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Utilisation and costs of community mental health services

PRiSM Psychosis Study 5

Published online by Cambridge University Press:  02 January 2018

Paul McCrone ,
Graham Thornicroft ,
Michael Phelan ,
Frank Holloway ,
Til Wykes  and
Sonia Johnson
Paul McCrone*
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
Graham Thornicroft
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
Michael Phelan
Affiliation:
Charing Cross Hospital, London
Frank Holloway
Affiliation:
Maudsley Hospital, London
Til Wykes
Affiliation:
Department of Psychology, Institute of Psychiatry, London
Sonia Johnson
Affiliation:
Department of Psychiatry and Behavioural Sciences, University College London Medical School, London
*
Paul McCrone, Section of Community Psychiatry (PRiSM), Institute of Psychiatry. De Crespigny Park, London SE5 8AF. Fax: 0171-277 1462; e-mail: [email protected]
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Abstract

Background

The costs and the effectiveness of mental health services need to be evaluated if provision is to be efficient. Service use and costs are described for two geographical areas in south London.

Method

Service use was measured comprehensively for clients in both sectors for two six-month time periods using the Client Service Receipt Interview This information was combined with unit costs to calculate service costs. The ‘hidden’ costs of informal care and unsupported accommodation were also calculated.

Results

At baseline significantly more intensive sector clients had in-patient stays but by the follow-up this difference had disappeared. There was significantly more use of supported accommodation in the intensive sector during both time periods. Baseline and follow-up total service costs were significantly higher for the intensive sector. Costs were spread disproportionately and a small number of services accounted for a large proportion of cost.

Conclusions

While the cost at Time 2 was significantly greater in the intensive sector, this was largely due to the high use of supported accommodation. There was some convergence in cost between the sectors over time.

Type
PRiSM Psychosis Study
Information
The British Journal of Psychiatry , Volume 173 , Issue 5 , November 1998 , pp. 391 - 398
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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