Supported discharge service versus Inpatient care Evaluation (SITE): a randomised controlled trial comparing effectiveness of an intensive community care service versus inpatient treatment as usual for adolescents with severe psychiatric disorders: self-harm, functional impairment, and educational and clinical outcomes.
Journal article
Ougrin, D., Corrigall, R., Stahl, D., Poole, J., Zundel, T., Wait, M., Slater, V., Reavey, P., Byford, S., Ivens, J., Crommelin, M., Hayes, D., Middleton, K., Young, P. and Taylor, E. (2020). Supported discharge service versus Inpatient care Evaluation (SITE): a randomised controlled trial comparing effectiveness of an intensive community care service versus inpatient treatment as usual for adolescents with severe psychiatric disorders: self-harm, functional impairment, and educational and clinical outcomes. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-020-01617-1
Authors | Ougrin, D., Corrigall, R., Stahl, D., Poole, J., Zundel, T., Wait, M., Slater, V., Reavey, P., Byford, S., Ivens, J., Crommelin, M., Hayes, D., Middleton, K., Young, P. and Taylor, E. |
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Abstract | Background: Clinical guidelines recommend intensive community care service treatment (ICCS) to reduce adolescent psychiatric inpatient care. We have previously reported that the addition of ICCS led to a substantial decrease in hospital use and improved school re-integration. Aim: To undertake a randomised controlled trial (RCT) comparing an inpatient admission followed by an early discharge supported by ICCS with usual inpatient admission (treatment as usual; TAU). In this paper, we report the impact of ICCS on self-harm and other clinical and educational outcomes. Method: 106 patients aged 12-18 admitted for psychiatric inpatient care were randomised (1:1) to either ICCS or TAU. Six months after randomization, we compared the two treatment arms on the number and severity of self-harm episodes, the functional impairment, severity of psychiatric symptoms, clinical improvement, reading and mathematical ability, weight, height and the use of psychological therapy and medication. |
Year | 2020 |
Journal | European Child & Adolescent Psychiatry |
Publisher | Springer |
Digital Object Identifier (DOI) | https://doi.org/10.1007/s00787-020-01617-1 |
Publication dates | |
04 Aug 2020 | |
Publication process dates | |
Accepted | 02 Mar 2020 |
Deposited | 10 Sep 2020 |
Publisher's version | License File Access Level Open |
https://openresearch.lsbu.ac.uk/item/8q88x
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Publisher's version
Ougrin2020_Article_SupportedDischargeServiceVersu.pdf | ||
License: CC BY 4.0 | ||
File access level: Open |
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