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Community Mental Health Care for Former Hospital In-Patients: Predicting Costs from Needs and Diagnoses

Published online by Cambridge University Press:  06 August 2018

Martin Knapp ,
Jennifer Beecham ,
Andrew Fenyo  and
Angela Hallam
Martin Knapp
Affiliation:
Personal Social Services Research Unit, University of Kent at Canterbury, Canterbury, Kent CT2 7NF; and Centre for the Economics of Mental Health, Institute of Psychiatry, London SE5 8BB
Jennifer Beecham
Affiliation:
Personal Social Services Research Unit, University of Kent at Canterbury, Canterbury, Kent CT2 7NF; and Centre for the Economics of Mental Health, Institute of Psychiatry, London SE5 8BB
Andrew Fenyo
Affiliation:
Personal Social Services Research Unit, University of Kent at Canterbury, Canterbury, Kent CT2 7NF; and Centre for the Economics of Mental Health, Institute of Psychiatry, London SE5 8BB
Angela Hallam
Affiliation:
Personal Social Services Research Unit, University of Kent at Canterbury, Canterbury, Kent CT2 7NF; and Centre for the Economics of Mental Health, Institute of Psychiatry, London SE5 8BB
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Abstract

Background. In the UK the replacement of long-term in-patient care with community-based support has been part of central government health policy for many years. One of the challenges of implementing such a policy is the prediction of support and service needs in the community and the associated costs.

Method. Using research data from north London analyses were undertaken to examine the associations between service use and costs in the community and the characteristics of hospital in-patients.

Results. Although clinical diagnosis was not a useful predictor of either service utilisation or costs, more than a third of the variation in community care costs could be explained by symptoms, behaviour and personal characteristics at least one year earlier.

Type
I. General Issues
Information
The British Journal of Psychiatry , Volume 166 , Issue S27: Economics of Anxiety and Depression , April 1995 , pp. 10 - 18
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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References

Allen, C. & Beecham, J. (1993) Costing community services: ideals and reality. In Costing Community Care: Theory and Practice (eds Nettern, A. & Beecham, J.). Aldershot: Ashgate.Google Scholar
Anderson, J., Dayson, D., Willis, W., et al (1993) The TAPS Project. 13: Clinical and social outcomes of long-stay psychiatric patients after one year in the community. British Journal of Psychiatry, 162 (suppl. 19), 45–56.CrossRefGoogle Scholar
Beecham, J., Knapp, M. & Fenyo, A. (1991) Costs, needs and outcomes. Schizophrenia Bulletin, 17, 427–439.CrossRefGoogle ScholarPubMed
Beecham, J., & Knapp, M. (1992) Costing psychiatric interventions. In Measuring Mental Health Needs (eds Thornicroft, G. J., Brewin, C. R. & Wing, J. K.). London: Gaskell.Google Scholar
Department of Health and Social Security (1975) Better Services for the Mentally Ill. London: HMSO.Google Scholar
Department of Health and Social Security (1983) Care in the Community, HC(86)3, LAC(83)5. London: HMSO.Google Scholar
Department of Health and Social Security (1985) Mental illness: policies for prevention, treatment, rehabilitation and care. Annex 1 to Government Response to the Second Report from the Social Services Committee 1984–85, Cmnd 9624. London: HMSO.Google Scholar
Department of Health (1989) Caring for People: Community Care in the Next Decade and Beyond, Cm 849. London: HMSO.Google Scholar
Department of Health (1992) The Health of the Nation, Cm 1523. London: HMSO.Google Scholar
Dunn, M., O'Driscoll, C., Dayson, D., et al (1990) The TAPS Project. 4: An observational study of the social life of long-stay patients. British Journal of Psychiatry, 157, 842–848.CrossRefGoogle ScholarPubMed
Jones, D. (1993) The TAPS Project. 11: The selection of patients for reprovision. British Journal of Psychiatry, 162 (suppl. 19), 36–39.CrossRefGoogle Scholar
Knapp, M. (1993) Principles of applied cost research. In Costing Community Care: Theory and Practice (eds Netten, A. & Beecham, J.). Aldershot: Ashgate.Google Scholar
Knapp, M. & Beecham, J. (1990) Costing mental health services. Psychological Medicine, 20, 893–908.CrossRefGoogle ScholarPubMed
Knapp, M., Beecham, J., Anderson, J., et al (1990) Predicting the community costs of closing psychiatric hospitals. British Journal of Psychiatry, 157, 661–670.CrossRefGoogle ScholarPubMed
Knapp, M., Beecham, J., Hallam, A., et al (1993) The costs of community care for people with long-term mental health problems. Health and Social Care in the Community, 2, 193–201.Google Scholar
Leff, J., O'Driscoll, C., Dayson, D., et al (1990) The TAPS Project. 5: The structure of social-network data obtained from long-stay patients. British Journal of Psychiatry, 157, 848–852.CrossRefGoogle ScholarPubMed
North, C. & Richie, J. (1993) Factors Influencing the Implementation of the Care Programme Approach. Report by Social and Community Planning Research to the Department of Health. London: HMSO.Google Scholar
O'Driscoll, C. & Leff, J. (1993) The TAPS Project. 8: Design of the research study on the long-stay patients. British Journal of Psychiatry, 162 (suppl. 19), 18–24.CrossRefGoogle Scholar
Secretaries of State (1989) Caring for People, CM 849. London: HMSO.Google Scholar
Schneider, J. (1993) Care programming in mental health: assimilation and adaptation. British Journal of Social Work, 23, 383–403.Google Scholar
Sturt, E. & Wykes, T. (1986) Assessment schedules for chronic psychiatric patients. Psychological Medicine, 17, 485–493.CrossRefGoogle Scholar
Wing, J. K. Cooper, J. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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