Does compulsory or supervised community treatment reduce 'revolving door' care? Legislation is inconsistent with recent evidence.
Supervised community treatment to address 'revolving door' care is part of the new Mental Health Act in England and Wales. Two recent epidemiological studies in Australia (n>118 000), as well as a systematic review of all previous literature using appropriately matched or randomised controls (n=1108), suggest that it is unlikely to help.
Kisely
Stephen
S
Centre for Clinical Research, Dalhousie University, 5790 University Avenue, Halifax, Nova Scotia, Canada. Stephen.Kisely@cdha.nshealth.ca
Campbell
Leslie Anne
LA
D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003156:Community Mental Health Services / Q000331:legislation & jurisprudence*; D004739:England; D019317:Evidence-Based Medicine; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D016896:Treatment Outcome; D014852:Wales