Is phase-specific, community-oriented treatment of early psychosis an economically viable method of improving outcome?

Acta Psychiatr Scand. 1999 Jul;100(1):47-55. doi: 10.1111/j.1600-0447.1999.tb10913.x.

Abstract

Objective: The Early Psychosis Prevention and Intervention Centre (EPPIC) provides a comprehensive 'real-world' model of early intervention to young people experiencing an emerging psychotic disorder. A prospective study has already provided evidence of improved clinical outcome at 12 months after entry. The present study examined whether the service was also cost-effective.

Method: A cost-effectiveness analysis compared EPPIC with its immediate precursor service, from the perspective of the government funding agency. Only direct costs were included.

Results: EPPIC proved to be more cost-effective. The weighted average cost per patient for the first 12 months was cheaper (by $AUD 7110 per patient), while treatment outcomes were superior. The savings were due to the marked reduction in in-patient costs outweighing substantial increases in the costs of community care.

Conclusion: These results, while encouraging in terms of the further development of integrated, phase-specific intervention programmes for early psychosis, are not conclusive, and further research is required.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Australia
  • Community Mental Health Services / economics*
  • Community Mental Health Services / organization & administration*
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Male
  • Prospective Studies
  • Psychotic Disorders / therapy*
  • Time Factors
  • Treatment Outcome