Crisis-planning interventions for people with psychotic illness or bipolar disorder

Added June 2, 2020

Citation: Molyneaux E, Turner A, Candy B, et al. Crisis-planning interventions for people with psychotic illness or bipolar disorder: systematic review and meta-analyses. BJPsych Open 2019;5(4):e53

What is this? The COVID-19 pandemic is placing a strain on healthcare systems. Existing research into interventions that might reduce the burden on healthcare systems, such as crisis planning for patients who may have a future mental health crisis, might provide useful information for policy makers.

In this systematic review, the authors searched for randomized trials of crisis-planning interventions for adults with psychotic illness or bipolar disorder. They did not restrict their searches by language of publication and did the search in October 2018. They identified 3 trials that were limited to participants with psychotic disorders or bipolar disorder (941 patients) and 2 trials that included mixed populations from secondary care mental health services (399 patients).

What works: Crisis-planning interventions reduced the risk of compulsory admissions among individuals with psychotic illness or bipolar disorder.

What doesn’t work: There was no statistical evidence that crisis-planning interventions reduced voluntary admissions or total psychiatric admissions.

What’s uncertain: The effects of crisis-planning interventions for other groups at risk of compulsory admission are uncertain.

 

Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on the coronavirus (COVID-19) but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about the coronavirus (COVID-19) on the basis of this summary alone.

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