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International differences in home treatment for mental health problems: results of a systematic review

Burns, Tom, Catty, Jocelyn, Watt, Hilary, Wright, Christine, Knapp, Martin ORCID: 0000-0003-1427-0215 and Henderson, Juliet (2002) International differences in home treatment for mental health problems: results of a systematic review. British Journal of Psychiatry, 181 (5). pp. 375-382. ISSN 0007-1250

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Identification Number: 10.1192/bjp.181.5.375


Background: It is perceived that North American home treatment studies reveal greater success in reducing days in hospital than do European studies. There are difficulties in extrapolating findings internationally. Aims: We aimed to determine whether North American studies find greater reductions in days in hospital and whether experimental service patients in North American studies spend less time in hospital. Method: The results of a systematic review were analysed with respect to study location. Service components ascertained through follow-up were utilised to interpret the meta-analyses conducted. Results: Most of the 91 studies found were from the USA and UK. North American studies found a difference of one hospital day (per patient per month) more than European studies but there was no difference in experimental data between the two locations. Conclusions: North American studies demonstrate greater differences in days in hospital but patients in their experimental services seem to spend no fewer days in hospital, implying a disparity in control services.

Item Type: Article
Official URL:
Additional Information: © 2002 Royal College of Psychiatrists
Divisions: Social Policy
Personal Social Services Research Unit
LSE Health
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RA Public aspects of medicine
Date Deposited: 05 Sep 2008 11:30
Last Modified: 07 Dec 2021 16:18

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