Search results for ‘Subject term:"mental health problems"’ Sort:
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The costs of mental health care in South Leeds
- Authors:
- HEALEY Andrew, et al
- Publisher:
- Nuffield Institute for Health
- Publication year:
- 1998
- Pagination:
- 35p.
- Place of publication:
- Leeds
Demonstrating the effectiveness of housing support services for people with mental health problems: a review: briefing
- Author:
- NATIONAL HOUSING FEDERATION
- Publisher:
- National Housing Federation
- Publication year:
- 2011
- Pagination:
- 6p.
- Place of publication:
- London
Housing Associations and other support providers deliver services to help people improve their mental health, maximise independence, sustain their accommodation and participate in community life. This includes meeting specific mental health needs through specialist accommodation and support. In order to use housing support more effectively in care pathways, there is a need for a more robust and powerful evidence base of the effectiveness of housing support. This research review aims to identify outcome measures that can be used to examine the effectiveness of housing related support for people with mental health problems. It reviews the effectiveness measures already available and in use and considers the development of an evaluation methodology that could become the benchmark for future research and evaluation. It recommends that a pilot exercise to test possible evaluative measures is conducted. A robust service evaluation method should: have clear service objectives; understand and record the process of service delivery; give a voice to service users; and test service outcomes against standardised and validated measures of mental well-being, quality of life and cost-effectiveness.
Does additional care provided by a consumer self-help group improve psychiatric outcome? A study in an Italian community-based psychiatric service
- Authors:
- BURTI Lorenzo, et al
- Journal article citation:
- Community Mental Health Journal, 41(6), December 2005, pp.705-720.
- Publisher:
- Springer
This study compares the two-year clinical and social outcome, the use of services and the direct costs of patients of the South-Verona Community Psychiatric Service who were members of a self-help group, with those who were not. Use of services and costs in the two years before the baseline were compared with those occurring two years after the baseline. Self-help subjects decreased their use of hospital stay as to number of admissions and days in hospital, with a reduction of costs; they were more satisfied as to work/education while non self-help matches presented an increase of unmet needs. Clinical and social outcome showed no significant difference. The findings suggest that consumer participation may possibly enhance the effects of psychiatric treatment on outcome.
Dual diagnosis patients in community or hospital care: One-year outcomes and health care utilization and costs
- Authors:
- TIMKO Christine, et al
- Journal article citation:
- Journal of Mental Health, 15(2), April 2006, pp.163-177.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This American study evaluated the effectiveness and cost-effectiveness of community- and hospital-based acute residential treatment for dually disordered patients, and whether moderately-ill patients benefited more from community care, and severely-ill patients from hospital care. Two hundred and thirty patients with dual substance use and psychiatric disorders were randomly assigned to community or hospital acute care programs that had the same level of service-intensity. They were followed for 1 year (80%) using the Addiction Severity Index. Patients' health care utilization was assessed from charts, VA databases, and health care diaries; costs were assigned using methods established by the VA Health Economics Resource Center. Patients had better substance use outcomes when they were initially assigned to community rather than to hospital acute care. Patients assigned to hospital care had shorter index stays, but these index stays were more costly than were the longer index stays of patients assigned to community care. Patients assigned to hospital care also had more mental health follow-up outpatient visits, and more costly mental health follow-up stays, over the study year. The authors concluded that cost savings may be achieved without loss of benefit to all but the most decompensated dually disordered patients by shifting the locus of acute treatment from hospital to community care.
Meeting the mental health needs of developing countries: NGO innovations in india
- Authors:
- PATEL Vikram, THARA R., Eds
- Publisher:
- Sage
- Publication year:
- 2003
- Pagination:
- 402p,bibliogs..
- Place of publication:
- London
Mental disorders and self-inflicted harm contribute to the global burden of disease. In developing countries, while the burden is large, the resources that are deployed for mental health are meagre even in comparison to their own economies. Thus there is an urgent need to develop innovative and cost-effective programmes to respond to mental health problems in these countries. This book describes some of the possibilities being explored in India. In the introductory and concluding chapters, the editors express their opinion on the role of NGOs in mental health care in India, and the extent to which current efforts are succeeding. They feel that the not-for-profit NGO sector, with its deep roots in the community, often gives voice to the needs of users and carers, while the public sector is apathetic about these needs, and the for-profit private sector is sometimes even antipathetic to them.
Direct and indirect time inputs and assertive community treatment
- Authors:
- DEWA Carolyn S., et al
- Journal article citation:
- Community Mental Health Journal, 39(1), February 2003, pp.17-32.
- Publisher:
- Springer
Assertive Community Treatment (ACT) is an appealing community program model because it proposes to provide individuals with coping skills that allow them to maintain independent lives in their communities and it offers the potential to decrease inpatient stays and increase community care. However, critics point out that ACT's unique elements also make it a potentially very resource intensive program—an important consideration in times of fiscal constraints. Though the charge may be justified, there is little in the literature that actually quantifies the intensity of resources used. The process through which it achieves outcomes is not frequently described.
Cost-effectiveness of assertive community treatment for homeless persons with severe mental illness
- Authors:
- LEHMAN Anthony F., et al
- Journal article citation:
- British Journal of Psychiatry, 174, April 1999, pp.346-352.
- Publisher:
- Cambridge University Press
Homelessness is a major public health problem among persons with severe mental illness. Evaluates the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in the USA. Concludes that ACT provides a cost effective approach to reducing homelessness among persons with severe and persistent mental illness.
Randomised comparison of the effectiveness and costs of community and hospital based mental health services for children with behavioural disorders
- Authors:
- HARRINGTON Richard, et al
- Journal article citation:
- British Medical Journal, 28.10.00, 2000, pp.1047-1050.
- Publisher:
- British Medical Association
This study tests the hypothesis that a community based intervention by secondary child and adolescent mental health services would be significantly more effective and less costly that a hospital based intervention. The results of the study suggest that the location of child mental health services may be less important than the range of services that they provide, which should include effective treatment for parents' mental health problems.
Services for people with challenging behaviour and mental health needs at risk offending
- Authors:
- MURPHY Glynis, FERNANDO Suman
- Journal article citation:
- Tizard Learning Disability Review, 4(3), July 1999, pp.31-39.
- Publisher:
- Emerald
Government reports since 1990 on services for people with mental health needs, learning disabilities, challenging behaviour and/or criminal offending have recommended community living wherever possible. Nevertheless, most health and social service providers still find it difficult to attain the types of service proposed. It has recently been concluded that this was partly a result of the separation of services for people with learning disabilities form mainstream mental health services. This article reports the experience of a local service development intervention designed around the needs of this client group.
Private voluntary or public: comparative cost-effectiveness in community mental health care
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- Policy and Politics, 27(1), January 1999, pp.25-41.
- Publisher:
- Policy Press
Two prominent features of mental health policy in the UK in recent years have been the rundown of hospital provision and the changing of the balance between public and other provider sectors. This article examines the cost, quality of care and outcome implications. Public, voluntary and private providers of mental health care are compared, based on a long-term study of people moving out of psychiatric hospitals in London. Costs are found to be the lowest in the private (for profit) sector, and highest in the NHS and consortium (NHS and voluntary sector partnership) sectors. However, quality of care indicators suggest that the lowest cost sector is performing least well, and the highest cost sectors offer the best quality. These are associated with some differences in user outcome.