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