CG123 Common mental health disorders - National Institute for ...

Systems for organising and developing local care pathwaysTable 42: (Continued)Study ID Outcomes ResultsBUTLER2007 Effectiveness and safety Compared with standard care:• Care pathways were more effective at improving symptomsand response rates• Recurrence prevention programmes were equally effectiveat improving relapse rates at 6 months, regardless ofspecific treatment components• It is unclear what effect care pathways have in the verylong term (2 years).However, much of the evidence was considered to be of lowquality.CALLAGHAN2003 Symptom reduction, physician skill Liaison mental health services were found to:improvements, referral rates, • Reduce levels of psychological morbidity, cardiac mortalityacceptability and appointment and healthcare costscompliance • Increase rates of referral for follow up appointments• Be acceptable to clients in terms of the information theyreceived, and overall satisfaction• Have little effect on compliance with psychiatricappointments.CHANGQUAN2009 Depression symptoms, response At 18 and 24 months, collaborative care interventions wererates, remission, suicidal ideation superior to usual care in improving depression scores (meanand treatment seeking difference [MD] –0.44, 95% CI, –0.55 to –0.33 andMD –0.35, 95% CI, –0.46 to –0.24, respectively), response204