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1515 – Collaborative Care Approaches For People With Severe Mental Illness: The Results From a Cochrane Collaboration Review

Published online by Cambridge University Press:  15 April 2020

S. Reilly ,
C. Planner ,
L. Gask ,
M. Hann ,
S. Knowles ,
B. Druss  and
L. Helen
S. Reilly
Affiliation:
Centre for Primary Care, Institute of Population Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK
C. Planner
Affiliation:
Centre for Primary Care, Institute of Population Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK
L. Gask
Affiliation:
Centre for Primary Care, Institute of Population Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK
M. Hann
Affiliation:
Centre for Primary Care, Institute of Population Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK
S. Knowles
Affiliation:
Centre for Primary Care, Institute of Population Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK
B. Druss
Affiliation:
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA, USA
L. Helen
Affiliation:
School of Health and Population Sciences, University of Birmingham, Birmingham, UK

Abstract

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Introduction

Collaborative care is a community based intervention which typically consists of a number of components. The intervention aims to improve the physical and/or mental health and health care of people with a severe mental illness (SMI).

Objectives

  • To explore how collaborative care is implemented.

  • To assess the effectiveness of collaborative care approaches in comparison to standard care for people with SMI who are living in the community.

Methods

A Cochrane Review: The Cochrane Schizophrenia Group Specialised register was searched in April 2011. Fifty one experts in the field of SMI and collaborative care were also contacted.

Results

We included one RCT (306 participants; US veterans with bipolar disorder I or II) in this review. The trial provides data for one comparison: collaborative care versus standard care The reanalysis of data from the one included study indicated that collaborative care significantly reduced psychiatric admissions at year 2 in comparison to standard care (N= 306, 1 RCT, RR 0.75, 95% CI 0.57 to 0.99). Direct intervention (all-treatment) costs of collaborative care at the three year follow up did not differ significantly from standard care,mean difference -$2981.00 (N= 306, 1 RCT95% CI $16934.93 to $10972.93).

Conclusions

One trial at moderate risk of bias suggests that collaborative care may significantly reduce psychiatric admissions. More large, well designed, conducted and reported trials may be required to determine the effects of collaborative care and help inform healthcare professionals and policy makers about the value of collaborative care for people with SMI

Type
Abstract
Information
European Psychiatry , Volume 28 , Issue S1: Abstracts of the 21th European Congress of Psychiatry , 2013 , 28-E820
Copyright
Copyright © European Psychiatric Association 2013
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