This randomized controlled trial by Sonia Johnson is the latest study and is noteworthy for three reasons. It is the highest quality study; it pits intensive home treatment against an up to date hospital service which includes an after hours emergency service that does home visits; and the population has a relatively higher degree of social deprivation and lack of social support. In spite of this, patients in the home treatment service had 36% fewer admissions over six months North Islington RCT 2005