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Impact of a crisis resolution team on service costs in the UK

  • Paul McCrone (a1), Sonia Johnson (a2), Fiona Nolan (a3), Andrew Sandor (a4), John Hoult (a5), Stephen Pilling (a3), Ian R. White (a6), Paul Bebbington (a7) and Nigel McKenzie (a5)...
Abstract
Aims and Methods

This paper assesses the economic impact of a crisis resolution team (CRT) in South London, using data from a prospective controlled trial. Two cohorts of patients were compared. After referral with a psychiatric crisis, the first cohort received existing services and the second cohort had access to input from a CRT. Baseline and follow-up 6-month costs were measured for 181 cases.

Results

At follow-up, mean costs were £1681 less for the post-CRT patients, which was not statistically significant. However, a significant difference of £2189 was observed when patients with any CRT contact were compared with those with none.

Clinical Implications

The crisis resolution team resulted in lower costs. Such services can thus help to release funds for other forms of care.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Beecham, J. and Knapp, M. (2001) Costing psychiatric interventions. In: Measuring Mental Health Needs (Second Edition), Thornicroft, G. (ed). Gaskell, London.
Johnson, S., Nolan, F., Hoult, J., White, I. R., Bebbington, P., Sandor, A., et al (2005) Outcomes of crises before and after introduction of a crisis resolution team. British Journal of Psychiatry, 187, 6875.
Netten, A., Rees, T. & Harrison, G. (2001) Unit Costs of Health & Social Care. Personal Social Services Research Unit, Canterbury.
Smyth, M. & Hoult, J. (2000) The home treatment enigma. British Medical Journal, 320, 305308.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Impact of a crisis resolution team on service costs in the UK

  • Paul McCrone (a1), Sonia Johnson (a2), Fiona Nolan (a3), Andrew Sandor (a4), John Hoult (a5), Stephen Pilling (a3), Ian R. White (a6), Paul Bebbington (a7) and Nigel McKenzie (a5)...
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