Cost consequences of home-based and in-patient-based acute psychiatric treatment: results of an implementation study.
Home treatment for acute mental illness is known to have advantages for some service users over hospital-based approaches. Generalisation from short term research studies to sustainable services in ordinary settings has been difficult. A service level and individual matched pairs (n =58 x 2) study i...
| Publicado en: | Journal of Mental Health Vol. 10; no. 4; pp. 467 - 477 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2001
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Home treatment for acute mental illness is known to have advantages for some service users over hospital-based approaches. Generalisation from short term research studies to sustainable services in ordinary settings has been difficult. A service level and individual matched pairs (n =58 x 2) study in North Birmingham indicated that home treatment can be developed with neutral cost-consequences. During the 6-week and 6-month follow-up periods users from the implementation team area had higher use of community-based care and lower use of hospital-based care compared to matched users from the control area. The combination of adding a home treatment team and halving the number of inpatient beds was, when compared to a control area, associated with (a) additional numbers of people receiving acute care (b) a lower cost per individual and (c) no difference in overall service cost. |
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