BACKGROUND: Outcomes following admission to residential alternatives to standard in-patient mental health services are underresearched. AIMS: To explore short-term outcomes and costs of admission to alternative and standard services. METHOD: Health of the Nation Outcome Scales (HoNOS), Threshold Assessment Grid (TAG), Global Assessment of Functioning (GAF) and admission cost data were collected for six alternative services and six standard services. RESULTS: All outcomes improved during admission for both types of service (n = 433). Adjusted improvement was greater for standard services in scores on HoNOS (difference 1.99, 95% CI 1.12-2.86), TAG (difference 1.40, 95% CI 0.39-2.51) and GAF functioning (difference 4.15, 95% CI 1.08-7.22) but not GAF symptoms. Admissions to alternatives were 20.6 days shorter, and hence cheaper (UK pound3832 v. pound9850). Standard services cost an additional pound2939 per unit HoNOS improvement. CONCLUSIONS: The absence of clear-cut advantage for either type of service highlights the importance of the subjective experience and longer-term costs.
BACKGROUND: Outcomes following admission to residential alternatives to standard in-patient mental health services are underresearched. AIMS: To explore short-term outcomes and costs of admission to alternative and standard services. METHOD: Health of the Nation Outcome Scales (HoNOS), Threshold Assessment Grid (TAG), Global Assessment of Functioning (GAF) and admission cost data were collected for six alternative services and six standard services. RESULTS: All outcomes improved during admission for both types of service (n = 433). Adjusted improvement was greater for standard services in scores on HoNOS (difference 1.99, 95% CI 1.12-2.86), TAG (difference 1.40, 95% CI 0.39-2.51) and GAF functioning (difference 4.15, 95% CI 1.08-7.22) but not GAF symptoms. Admissions to alternatives were 20.6 days shorter, and hence cheaper (UK pound3832 v. pound9850). Standard services cost an additional pound2939 per unit HoNOS improvement. CONCLUSIONS: The absence of clear-cut advantage for either type of service highlights the importance of the subjective experience and longer-term costs.
Authors: Justine Fletcher; Lisa Brophy; Helen Killaspy; Priscilla Ennals; Bridget Hamilton; Laura Collister; Teresa Hall; Carol Harvey Journal: Front Psychiatry Date: 2019-10-24 Impact factor: 4.157
Authors: Catherine Henderson; Martin Knapp; Ksenija Yeeles; Stephen Bremner; Sandra Eldridge; Anthony S David; Nicola O'Connell; Tom Burns; Stefan Priebe Journal: PLoS One Date: 2015-10-08 Impact factor: 3.240
Authors: Angela Sweeney; Sarah Fahmy; Fiona Nolan; Nicola Morant; Zoe Fox; Brynmor Lloyd-Evans; David Osborn; Emma Burgess; Helen Gilburt; Rosemarie McCabe; Mike Slade; Sonia Johnson Journal: PLoS One Date: 2014-07-10 Impact factor: 3.240