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Title: The association between community mental health nursing and hospital admissions for people with serious mental illness : a systematic review
Authors: Leach, MJ
Jones, M
Bressington, D 
Jones, A
Nolan, F
Muyambi, K
Gillam, M
Gray, R
Issue Date: 2020
Source: Systematic reviews, 2020, v. 9, no. 1, 35
Abstract: BACKGROUND: Relapse prevention is an important objective in the management of serious mental illness (SMI). While community mental health nurses (CMHN) might be well-placed to support people with SMI in averting relapse, no systematic reviews have examined this association.
AIM: To review the evidence from studies reporting an association between CMHN exposure and hospitalisation of persons living with SMI (a proxy for relapse). METHODS: Searches were undertaken in ten bibliographic databases and two clinical trial registries. We included studies of patients with SMI, where CMHN was the exposure, and the outcome was relapse (i.e. readmission to a psychiatric inpatient facility). Quality assessment of included studies was completed using two risk-of-bias measures.
RESULTS: Two studies met the inclusion criteria. Studies were rated as being of low-moderate methodological quality. There was insufficient evidence to conclude that community mental health nursing reduced the risk of admission to psychiatric inpatient facilities.
CONCLUSIONS: The review found no evidence that CMHN was associated with higher or lower odds of admission to psychiatric inpatient facilities among patients with SMI. The findings of the review point to a need for further research to investigate the impact of CMHN exposure and relapse in people with SMI. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017058694.
Keywords: Community mental health nursing
Hospital admission
Mental illness
Systematic review
Publisher: BioMed Central
Journal: Systematic reviews 
EISSN: 2046-4053
DOI: 10.1186/s13643-020-01292-y
Rights: © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
The following publication Leach, M.J., Jones, M., Bressington, D. et al. The association between community mental health nursing and hospital admissions for people with serious mental illness: a systematic review. Syst Rev 9, 35 (2020), is available at
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