Ariene Silva do Carmo, Lorena Magalhães de Almeida, Daniela Rodrigues de Oliveira, Luana Caroline Dos Santos
Influence of the Bolsa Família program on nutritional status and food frequency of schoolchildren
Jornal de pediatria
severe mental illness smi imposes substantial worldwide burden disability highlighting need comprehensive adaptable mental health services study aims assess efficacy costeffectiveness communitybased mental health services cbmhs reducing relapse rehospitalization rates among individuals smi iran systematic review metaanalysis conducted medline embase isi scopus proquest searched december 2022 focused randomized controlled trials quasiexperimental studies economic studies related individuals smi 127 articles 17 selected fulltext review primary outcomes severity psychopathology rehospitalization rates mental health caregivers also examined communitybased interventions impact various outcomes data extraction risk bias assessment performed critical appraisal conducted using jbi checklists metaanalysis carried using stata software prospero registration crd42022332660 rehospitalization rates among patients received cbmhs significantly lower odds ratio 214 95 ci 144 319 indicating 214 times lower likelihood received treatment usual reduction psychopathology accompanied smd 031 95 ci 049 013 i2 4023 moreover notable improvement social skills smd 07 95 ci 098 044 i2 000 burden caregivers also decreased smd 055 95 ci 099 01 i2 632 incremental costeffectiveness ratio icer qualy acceptable albeit wide range 613 8400 dollars cbmhs demonstrated effectiveness efficiency iran developing country additionally shows promise mitigating shortage acute psychiatry beds using multiple data collection tools poses limitation regarding data consolidation conducting metaanalysis