Effect of joint crisis plans on use of compulsory treatment in psychiatry: single blind randomised controlled trial

BMJ : British Medical Journal
Claire HendersonGeorge Szmukler

Abstract

To investigate whether a form of advance agreement for people with severe mental illness can reduce the use of inpatient services and compulsory admission or treatment. Single blind randomised controlled trial, with randomisation of individual patients. The investigator was blind to allocation. Eight community mental health teams in southern England. 160 people with an operational diagnosis of psychotic illness or non-psychotic bipolar disorder who had experienced a hospital admission within the previous two years. The joint crisis plan was formulated by the patient, care coordinator, psychiatrist, and project worker and contained contact information, details of mental and physical illnesses, treatments, indicators for relapse, and advance statements of preferences for care in the event of future relapse. Admission to hospital, bed days, and use of the Mental Health Act over 15 month follow up. Use of the Mental Health Act was significantly reduced for the intervention group, 13% (10/80) of whom experienced compulsory admission or treatment compared with 27% (21/80) of the control group (risk ratio 0.48, 95% confidence interval 0.24 to 0.95, P = 0.028). As a consequence, the mean number of days of detention (days spent as an in...Continue Reading

References

Dec 1, 1995·Schizophrenia Research·R A Kemp, T J Lambert
Aug 12, 1999·Acta Psychiatrica Scandinavica·K SutherbyS Wright
Sep 15, 2000·BMJ : British Medical Journal·M CampbellP Tyrer
Mar 27, 2001·BMJ : British Medical Journal·P Bracken, P Thomas
Nov 29, 2002·The British Journal of Psychiatry : the Journal of Mental Science·Alexia PapageorgiouJohn Dawson
Jun 5, 2003·The British Journal of Psychiatry : the Journal of Mental Science·P Thomas

❮ Previous
Next ❯

Citations

Mar 31, 2007·Social Psychiatry and Psychiatric Epidemiology·Vincent LorantVincent Dubois
Oct 7, 2008·Social Psychiatry and Psychiatric Epidemiology·Claire HendersonGeorge Szmukler
Oct 21, 2005·Administration and Policy in Mental Health·Richard A Van DornAnna M Scheyett
Jan 26, 2010·Administration and Policy in Mental Health·Claire HendersonJennifer L Strauss
May 16, 2012·The Psychiatric Quarterly·Ariel EytanYasser Khazaal
Dec 2, 2005·Current Psychiatry Reports·Cameron D QuanbeckMark A Frye
Feb 27, 2013·Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Österreichischer Nervenärzte und Psychiater·Beatrice Frajo-AporUllrich Meise
Mar 29, 2005·Epidemiologia e psichiatria sociale·Graham Thornicroft, Michele Tansella
Apr 23, 2010·Social Work·Richard A Van DornMarvin S Swartz
Feb 3, 2011·Current Opinion in Psychiatry·Vivien Kemp
Jul 20, 2004·BMJ : British Medical Journal·Philip Thomas, Anne B Cahill
Aug 18, 2006·BMJ : British Medical Journal·Chris FloodGeorge Szmukler
Apr 15, 2008·International Journal of Mental Health Systems·Graham ThornicroftElanor Lewis-Holmes
Feb 11, 2014·BMC Health Services Research·Lars Henrik MyklebustRolf Wynn
Jun 3, 2014·The Journal of Nervous and Mental Disease·Graham Thornicroft, Michele Tansella
Oct 22, 2005·The British Journal of Psychiatry : the Journal of Mental Science·M Zinkler
Dec 15, 2012·Administration and Policy in Mental Health·A RuchlewskaM Van der Gaag
Jul 18, 2008·Administration and Policy in Mental Health·Richard A Van DornJoelle Ferron
Apr 3, 2014·Social Psychiatry and Psychiatric Epidemiology·Simone FarrellyGraham Thornicroft
May 28, 2010·The British Journal of Psychiatry. Supplement·Richard GrayTim Newey
Nov 3, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Gareth S OwenMatthew Hotopf
Sep 28, 2013·The British Journal of Psychiatry : the Journal of Mental Science·Claire HendersonGraham Thornicroft
May 6, 2015·International Journal of Law and Psychiatry·Tania Gergel, Gareth S Owen
Feb 24, 2015·Community Mental Health Journal·Asia RuchlewskaNiels C L Mulder
Mar 20, 2009·International Journal of Nursing Studies·Anthony J O'BrienRobert R Kydd
Oct 3, 2008·Patient Education and Counseling·Yasser KhazaalMartin Preisig
Jan 24, 2007·International Journal of Nursing Studies·Joseph Curran, Charles Brooker
Feb 1, 2006·Acta Psychiatrica Scandinavica. Supplementum·D RoseM Slade
Jan 25, 2008·Psychology and Psychotherapy·Richard Morriss
Jan 25, 2007·Journal of Psychiatric and Mental Health Nursing·R KetelsenM Schulz
Apr 14, 2007·Journal of Psychiatric and Mental Health Nursing·C Hopkins, S Niemiec
Mar 29, 2012·Health & Social Care in the Community·Pablo NicaiseVincent Dubois
Apr 10, 2013·Bipolar Disorders·Kate E A Saunders, Keith Hawton
Aug 19, 2011·Journal of Evaluation in Clinical Practice·Sara Donetto, Alan Cribb

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.