI) ‐0.22 [‐3.32, 2.88]
24.4 by long term (CPRS, high = poor) 1 595 Mean Difference (IV, Random, 95% CI) 0.40 [‐1.83, 2.63]
25 Mental state: 1b. General symptoms ‐ average endpoint scores (various scales, skewed data)     Other data No numeric data
25.1 by medium term (Krawiecka Scale, high = poor)     Other data No numeric data
25.2 by long term (Krawiecka Scale, high = poor)     Other data No numeric data
25.3 by long term (BPRS 24‐items, high = good)     Other data No numeric data
26 Mental state: 2a. Specific symptoms: negative symptoms ‐ average endpoint score (SANS, high = poor) ‐ by long term 1 593 Mean Difference (IV, Random, 95% CI) 0.20 [‐2.32, 2.72]
27 Mental state: 2b. Specific symptoms ‐ average endpoint scores (various scales, skewed data)     Other data No numeric data
27.1 medium term ‐ anxiety (HADS, high = poor)     Other data No numeric data
27.2 medium term ‐ depression (HADS, high = poor)     Other data No numeric data
27.3 long term ‐ anxiety (HADS, high = poor)     Other data No numeric data
27.5 long term ‐ depression (HADS, high = poor)     Other data No numeric data
28 Behaviour: 1. Specific behaviour (various measurements) 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
28.1 by medium term ‐ harm to self or others 1 73 Risk Ratio (M‐H, Random, 95% CI) 0.88 [0.40, 1.90]
28.2 by long term ‐ self‐harm 2 959 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.69, 1.46]
28.3 by long term ‐ injury/assault to others 2 959 Risk Ratio (M‐H, Random, 95% CI) 1.09 [0.85, 1.40]
28.4 by medium term FUP (18 months) ‐ self harm 1 251 Risk Ratio (M‐H, Random, 95% CI) 0.85 [0.44, 1.67]
28.5 by medium term FUP (18 months) ‐ injury/assualt to others 1 251 Risk Ratio (M‐H, Random, 95% CI) 1.35 [0.87, 2.10]
28.6 by long term FUP (8.5 years) ‐ self harm 1 214 Risk Ratio (M‐H, Random, 95% CI) 0.81 [0.51, 1.27]
28.7 by long term FUP (8.5 years) ‐ injury/assault to others 1 214 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.83, 1.09]
29 Quality of life: 1. Average endpoint score (various scales) 3   Mean Difference (IV, Random, 95% CI) Subtotals only
29.1 by short term ‐ overall life satisfaction (QOLI, high = better) 1 203 Mean Difference (IV, Random, 95% CI) ‐0.02 [‐0.43, 0.39]
29.2 by medium term ‐ overall life satisfaction (QOLI, high = better) 1 203 Mean Difference (IV, Random, 95% CI) ‐0.04 [‐0.43, 0.35]
29.3 by long term (LQoLP, high = better) 1 526 Mean Difference (IV, Random, 95% CI) 0.03 [‐0.10, 0.16]
29.4 by long term (MANSA, range 1‐7, high = better) 1 166 Mean Difference (IV, Random, 95% CI) 0.10 [‐0.19, 0.39]
29.5 by long term ‐ overall life satisfaction (QOLI, high = better) 1 203 Mean Difference (IV, Random, 95% CI) 0.10 [‐0.25, 0.45]
30 Participant satisfaction/need: 1. Average endpoint scores (various scale) ‐ by long term 1   Mean Difference (IV, Random, 95% CI) Subtotals only
30.1 Patient need: CAN (high = poor) 1 585 Mean Difference (IV, Random, 95% CI) ‐0.29 [‐0.69, 0.11]
30.2 Patient Satisfaction with Health Services (high = poor) 1 490 Mean Difference (IV, Random, 95% CI) ‐0.40 [‐1.25, 0.45]
31 Participants need: 1. Average endpoint scores (various scales, skewed data)     Other data No numeric data
31.1 by medium term (CAN, high = poor)     Other data No numeric data
31.2 by long term (CAN, high = poor)     Other data No numeric data
31.3 by long term (CANSAS, high = poor)     Other data No numeric data
32 Participant satisfaction: 1. Average endpoint scores (CSQ‐modified, high = better, skewed data) ‐ by long term     Other data No numeric data
33 Costs: 1. Direct costs of psychiatric hospital care (skewed data)     Other data No numeric data
33.3 by medium term     Other data No numeric data
33.4 by long term     Other data No numeric data
34 Costs: 2a. Direct costs of all care ‐ by long term (2 years). Unit cost GBP, fiscal year 1997/98 1   Mean Difference (IV, Random, 95% CI) Subtotals only
35 Costs: 2b. Direct costs of all care ‐ by medium term (skewed data)     Other data No numeric data
36 Costs: 3. Total costs of care per patient ‐ Unit cost GBP 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
36.1 by 24 months, fiscal year 1997/98 1 667 Mean Difference (IV, Fixed, 95% CI) 1849.0 [‐1598.23, 5296.23]
36.2 by 18 months, fiscal year 2003/2004 ( GBP 1 = USD 1.58) 1 243 Mean Difference (IV, Fixed, 95% CI) 4031.00 [‐2724.13, 10786.13]