Economic impact of Early Intervention in Psychosis services: results from a longitudinal retrospective controlled study in England
Objectives: To demonstrate the costs, outcomes and economic impact of Early Intervention in Psychosis (EIP) services <br/>Design: Longitudinal retrospective observational study of service utilisation and outcome data from mental health and acute care services for all those with a diagnosis of...
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| Format: | Journal article |
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BMJ Publishing Group
2016
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| _version_ | 1797098089770647552 |
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| author | Tsiachristas, A Thomas, T Leal, J Lennox, B |
| author_facet | Tsiachristas, A Thomas, T Leal, J Lennox, B |
| author_sort | Tsiachristas, A |
| collection | OXFORD |
| description | Objectives: To demonstrate the costs, outcomes and economic impact of Early Intervention in Psychosis (EIP) services <br/>Design: Longitudinal retrospective observational study of service utilisation and outcome data from mental health and acute care services for all those with a diagnosis of psychosis in contact with mental health services over a 3 year period (Apr 2010 - Mar 2013) <br/>Setting: Thames Valley and South Midlands region in England (region covered by Oxford Academic Health Science Network) <br/>Participants: 3674 people with psychosis, aged 16-35 <br/>Interventions: Early Intervention in Psychosis team or other Community Mental Health teams <br/>Main outcome measures: Change in housing status, change in employment status, and improvement on each of the four domains of the HONOS questionnaire. Costs of mental and acute health inpatient, outpatient and community service use were also included in the study. <br/>Results: Patients in EIP services were 116% more likely (95%CI:1.263-3.708) to gain employment, 52% more likely to become accommodated in a mainstream house (95%CI:0.988-2.326), and 17% more likely to have an improvement in the emotional well-being domain of the HONOS questionnaire (95%CI:1.067-1.285), as compared to those in non-EIP services. Annual NHS costs were also significantly lower for patients using EIP services compared to non-users. The mean annual NHS cost savings associated with EIP were £4,031 (95%CI:£1281;£6780). These mostly came from: lower mental health inpatient costs (£4075, 95%CI:£1164-£6986), lower acute hospital outpatient costs (£59, 95%CI:£9-£109), lower accident and emergency costs (£31, 95%CI:£12-£51), and higher mental health community costs (£648, 95%CI:£122-£1,175). If all people with a first episode psychosis across England were to be treated by EIP services, the savings in societal costs would be an estimated £63 million per year, of which £33.2 million would be in NHS costs. <br/>Conclusions: Treatment within an EIP service is associated with better health and social outcomes, and reduced costs. |
| first_indexed | 2024-03-07T05:04:40Z |
| format | Journal article |
| id | oxford-uuid:d97f0b56-4e94-473e-a8ec-67361092bb4c |
| institution | University of Oxford |
| last_indexed | 2024-03-07T05:04:40Z |
| publishDate | 2016 |
| publisher | BMJ Publishing Group |
| record_format | dspace |
| spelling | oxford-uuid:d97f0b56-4e94-473e-a8ec-67361092bb4c2022-03-27T08:56:25ZEconomic impact of Early Intervention in Psychosis services: results from a longitudinal retrospective controlled study in EnglandJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d97f0b56-4e94-473e-a8ec-67361092bb4cSymplectic Elements at OxfordBMJ Publishing Group2016Tsiachristas, AThomas, TLeal, JLennox, BObjectives: To demonstrate the costs, outcomes and economic impact of Early Intervention in Psychosis (EIP) services <br/>Design: Longitudinal retrospective observational study of service utilisation and outcome data from mental health and acute care services for all those with a diagnosis of psychosis in contact with mental health services over a 3 year period (Apr 2010 - Mar 2013) <br/>Setting: Thames Valley and South Midlands region in England (region covered by Oxford Academic Health Science Network) <br/>Participants: 3674 people with psychosis, aged 16-35 <br/>Interventions: Early Intervention in Psychosis team or other Community Mental Health teams <br/>Main outcome measures: Change in housing status, change in employment status, and improvement on each of the four domains of the HONOS questionnaire. Costs of mental and acute health inpatient, outpatient and community service use were also included in the study. <br/>Results: Patients in EIP services were 116% more likely (95%CI:1.263-3.708) to gain employment, 52% more likely to become accommodated in a mainstream house (95%CI:0.988-2.326), and 17% more likely to have an improvement in the emotional well-being domain of the HONOS questionnaire (95%CI:1.067-1.285), as compared to those in non-EIP services. Annual NHS costs were also significantly lower for patients using EIP services compared to non-users. The mean annual NHS cost savings associated with EIP were £4,031 (95%CI:£1281;£6780). These mostly came from: lower mental health inpatient costs (£4075, 95%CI:£1164-£6986), lower acute hospital outpatient costs (£59, 95%CI:£9-£109), lower accident and emergency costs (£31, 95%CI:£12-£51), and higher mental health community costs (£648, 95%CI:£122-£1,175). If all people with a first episode psychosis across England were to be treated by EIP services, the savings in societal costs would be an estimated £63 million per year, of which £33.2 million would be in NHS costs. <br/>Conclusions: Treatment within an EIP service is associated with better health and social outcomes, and reduced costs. |
| spellingShingle | Tsiachristas, A Thomas, T Leal, J Lennox, B Economic impact of Early Intervention in Psychosis services: results from a longitudinal retrospective controlled study in England |
| title | Economic impact of Early Intervention in Psychosis
services: results from a longitudinal retrospective controlled
study in England |
| title_full | Economic impact of Early Intervention in Psychosis
services: results from a longitudinal retrospective controlled
study in England |
| title_fullStr | Economic impact of Early Intervention in Psychosis
services: results from a longitudinal retrospective controlled
study in England |
| title_full_unstemmed | Economic impact of Early Intervention in Psychosis
services: results from a longitudinal retrospective controlled
study in England |
| title_short | Economic impact of Early Intervention in Psychosis
services: results from a longitudinal retrospective controlled
study in England |
| title_sort | economic impact of early intervention in psychosis services results from a longitudinal retrospective controlled study in england |
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