Outcome | Results | Studies(MMAT score) | 24Â hour service | Gatekeeping role reported and implemented | Staffing (>14 staff per 150,000 population) | Medical cover within the CRT team | Multidisciplinary | Early discharge service |
---|---|---|---|---|---|---|---|---|
Inpatient admissions(admission at time of crisis) | Superior outcomes for CRT (n = 10) | Adesanya 2005 (4) [36] | 7 papers = Yes (24 hour service was present) | 8 = Yes (had gatekeeping role) | 4 = No (staffing not adequate) | 8 = Yes (had medical cover) | 8 = Yes (multidisciplinary) | 5 = Yes (had early discharge service) |
Barker 2011 (2) [12] | ||||||||
Dibben 2008 (3) [39] | 2 = No (no gatekeeping role) | 6 = Not reported | 1 = No (no medical cover) | 1 = No (not multidisciplinary) | ||||
Guo 2001 (4) [41] | 2 papers = No (24 hour service was not present) | |||||||
Hugo 2002 (4) [42] | 1 = No (no early discharge service) | |||||||
Jethwa 2007 (3) [43] | 1 = Not reported | |||||||
Johnson 2005a (3) [8] | 1 = Characteristic not reported | |||||||
Johnson 2005b (3) [9] | 1 = Not reported | |||||||
Keown 2007 (4) [45] | 4 = Not reported | |||||||
Piggott 1993(4) [47] | ||||||||
No significant difference between groups (n = 3) | Forbes 2010 (3) [40] | 1 = Yes (24 hour service) | 2 = Yes (had gatekeeping role) | 2 = Yes (staffing adequate) | 2 = Yes (had medical cover) | 1 = Yes (multidisciplinary) | 1 = Yes (had early discharge service) | |
Kolbjornsrud 2009 (4) [46] | ||||||||
2 = No (no 24-hour service) | 1 = No (no gatekeeping role) | 1 = Not reported | 1 = Not reported | 1 = No (not multidisciplinary) | ||||
Tyrer 2010 (2) [13] | ||||||||
1 = No (no early discharge service) | ||||||||
1 = Not reported | ||||||||
1 = Not reported | ||||||||
Inpatient bed days | Superior outcomes for CRT (n = 6) | Barker 2011 (2) [12] | 5 = Yes (24 hour service) | 5 = Yes (had gatekeeping role) | 1 = Yes (staffing adequate) | 5 = Yes (had medical cover) | 4 = Yes (multidisciplinary) | 4 = Yes (had early discharge service) |
Dean 1993 (3) [38] | ||||||||
Johnson 2005a* (3) [8] | 1 = Not reported | 1 = Not reported | 2 = No (staffing not adequate) | 1 = Not reported | 2 = Not reported | |||
Johnson 2005b (3) [9] | 2 = Not reported | |||||||
Johnson 2008 (0) [44] | 3 = Not reported | |||||||
Piggott 1993 (4) [47] | ||||||||
No significant difference between groups (n = 6) | Adesanya 2008 (4) [36] | 4 = Yes (24 hour service) | 5 = Yes (had gatekeeping role) | 1 = Yes (staffing adequate) | 3 = Yes (had medical cover) | 4 = Yes (multidisciplinary) | 2 = Yes (had early discharge service) | |
Bechdolf 2011 (4) [37] | ||||||||
Dibben 2008 (3) [39] | 2 = No (no 24-hour service) | 1 = Not reported | 1 = No (staffing not adequate) | 3 = Not reported | 2 = Not reported | |||
Forbes 2010 (3) [40] | ||||||||
4 = Not reported | 1 = No (no early discharge service) | |||||||
Keown 2007 (4) [45] | ||||||||
Tyrer 2010 (2) [13] | ||||||||
3 = not reported | ||||||||
Service user satisfaction | Superior outcomes for CRT (n = 3) | Johnson 2005a (3) [8] | 3 = Yes (24 hour service) | 2 = Yes (had gatekeeping role) | 1 = Yes (staffing adequate) | 2 = Yes (had medical cover) | 2 = Yes (multidisciplinary) | 2 = Yes (had early discharge service) |
Johnson 2005b(3) [9] | ||||||||
Johnson 2008 (0) [44] | 1 = Not reported | 2 = Not reported | 1 = Not reported | 1 = Not reported | 1 = Not reported | |||
No significant difference (n = 2) | Dibben 2008 (3) [39] | 1 = Yes (24 hour service) | 2 = Yes (had gatekeeping role) | 2 = Not reported | 1 = No (no medical cover) | 1 = Yes (multidisciplinary) | 1 = No (no early discharge service) | |
Tyrer 2010 (2) | 1 = No (no 24-hour service) | 1 = Not reported | 1 = Not reported | 1 = Not reported |