Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

16 questions · 16 findings · 1 reviews

No studies found 5 · 31.3%GRADE not reported 0 · 0%Very low 10 · 62.5%Low 1 · 6.3%Moderate 0 · 0%High 0 · 0%

Primary health professional‐led or collaborative care vs specialist‐led care

Clinical recovery from severe mental disorder (immediately post intervention) Defined by BPRS decreased by ≥ 80% (RR > 1 denotes greater likelihood of recovery) · people with severe mental disorders

It is very uncertain whether primary health professional‐led or collaborative care changes clinical recovery from severe mental disorder (immediately post… compared with specialist‐led care (very low certainty).

1 finding from 1 review

Primary health professional‐led or collaborative care vs specialist‐led care

Relapse of severe mental disorder (immediately post intervention) Defined by re‐appearance of symptoms or worsening of symptoms necessitating adjustment of medicationa; Li 2002; based on 1 item scoring ≥ 5 or 2 items scoring ≥ 4 in items 4, 7, 11,... · people with severe mental disorders

It is very uncertain whether primary health professional‐led or collaborative care changes relapse of severe mental disorder (immediately post intervention)… compared with specialist‐led care (very low certainty).

1 finding from 1 review

Primary health professional‐led or collaborative care vs specialist‐led care

Hospital admission/re‐admission · people with severe mental disorders

It is very uncertain whether primary health professional‐led or collaborative care changes service utilisation ‐ hospital re‐admission (during intervention)… compared with specialist‐led care (very low certainty).

1 finding from 1 review

Primary health professional‐led or collaborative care vs usual or enhanced care

Depressive symptoms · women with perinatal depression

It is very uncertain whether primary health professional‐led collaborative care interventions changes depression symptoms ‐ intermediate term (1 to 6 months post… compared with usual or enhanced care (very low certainty).

1 finding from 1 review

Primary health professional‐led or collaborative care vs usual or enhanced care

Quality of life ‐ intermediate term (1 to 6 months post intervention) SF‐36 social functioning (higher score = higher quality of life) · women with perinatal depression

It is very uncertain whether primary health professional‐led collaborative care interventions changes quality of life ‐ intermediate term (1 to 6 months post… compared with usual or enhanced care (very low certainty).

1 finding from 1 review