Cost and Cost-effectiveness of Hospital vs Residential Crisis Care for Patients Who Have Serious Mental Illness

Abstract

Residential crisis programs may be a cost-effective approach to providing acute care to patients who have serious mental illness and who are willing to accept voluntary treatment. Where resources are scarce, access to needed acute care might be extended using a mix of hospital, community-based residential crisis, and community support services.

Treatment costs and clinical outcome for first episode schizophrenia patients: a 3‐year follow‐up of the Swedish ‘Parachute Project’ and Two Comparison Groups

“…To our knowledge, there are no other studies regarding cost effectiveness in the care of FEP patients. Fenton et al (21) have studied the costs in residential vs. hospital care and report better cost effectiveness in residential care. Sledge et al (17) compared costs for day care/crisis respite treatment to TAU of a group of psychiatric patients in general.…”

“…There are only a few studies regarding costs with FEP teams vs. traditional care organisation (2, 13, 21), all indicating lower cost with specialised care.…”

Service costs for women with co-occurring disorders and trauma

“…The total government approach asks the question bhow much would it cost to serve women enrolled in the study if we included all health, housing, and criminal justice services that could be provided or paid for by government agencies at all levels (federal, state, county, municipal)? Q; this approach has been used elsewhere in the literature (e.g., Fenton, Hoch, Herrell, Mosher, & Dixon, 2002). The Medicaid perspective asks the question bhow much would it cost to serve women enrolled in the study if all health services were provided or paid for by a Medicaid program?…”

A guide to economic evaluation: Methods for cost‐effectiveness analysis of person‐level data

“…More advanced methods for representing uncertainty include cost-effectiveness acceptability curves (Fenwick & Byford, 2005;Fenwick, O'Brien, & Briggs, 2004;Lothgreny & Zethraeus, 2000;van Hout, Al, Gordon, & Rutten, 1994) and two-dimensional cost-effectiveness planes (Fenton, Hoch, Herrell, Mosher, & Dixon, 2002). The methods to create them are beyond the scope of this introductory article.…”