Cochrane · systematic review · CD009531
Collaborative care approaches for people with severe mental illness
Reilly, S, Hobson-Merrett, C, Gibbons, B, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 2 · 28.6%Low 3 · 42.9%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlySummary of findings table ‐ Collaborative care compared to usual care for severe mental illness
Population: severe mental illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Quality of life: average change in mental health component (proxy for binary quality of life) Summary of findings table ‐ Collaborative care vs usual care | no estimate extracted | 3 studies · 227 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Mental state: clinically important change (binary) Summary of findings table ‐ Collaborative care vs usual care | RR 0.99 [0.77, 1.28] | 1 study · 253 participants | Low Downgraded: imprecision, indirectness |
Psychiatric hospital admissions Summary of findings table ‐ Collaborative care vs usual care | RR 5.15 [0.67, 39.57] | 1 study · 253 participants | Low Downgraded: imprecision, indirectness |
Quality of life: average change in physical health component (proxy for physical health) Summary of findings table ‐ Collaborative care vs usual care | no estimate extracted | 3 studies · 237 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Disability (proxy for social functioning) Summary of findings table ‐ Collaborative care vs usual care | RR 1.38 [0.97, 1.95] | 1 study · 253 participants | Low Downgraded: imprecision, indirectness |
Personal recovery ‐ not reported Summary of findings table ‐ Collaborative care vs usual care | no estimate extracted | NR | No studies |
Experience of care/satisfaction ‐ not reported Summary of findings table ‐ Collaborative care vs usual care | no estimate extracted | NR | No studies |
Collaborative care versus standard care for people with severe mental illness
Population: patients with severe mental illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Psychiatric admissions ‐ number of participants admitted to hospital VA National Patient Care Database and Pharmacy Benefits Management Package. Collaborative care vs standard care | RR 0.75 [0.57, 0.99] | 1 study · 306 participants | Low Downgraded: risk of bias, indirectness |
Other non psychiatric admissions ‐ Number of participants admitted to hospital VA National Patient Care Database and Pharmacy Benefits Management Package. Collaborative care vs standard care | RR 0.83 [0.65, 1.04] | 1 study · 306 participants | Low Downgraded: risk of bias, indirectness |
Death ‐ Number of participants that died from suicide Collaborative care vs standard care | RR 0.34 [0.01, 8.32] | 1 study · 330 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Death ‐ Number of participants that died from natural causes Collaborative care vs standard care | RR 1.54 [0.65, 3.66] | 1 study · 330 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Quality of life ‐ Average endpoint in mental health component (SF‐36) (at 36 months) Scale from: 0 to 100. Collaborative care vs standard care | no estimate extracted | 1 study · 306 participants | Low Downgraded: risk of bias, indirectness |
Mental state‐ general Not improved to an important extent Collaborative care vs standard care | no estimate extracted | 0 studies · 0 participants | Ungraded |
Social functioning ‐ general Not improved to an important extent Collaborative care vs standard care | no estimate extracted | 0 studies · 0 participants | Ungraded |