Imperial College London
Alternate

Hilary Watt CStat FHEA MSc MA(Oxon) BA

Faculty of Medicine, School of Public Health

Senior Teaching Fellow in Statistics
 
 
 
//

Contact

 

+44 (0)20 7594 7451h.watt Website

 
 
//

Location

 

322Reynolds BuildingCharing Cross Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Burns:2001:10.3310/hta5150,
author = {Burns, T and Knapp, M and Catty, J and Healey, A and Henderson, J and Watt, H and Wright, C},
doi = {10.3310/hta5150},
journal = {Health Technol Assess},
pages = {1--139},
title = {Home treatment for mental health problems: a systematic review.},
url = {http://dx.doi.org/10.3310/hta5150},
volume = {5},
year = {2001}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - This review investigates the effectiveness of 'home treatment' for mental health problems in terms of hospitalisation and cost-effectiveness. For the purposes of this review, 'home treatment' is defined as a service that enables the patient to be treated outside hospital as far as possible and remain in their usual place of residence. METHODS - SYSTEMATIC LITERATURE SEARCH: 'Home treatment' excluded studies focused on day, residential and foster care. The review was based on Cochrane methodology, but non-randomised studies were included if they compared two services; these were only analysed if they provided evidence of the groups' baseline clinical comparability. METHODS - REVIEW OF ECONOMIC EVALUATIONS: Economic evaluations among the studies found were reviewed against established criteria. METHODS - IDENTIFICATION OF SERVICE COMPONENTS: A three-round Delphi exercise ascertained the degree of consensus among expert psychiatrists concerning the important components of community-based services that enable them to treat patients outside hospital. The identified components were used to construct the follow-up questionnaire. METHODS - FOLLOW-UP OF AUTHORS: As a supplement to the information available in the papers, authors of all the studies were followed up for data on service components, sustainability of programmes and service utilisation. METHODS - DATA ANALYSIS: The outcome measure was mean days in hospital per patient per month over the follow-up period. (1) Comparative analysis - compared experimental to control services. It analysed all studies with available data, divided into 'inpatient-control' and 'community-control' studies, and tested for associations between service components and difference in hospital days. (2) Experimental services analysis - analysed only experimental service data and tested for associations between service components and hospital days. RESULTS - SYSTEMATIC LITERATURE SEARCH: A total of 91 studies were found, conducted over a 30-year
AU  - Burns,T
AU  - Knapp,M
AU  - Catty,J
AU  - Healey,A
AU  - Henderson,J
AU  - Watt,H
AU  - Wright,C
DO  - 10.3310/hta5150
EP  - 139
PY  - 2001///
SN  - 1366-5278
SP  - 1
TI  - Home treatment for mental health problems: a systematic review.
T2  - Health Technol Assess
UR  - http://dx.doi.org/10.3310/hta5150
UR  - https://www.ncbi.nlm.nih.gov/pubmed/11532236
VL  - 5
ER  -
Download