Economic impact of Early Intervention in Psychosis services: results from a longitudinal retrospective controlled study in EnglandReportar como inadecuado




Economic impact of Early Intervention in Psychosis services: results from a longitudinal retrospective controlled study in England - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Reference: Tsiachristas, A, Thomas, T, Leal, J et al., (2016). Economic impact of Early Intervention in Psychosisservices: results from a longitudinal retrospective controlledstudy in England. BMJ Open.Citable link to this page:

 

Economic impact of Early Intervention in Psychosisservices: results from a longitudinal retrospective controlledstudy in England

Abstract: Objectives: To demonstrate the costs, outcomes and economic impact of Early Intervention in Psychosis (EIP) services Design: Longitudinal retrospective observational study of service utilisation and outcome data from mental health and acute care services for all those with a diagnosis of psychosis in contact with mental health services over a 3 year period (Apr 2010 - Mar 2013) Setting: Thames Valley and South Midlands region in England (region covered by Oxford Academic Health Science Network) Participants: 3674 people with psychosis, aged 16-35 Interventions: Early Intervention in Psychosis team or other Community Mental Health teamsMain outcome measures: Change in housing status, change in employment status, and improvement on each of the four domains of the HONOS questionnaire. Costs of mental and acute health inpatient, outpatient and community service use were also included in the study.Results: Patients in EIP services were 116% more likely (95%CI:1.263-3.708) to gain employment, 52% more likely to become accommodated in a mainstream house (95%CI:0.988-2.326), and 17% more likely to have an improvement in the emotional well-being domain of the HONOS questionnaire (95%CI:1.067-1.285), as compared to those in non-EIP services. Annual NHS costs were also significantly lower for patients using EIP services compared to non-users. The mean annual NHS cost savings associated with EIP were £4,031 (95%CI:£1281;£6780). These mostly came from: lower mental health inpatient costs (£4075, 95%CI:£1164-£6986), lower acute hospital outpatient costs (£59, 95%CI:£9-£109), lower accident and emergency costs (£31, 95%CI:£12-£51), and higher mental health community costs (£648, 95%CI:£122-£1,175). If all people with a first episode psychosis across England were to be treated by EIP services, the savings in societal costs would be an estimated £63 million per year, of which £33.2 million would be in NHS costs.Conclusions: Treatment within an EIP service is associated with better health and social outcomes, and reduced costs.

Publication status:PublishedPeer Review status:Peer reviewedVersion:Publisher's versionDate of acceptance:2016-09-06 Funder: National Institute for Health Research   Notes:© the Author(s). This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license.

Bibliographic Details

Publisher: BMJ Publishing Group

Publisher Website: http://www.bmj.com/

Journal: BMJ Opensee more from them

Publication Website: http://bmjopen.bmj.com/

Issue Date: 2016-10-20Identifiers

Doi: https://doi.org/10.1136/bmjopen-2016-012611

Issn: 2044-6055

Eissn: 2044-6055

Uuid: uuid:d97f0b56-4e94-473e-a8ec-67361092bb4c

Urn: uri:d97f0b56-4e94-473e-a8ec-67361092bb4c

Pubs-id: pubs:641610 Item Description

Type: journal-article;

Version: Publisher's versionKeywords: early intervention costs outcomes psychotic disorders mental health United Kingdom

Relationships





Autor: Tsiachristas, A - Oxford, MSD, Nuffield Department of Population Health, Population Health - - - Thomas, T - - - Leal, J - Oxford

Fuente: https://ora.ox.ac.uk/objects/uuid:d97f0b56-4e94-473e-a8ec-67361092bb4c



DESCARGAR PDF




Documentos relacionados