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Related Experiment Videos

Day centres for severe mental illness.

J S Catty1, Z Bunstead, T Burns

  • 1St. George's Hospital Medical School, Division of Mental Health, Jenner Wing, Cranmer Terrace, London, UK, SW17 ORE. jcatty@sgul.ac.uk

The Cochrane Database of Systematic Reviews
|January 27, 2007
PubMed
Summary
This summary is machine-generated.

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Reply: To PMID 25495209.

Acta psychiatrica Scandinavica·2015

This review found no randomized controlled trials on non-medical day centers for severe mental illness. More rigorous research is needed to understand their effectiveness and guide patient choices.

Area of Science:

  • Mental Health Research
  • Psychiatric Care Interventions
  • Evidence-Based Practice

Background:

  • Increasing prevalence of severe mental illness treated in community settings.
  • Day centers and day hospitals are common supplementary treatments.
  • Need to evaluate the efficacy of non-medical day center care.

Purpose of the Study:

  • To determine the effects of non-medical day center care for individuals with severe mental illness.
  • To identify and synthesize evidence from randomized controlled trials.

Main Methods:

  • Comprehensive electronic literature searches updated to September 2005.
  • Inclusion criteria: randomized controlled trials of non-medical day center care for severe mental illness.
  • Planned data extraction and analysis included Relative Risk (OR), Number Needed to Treat (NNT), and Weighted Mean Difference (WMD).

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Main Results:

  • Over 300 citations identified through electronic searches.
  • No relevant trials meeting the inclusion criteria were found for the review.
  • Absence of randomized controlled trials on non-medical day centers.

Conclusions:

  • A significant lack of high-quality randomized controlled trials (RCTs) on non-medical day center care.
  • Non-randomized studies provide conflicting information on the role and effectiveness of day centers.
  • Urgent need for well-designed RCTs to inform clinical practice and patient decision-making.
  • Pragmatic trials are recommended, especially when resources are limited, to ensure equitable provision of care.