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A Controlled Trial of Home-Based Acute Psychiatric Services

II: Treatment Patterns and Costs

Published online by Cambridge University Press:  02 January 2018

Tom Burns ,
James Raftery ,
Alan Beadsmoore ,
Sean McGuigan  and
Mark Dickson
Tom Burns*
Affiliation:
Department of Mental Health Sciences
James Raftery
Affiliation:
Department of Public Health Sciences
Alan Beadsmoore
Affiliation:
Department of Mental Health Sciences, St George's Hospital Medical School, London
Sean McGuigan*
Affiliation:
Department of Mental Health Sciences, St George's Hospital Medical School, London
Mark Dickson
Affiliation:
Department of Mental Health Sciences, St George's Hospital Medical School, London
*
∗Department of Mental Health Sciences, St George's Hospital Medical School, Cranmer Terrace, Tooting, London SW17 0RE
∗Department of Mental Health Sciences, St George's Hospital Medical School, Cranmer Terrace, Tooting, London SW17 0RE
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Abstract

Treatment records of 94 patients treated in an experimental home-based psychiatric service and 78 control patients in standard care were collected over one year. There was a substantial reduction in in-patient care in the experimental group, both in terms of proportion admitted and duration of admissions, despite similar out-patient and general practice care. The total treatment costs were significantly larger (>50%) for standard care when controlled for by diagnostic grouping. Costs were further examined by including all specialist psychiatric care, and by excluding patients with primary diagnoses of brain damage or alcoholism. Sensitivity analysis explored the effects of increasing the cost of home visits. The relative cost effectiveness of the experimental service persisted. Clinical and social outcome was similar in control and experimental groups.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 163 , Issue 1 , July 1993 , pp. 55 - 61
Copyright
Copyright © The Royal College of Psychiatrists 

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