Methods | Allocation: randomised, using a random number sequence, before applying inclusion criteria. Blindness: single (researchers). Follow up: 12 months. Analysis: ITT. |
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Participants | Diagnosis: psychotic disorders 55/158 (35%), (PSE, CATEGO). History: 79 had previous psychiatric history. N=332*. Age: mean 40 years. Sex: 75 M, 97 F. Race: 157 white. Setting: inner city. |
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Interventions | 1. Community treatment teams: multi-disciplinary community teams, home based assessment within two weeks of referral, joint visits; not crisis intervention and no mention of 24 hour cover; no restriction on case loads. N=94 ’entering study’ 2. Standard hospital treatment: usually OPD with occasional home visits. N=78 ’entering’ study |
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Outcomes | Death. Leaving study early. Time in hospital. Duration of hospital care. Unable to use - Satisfaction of care. (no data). Psychiatric symptoms: PSE, BPRS, and clinical interview (no SD). Social functioning. (no SD). Social services use. (no usable data). Costs of care. (no usable data). |
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Notes | *Randomisation of all referrals to mental health services randomised, routine or urgent. 172 ’entered study’. Not in treatment with psychiatric services in previous 12 months Substantial numbers excluded, dropped or lost after randomisation but before first assessment. Six people died from natural causes (4 standard care group; 2 CMHT group) - subtracted from original number randomised |
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Risk of bias | ||
Item | Authors’ judgement | Description |
Allocation concealment? | Unclear | B - Unclear |