Crisis intervention for people with severe mental illnesses

Cochrane Database of Systematic Reviews, 2012

Crisis intervention for people with severe mental illnesses - The Cochrane Library - Murphy - Wiley Online Library from LOGIN Enter e-mail address Enter password REMEMBER ME > > > > DATABASE TOOLS DATABASE MENU FIND ARTICLES OTHER RESOURCES Intervention Review You have full text access to this content Crisis intervention for people with severe mental illnesses Suzanne Murphy 1,* , Claire B Irving 2 , Clive E Adams 2 , Ron Driver 1 Editorial Group: Published Online: 16 MAY 2012 Assessed as up-to-date: 12 FEB 2012 DOI: 10.1002/14651858.CD001087.pub4 Copyright © 2012 The Cochrane Collaboration.
Publication History Publication Status: New search for studies and content updated (no change to conclusions) Published Online: 16 MAY 2012 SEARCH ARTICLE TOOLS Abstract Abstract Background A particularly difficult challenge for community treatment of people with serious mental illnesses is the delivery of an acceptable level of care during the acute phases of severe mental illness.
Objectives To review the effects of crisis intervention models for anyone with serious mental illness experiencing an acute episode, compared with 'standard care'.
Search methods We updated the 1998, 2003 and 2006 searches with a search of the Cochrane Schizophrenia Group's Register of trials (2010) which is based on regular searches of CINAHL, EMBASE, MEDLINE, and PsycINFO.
Selection criteria We included all randomised controlled trials of crisis intervention models versus standard care for people with severe mental illnesses.
Data collection and analysis We independently extracted data from these trials and we estimated risk ratios (RR) or mean differences (MD), with 95% confidence intervals (CI).
Main results Three new studies have been found since the last review in 2006 to add to the five studies already included in this review.
None of the previously included studies investigated crisis intervention alone; all used a form of home care for acutely ill people, which included elements of crisis intervention.
However, one of the new studies focuses purely on crisis intervention as provided by Crisis Resolution Home Teams within the UK; the two other new studies investigated crisis houses i.e.
Crisis intervention appears to reduce repeat admissions to hospital after the initial 'index' crises investigated in the included studies, this was particularly so for mobile crisis teams supporting patients in their own homes.
Crisis intervention reduces the number of people leaving the study early, reduces family burden, is a more satisfactory form of care for both patients and families and at three months after crisis, mental state is superior to standard care.