Mental Health Services for Serious Mental Illness: Scoping Review of Randomised Controlled Trials

ABSTRACT Aims This review aims to classify the evidence from randomised controlled trials (RCTs) on mental health services (MHS) for people with serious mental illness (SMI) available in the Cochrane Schizophrenia Group's (CSzG) specialised register. Design Scoping review. Methods We retrieved...

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Main Authors: Pablo Roson Rodriguez, Xiao Chen, Marcelo Arancibia, Eva Madrid, Farhad Shokraneh, Clive E. Adams, Juan Víctor Ariel Franco
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Nursing Open
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Online Access:https://doi.org/10.1002/nop2.70100
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author Pablo Roson Rodriguez
Xiao Chen
Marcelo Arancibia
Eva Madrid
Farhad Shokraneh
Clive E. Adams
Juan Víctor Ariel Franco
author_facet Pablo Roson Rodriguez
Xiao Chen
Marcelo Arancibia
Eva Madrid
Farhad Shokraneh
Clive E. Adams
Juan Víctor Ariel Franco
author_sort Pablo Roson Rodriguez
collection DOAJ
description ABSTRACT Aims This review aims to classify the evidence from randomised controlled trials (RCTs) on mental health services (MHS) for people with serious mental illness (SMI) available in the Cochrane Schizophrenia Group's (CSzG) specialised register. Design Scoping review. Methods We retrieved and screened RCTs of service‐level interventions considering non‐pharmacological approaches for mental healthcare of the CSzG register. We classified and collected the main characteristics of the RCTs using a customised data extraction and charting form based on DESDE‐LTS classification. Results We included 233 out of 262 total trial registries. Most of the studies were conducted in China, 136 (58%), 57 (24%) North America and 26 (11%) Europe. We classified the studies as ambulatory assistance 80 (34%), day services/out‐patient care 38 (16%), residential services 44 (19%), accessibility to care 19 (8%), information/assessment 39 (17%), self‐help and voluntary help 10 (4%), e‐health 52 (22%), and discharge services 17 (7%). Conclusions We found a large number of trials that investigated the effects of mental health services for people with SMI. Trials classification was difficult due to the poor report of the characteristics of these complex interventions. This database can be used to plan and prioritise systematic reviews according to the needs of stakeholders. Relevance Statement The study is of interest to mental health nursing because it studies the different services in which nurses play a fundamental role with implications in the nursing practice, education, research or leadership and management.
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spelling doaj-art-86d20ebe661c4828a32cf943c93df98f2025-01-30T16:40:37ZengWileyNursing Open2054-10582025-01-01121n/an/a10.1002/nop2.70100Mental Health Services for Serious Mental Illness: Scoping Review of Randomised Controlled TrialsPablo Roson Rodriguez0Xiao Chen1Marcelo Arancibia2Eva Madrid3Farhad Shokraneh4Clive E. Adams5Juan Víctor Ariel Franco6Research Department Cochrane Argentina Associate Centre—Instituto Universitario Hospital Italiano de Buenos Aires Buenos Aires ArgentinaMinerva Schools at Keck Graduate Institute San Francisco California USAInterdisciplinary Centre for Health Studies (CIESAL) Universidad de Valparaíso, Cochrane Chile Associate Centre, Viña del Mar Valparaiso ChileInterdisciplinary Centre for Health Studies (CIESAL) Universidad de Valparaíso, Cochrane Chile Associate Centre, Viña del Mar Valparaiso ChileCochrane Schizophrenia, Institute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine University of Nottingham Nottingham UKCochrane Schizophrenia, Institute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine University of Nottingham Nottingham UKInstitute of General Practice Medical Faculty of the Heinrich‐Heine‐University Düsseldorf Düsseldorf GermanyABSTRACT Aims This review aims to classify the evidence from randomised controlled trials (RCTs) on mental health services (MHS) for people with serious mental illness (SMI) available in the Cochrane Schizophrenia Group's (CSzG) specialised register. Design Scoping review. Methods We retrieved and screened RCTs of service‐level interventions considering non‐pharmacological approaches for mental healthcare of the CSzG register. We classified and collected the main characteristics of the RCTs using a customised data extraction and charting form based on DESDE‐LTS classification. Results We included 233 out of 262 total trial registries. Most of the studies were conducted in China, 136 (58%), 57 (24%) North America and 26 (11%) Europe. We classified the studies as ambulatory assistance 80 (34%), day services/out‐patient care 38 (16%), residential services 44 (19%), accessibility to care 19 (8%), information/assessment 39 (17%), self‐help and voluntary help 10 (4%), e‐health 52 (22%), and discharge services 17 (7%). Conclusions We found a large number of trials that investigated the effects of mental health services for people with SMI. Trials classification was difficult due to the poor report of the characteristics of these complex interventions. This database can be used to plan and prioritise systematic reviews according to the needs of stakeholders. Relevance Statement The study is of interest to mental health nursing because it studies the different services in which nurses play a fundamental role with implications in the nursing practice, education, research or leadership and management.https://doi.org/10.1002/nop2.70100health services deliverypublic healthrandomised trialschizophreniaservice evaluation
spellingShingle Pablo Roson Rodriguez
Xiao Chen
Marcelo Arancibia
Eva Madrid
Farhad Shokraneh
Clive E. Adams
Juan Víctor Ariel Franco
Mental Health Services for Serious Mental Illness: Scoping Review of Randomised Controlled Trials
Nursing Open
health services delivery
public health
randomised trial
schizophrenia
service evaluation
title Mental Health Services for Serious Mental Illness: Scoping Review of Randomised Controlled Trials
title_full Mental Health Services for Serious Mental Illness: Scoping Review of Randomised Controlled Trials
title_fullStr Mental Health Services for Serious Mental Illness: Scoping Review of Randomised Controlled Trials
title_full_unstemmed Mental Health Services for Serious Mental Illness: Scoping Review of Randomised Controlled Trials
title_short Mental Health Services for Serious Mental Illness: Scoping Review of Randomised Controlled Trials
title_sort mental health services for serious mental illness scoping review of randomised controlled trials
topic health services delivery
public health
randomised trial
schizophrenia
service evaluation
url https://doi.org/10.1002/nop2.70100
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