Abstract
Randomised controlled trials of models of acute mental health care that provide generalisable results are hard to conduct. On the one hand, service users, their informal supporters, and health professionals have preferences regarding hospital admission versus an alternative, making randomisation difficult where such an option is already available. On the other hand, where the intervention of interest is newly provided through the research, subsequent fidelity can be difficult to achieve. The trial by Cornelis and colleagues1 is an important contribution to the literature on intensive home treatment; based on their review of previous literature, it is only the third trial on the topic, and the intensive home treatment teams concerned were already in operation.
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