Table 26, Summary of included studies for comparison 6 community mental health teams versus standard care - Service delivery Models and settings for delivery of services

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Table 26Summary of included studies for comparison 6 community mental health teams versus standard care

Study	Population	Intervention	Comparison	Comments
Merson 1992 RCT UK	N=100 Non-psychotic severe mental illness Diagnosis: 38% ICD-10 schizophrenia and related disorders; 32% mood disorder; 25% neurotic and stress-related disorders; 4% substance misuse; 1% personality disorder only Mean age (years): NR (median 32) Sex (% female): 60 Ethnicity (% BME): 32	Community mental health team (CMHT). Early intervention from a multidisciplinary community-based team, open referral, in-home assessments, collaboration maintained with already involved agencies, clinical decisions by team consensus	Standard care included conventional hospital-based psychiatric services, usually outpatient clinic assessments with occasional home visits	Duration of follow-up: 3 months Outcomes: Psychiatric symptom severity at 3 months post-entry Admission as an inpatient 3 months post-entry Admission as an inpatient for >10 days at 3 months post-entry Satisfaction (number of participants satisfied with their treatment) at 3-months post-entry Satisfaction (service satisfaction score) at 3-months post-entry

Study

Population

Intervention

Comparison

Comments

Merson 1992

RCT

N=100

Non-psychotic severe mental illness

Diagnosis: 38% ICD-10 schizophrenia and related disorders; 32% mood disorder; 25% neurotic and stress-related disorders; 4% substance misuse; 1% personality disorder only

Mean age (years): NR (median 32)

Sex (% female): 60

Ethnicity (% BME): 32

Community mental health team (CMHT). Early intervention from a multidisciplinary community-based team, open referral, in-home assessments, collaboration maintained with already involved agencies, clinical decisions by team consensus

Standard care included conventional hospital-based psychiatric services, usually outpatient clinic assessments with occasional home visits

Duration of follow-up: 3 months

Outcomes:

Psychiatric symptom severity at 3 months post-entry
Admission as an inpatient 3 months post-entry
Admission as an inpatient for >10 days at 3 months post-entry
Satisfaction (number of participants satisfied with their treatment) at 3-months post-entry
Satisfaction (service satisfaction score) at 3-months post-entry

: BME: black, minority, ethnic; ICD: International Classification of Diseases; N: number of participants; NR: not reported; RCT: randomised controlled trial

From: Service delivery Models and settings for delivery of services

Cover of Service delivery Models and settings for delivery of services

Service delivery Models and settings for delivery of services: Depression in adults: Evidence review A.

NICE Guideline, No. 222.

London: National Institute for Health and Care Excellence (NICE); 2022 Jun.

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