Service use and costs of people with dual diagnosis in South London

McCrone, Paul; Menezes, Paulo Rossi; Johnson, Sonia; Scott, Hazel; Thornicroft, Graham; Marshall, John; Bebbington, P; Kuipers, E

doi:10.1034/j.1600-0447.2000.101006464.x

Cited by 52 publications

(32 citation statements)

References 18 publications

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“…Diagnosis was predictive of higher psychiatric costs in six of the studies, with inconsistent findings for the other three studies. For example, McCrone et al (2000) found that a diagnosis of schizophrenia was a predictor of lower costs compared to the higher costs related to having a dual diagnosis, and concluded that patients with a dual diagnosis are more expensive to treat. Diagnosis was not always found to be very significant statistically in all of the studies ; for example, Knapp et al (1995) reported that diagnosis explained less than 1 % of the variation in costs, and concluded that diagnosis alone is of little assistance in predicting either service requirements or costs.…”

Section: Factors Related To Higher Of Lower Costsmentioning

confidence: 99%

Predicting costs of mental health care: a critical literature review

et al. 2007

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent repository link: ABSTRACTBackground. Cost evaluation research in the mental health field is being increasingly recognized as a way to achieve a more effective deployment of scarce resources. However, there is a paucity of studies that seek to identify predictors of psychiatric service utilization and costs. This paper aims to critically review the published research in the field of psychiatric service utilization and costs, and discusses current methodological developments in this field.

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Section: Factors Related To Higher Of Lower Costsmentioning

confidence: 99%

Predicting costs of mental health care: a critical literature review

et al. 2007

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“…In south London over a decade ago researchers found over a six month period the cost per service user was £1,469 more for those with schizophrenia and substance misuse (McCrone et al 2000). Many of this group are known to the criminal justice system as well.…”

Section: Drug Use and Psychosismentioning

confidence: 99%

Contención mecánica: definición conceptual

Sastre-Rus

Castillo

2014

Ene.

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“…A number of epidemiological studies conducted mainly in the United States indicate that this comorbidity is very high, greater in subjects under treatment, and that the concomitant presence of several disorders has major clinical, evolutionary, and therapeutic implications (Compton, Thomas, Stinson, & Grant, 2007;Swendsen et al, 2010).Dual disorders have been associated with an increase in the number of psychiatric admissions (Hunt et al, 2002); violence (Soyka, 2000); suicidal behavior (Appleby et al, 1999), an increase in health expenditure (McCrone et al, 2000), greater medical comorbidity (Dickey, Normand, Weiss, Drake, & Azeni, 2002), poor adherence to treatment (Kamali et al, 2001), and limited results of the latter in both pathologies (Carey et al, 1991).…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic and clinical factors associated with dual disorders in a psychiatric hospital

Pérez

Bernal

Silva

et al. 2017

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Introduction. Among patients with mental illness, dual disorders patients are characterized by a heterogeneous and more severe clinical presentation that is difficult to treat. Therefore, knowledge about the distribution of this disorder and the characteristics of these patients can be helpful to optimize and organize health resources. Objective. To explore the prevalence and socio-demographic and clinical factors associated with dual disorders patients who were hospitalized due to mental illness at a psychiatric unit in Colombia between January and June 2013; this data was collected and analyzed on the basis of the medical records of each patient. Method. Observational, quantitative, cross-sectional study of a secondary source. It included the analysis of 201 patients aged 18 to 65. Results. There were 201 patients analyzed; 45.3% had dual disorders, with a ratio of 2.24 men:women; there was a high frequency of single marital status (69.2%) and more than 90% had a low socioeconomic level. The factors significantly associated with dual disorders in order of importance were: age from 18 to 35 years (OR = 11.03; CI 95% [4.43, 27.46]), male (OR = 5.10, CI 95% [2.26, 11.50]), history of aggression (OR = 3.35; CI 95% [1. 63, 6.91]), and readmission in the year after hospital discharge (OR = 2.23; CI 95% [1.08, 4.61]). Discussion and conclusion. Dual disorders prevalence in this study is similar to that found by other authors. The high prevalence of dual disorders requires specialized therapeutic programs for treatment. The more hospitals know about the associated variables in this study, the more they will be able to improve their approach to patients.

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Service use and costs of people with dual diagnosis in South London

Abstract: Specific interventions for dual diagnosis patients should be introduced and assessed in terms of individual outcomes, service use and costs.

Cited by 52 publications

References 18 publications

Predicting costs of mental health care: a critical literature review

Predicting costs of mental health care: a critical literature review

Contención mecánica: definición conceptual

Sociodemographic and clinical factors associated with dual disorders in a psychiatric hospital

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