Changes in care costs associated with cognitive behavioural therapy for psychosis delivered in routine clinical practice
<p><strong>Background:</strong> Schizophrenia spectrum disorders are long-term disabling conditions placing high economic demands on health services.</p> <p><strong>Aim:</strong> To investigate whether cognitive behavioural therapy for psychosis (CBTp), deli...
| Main Authors: | , , , |
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| Format: | Journal article |
| Language: | English |
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Taylor and Francis
2019
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| _version_ | 1797051331592060928 |
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| author | Sheaves, B Peters, E Stahl, D Johns, L |
| author_facet | Sheaves, B Peters, E Stahl, D Johns, L |
| author_sort | Sheaves, B |
| collection | OXFORD |
| description | <p><strong>Background:</strong> Schizophrenia spectrum disorders are long-term disabling conditions placing high economic demands on health services.</p> <p><strong>Aim:</strong> To investigate whether cognitive behavioural therapy for psychosis (CBTp), delivered in a specialist psychological therapies service, was associated with a reduction in intensive care costs.</p> <p><strong>Methods:</strong> Days using inpatient care and out of hours crisis support were recorded (N = 69). Costs associated with high intensity care use in the 12 months pre-referral were compared to during, and 12 months following cessation of therapy.</p> <p><strong>Results:</strong> Despite the majority of participants incurring £0 at all time periods, costs of intensive mental health care more than halved with CBTp delivery, with a significant decrease during therapy, and at trend level after therapy (p = 0.07). Post hoc analysis revealed that offsetting the cost of therapy for those who utilised intensive care services at any time point (N = 18) resulted in therapy being cost neutral during therapy and cost effective (at trend level) 12 months following cessation of therapy.</p> <p><strong>Conclusion:</strong> CBTp may reduce costs associated with intensive psychiatric care, even in a population where the minority use these services. Investment in therapy may lead to both clinical and financial benefits.</p> |
| first_indexed | 2024-03-06T18:17:59Z |
| format | Journal article |
| id | oxford-uuid:0549db16-65be-421b-abb2-1b0adb90058e |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T18:17:59Z |
| publishDate | 2019 |
| publisher | Taylor and Francis |
| record_format | dspace |
| spelling | oxford-uuid:0549db16-65be-421b-abb2-1b0adb90058e2022-03-26T08:56:18ZChanges in care costs associated with cognitive behavioural therapy for psychosis delivered in routine clinical practiceJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0549db16-65be-421b-abb2-1b0adb90058eEnglishSymplectic Elements at OxfordTaylor and Francis2019Sheaves, BPeters, EStahl, DJohns, L<p><strong>Background:</strong> Schizophrenia spectrum disorders are long-term disabling conditions placing high economic demands on health services.</p> <p><strong>Aim:</strong> To investigate whether cognitive behavioural therapy for psychosis (CBTp), delivered in a specialist psychological therapies service, was associated with a reduction in intensive care costs.</p> <p><strong>Methods:</strong> Days using inpatient care and out of hours crisis support were recorded (N = 69). Costs associated with high intensity care use in the 12 months pre-referral were compared to during, and 12 months following cessation of therapy.</p> <p><strong>Results:</strong> Despite the majority of participants incurring £0 at all time periods, costs of intensive mental health care more than halved with CBTp delivery, with a significant decrease during therapy, and at trend level after therapy (p = 0.07). Post hoc analysis revealed that offsetting the cost of therapy for those who utilised intensive care services at any time point (N = 18) resulted in therapy being cost neutral during therapy and cost effective (at trend level) 12 months following cessation of therapy.</p> <p><strong>Conclusion:</strong> CBTp may reduce costs associated with intensive psychiatric care, even in a population where the minority use these services. Investment in therapy may lead to both clinical and financial benefits.</p> |
| spellingShingle | Sheaves, B Peters, E Stahl, D Johns, L Changes in care costs associated with cognitive behavioural therapy for psychosis delivered in routine clinical practice |
| title | Changes in care costs associated with cognitive behavioural therapy for psychosis delivered in routine clinical practice |
| title_full | Changes in care costs associated with cognitive behavioural therapy for psychosis delivered in routine clinical practice |
| title_fullStr | Changes in care costs associated with cognitive behavioural therapy for psychosis delivered in routine clinical practice |
| title_full_unstemmed | Changes in care costs associated with cognitive behavioural therapy for psychosis delivered in routine clinical practice |
| title_short | Changes in care costs associated with cognitive behavioural therapy for psychosis delivered in routine clinical practice |
| title_sort | changes in care costs associated with cognitive behavioural therapy for psychosis delivered in routine clinical practice |
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