Economic evaluation of early intervention (EI) services: phase IV report

Authors:
McCRONE Paul, PARK A-La, KNAPP Martin
Publisher:
Personal Social Services Research Unit
Publication year:
2010
Pagination:
22p., bibliog.
Place of publication:
Canterbury

Using a 2006 model adapted during 3 previous research phases, Phase IV focuses on the economic impacts of early intervention services (EI) on vocational and employment outcomes of people with mental health problems, including psychoses, in the UK. The report also covers long-term outcomes of EI and the impact on costs associated with suicide and murder. Four findings are discussed. Firstly, EI reduced NHS health care, and wages costs of employment lost to mental health problems, with employment rates of 36% and 27% attributed to those in EI and standard care (SC), respectively. Costs of homicide are low, say these authors, with annual costs per person at £6 for those in EI compared with £80 for SC. Thirdly, suicide is estimated to occur in 1.3% EI and 4% SC patients, equating to annual savings of £957 per person. Finally, long-term outcomes associated with EI are dependent on readmission rates following EI discharge. They equate to costs savings of £36,632 over 8 years if rates remain constant. If rates gradually or immediately converge expected savings dip to £27,029 and £17,427, respectively. The increased work and decreased homicides and suicides recorded here reinforce earlier work that EI is beneficial to the UK’s mental health.

Subject terms:
long term outcomes, mental health problems, NHS, homicide, psychoses, suicide, cost effectiveness, early intervention, economic evaluation, employment, financial management, expenditure;
Content type:
research
Location(s):
United Kingdom
Link:
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Series name:
PSSRU Discussion Paper
Series no:
2745

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