Early intervention for first‐episode psychosis: broadening the scope of economic estimates

@article{Park2016EarlyIF,
  title={Early intervention for first‐episode psychosis: broadening the scope of economic estimates},
  author={A-La Park and Paul McCrone and Martin Knapp},
  journal={Early Intervention in Psychiatry},
  year={2016},
  volume={10},
  pages={144 - 151}
}
To explore the economic impacts of early intervention in England on outcomes and costs for people with first‐episode psychosis. 

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References

SHOWING 1-10 OF 34 REFERENCES

Economic impact of services for first‐episode psychosis: a decision model approach

TLDR
To assess the impact of early intervention services on service costs for people with first‐episode psychosis, a large number of them with first-episode psychosis are referred to EI services.

The economic impact of early intervention in psychosis services for children and adolescents

To develop and populate a plausible model of the impact of early intervention (EI) for children and adolescents with psychosis to estimate potential short‐term health‐related cost savings compared to

Is phase‐specific, community‐oriented treatment of early psychosis‐ an economically viable method of improving outcome?

TLDR
It is concluded that phase‐specific, community‐oriented treatment of early psychosis is an economically viable method of improving outcome and should be considered as a viable treatment option.

Is early intervention in psychosis cost-effective over the long term?

TLDR
Specialized early psychosis programs can deliver a higher recovery rate at one-third the cost of standard public mental health services, and further research is required to verify this finding.

Effect of early intervention on 5-year outcome in non-affective psychosis

TLDR
Findings that specialist intervention did not markedly improved outcome at 5 years accord with those from a larger OPUS study and should be generalised with caution.

Suicide attempt in first-episode psychosis: A 7.4year follow-up study

Evidence of the effectiveness of a specialist vocational intervention following first episode psychosis: a naturalistic prospective cohort study

TLDR
This study provides further preliminary evidence of the effectiveness of a specialist vocational intervention following first episode psychosis as a statistically significant independent predictor of vocational recovery during 12 months of follow-up.

Cost-effectiveness of early intervention in first-episode psychosis: economic evaluation of a randomised controlled trial (the OPUS study)

TLDR
There was a high probability of OPUS being cost-effective compared with standard treatment, and cost-effectiveness planes based on non-parametric bootstrapping showed that OPUS was less costly and more effective in 70% of the replications.

Suicidality in first episode psychosis

The Lambeth Early Onset (LEO) Team: randomised controlled trial of the effectiveness of specialised care for early psychosis

TLDR
Limited evidence shows that a team delivering specialised care for patients with early psychosis is superior to standard care for maintaining contact with professionals and for reducing readmissions to hospital.