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Personal Health Budget: a new rehabilitation approach for severe mental illness within a caring community

Published online by Cambridge University Press:  01 September 2022

L. Pelizza ,
D. Maestri ,
E. Leuci ,
G. Paulillo ,
P. Ceroni ,
E. Quattrone  and
P. Pellegrini
L. Pelizza*
Affiliation:
AUSL di Parma, Department Of Mental Health, Parma, Italy
D. Maestri
Affiliation:
AUSL di Parma, Department Of Mental Health, Parma, Italy
E. Leuci
Affiliation:
AUSL di Parma, Department Of Mental Health, Parma, Italy
G. Paulillo
Affiliation:
AUSL di Parma, Department Of Mental Health, Parma, Italy
P. Ceroni
Affiliation:
AUSL di Parma, Department Of Mental Health, Parma, Italy
E. Quattrone
Affiliation:
AUSL di Parma, Department Of Mental Health, Parma, Italy
P. Pellegrini
Affiliation:
AUSL di Parma, Department Of Mental Health, Parma, Italy
*
*Corresponding author.

Abstract

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Introduction

Personal Health Budget (PHB) has been provided to consumers with severe mental illness within a policy shift toward a person-tailored mental healthcare treatment based on individual unmet needs. PHB is an amount of money to support patient’s health and wellbeing needs, which is planned and agreed between patients and their local NHS team. It is not new money, but it may mean spending money differently so that patients can get the care that they need. However, evidence of beneficial effects of PHB is still scarce.

Objectives

The aim of this study was to provide preliminary data on clinical and social benefits of adding PHB to a standard pharmacotherapy in patients with severe mental illness across a 24-month follow-up period.

Methods

137 individuals with severe mental illness (aged 18–50 years) were recruited in one of the adult mental health services of an Italian Department of Mental Health. They completed the Global Assessment of Functioning scale, the Health of the Nation Outcome Scale and the Brief Psychiatric Rating Scale. Friedman’s test for repeated measure was used to assess the longitudinal stability of functioning and clinical parameters. A linear regression analysis was also performed.

Results

A significant decrease in all GAF scale, HoNOS and BPRS scores along the 24 months of follow-up was observed. Regression analysis results specifically showed a relevant association between a PHB multiaxial intervention and the longitudinal reduction in BPRS ‘Negative Symptoms’ and HoNOS ‘Social Problems’ subscores.

Conclusions

Our findings support the useful implementation of a PHB approach for severe mental illness patients within the Italian mental health service network.

Disclosure

No significant relationships.

Keywords

Personal Health BudgetrehabilitationCommunitymental health care
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S246
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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