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

@article{McCrone2009EconomicIO,
  title={Economic impact of services for first‐episode psychosis: a decision model approach},
  author={Paul McCrone and Martin Knapp and Sujith Dhanasiri},
  journal={Early Intervention in Psychiatry},
  year={2009},
  volume={3}
}
Aim: To assess the impact of early intervention (EI) services on service costs for people with first‐episode psychosis. 

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

TLDR
To explore the economic impacts of early intervention in England on outcomes and costs for people with first‐episode psychosis, a large number of patients with first-episode psychosis are referred to charity.

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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
The authors investigate the evidence for and against EIP services and discuss how societal/family issues can also strongly influence mental health.

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Cost-effectiveness of early intervention in psychosis: systematic review

TLDR
There is consistent evidence that the implementation of EIP services might be a cost-effective alternative across different health systems, nevertheless, such evidence derives from heterogeneous and sometimes methodologically flawed studies, reducing the certainty of such statement.

References

SHOWING 1-10 OF 15 REFERENCES

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.

Cost implications of specific and non‐specific treatment for young persons at ultra high risk of developing a first episode of psychosis

TLDR
Cost implications of providing psychological and pharmacological intervention for individuals at UHR for psychosis compared with minimal psychological treatment are reported.

Impact of a Specialized Early Intervention Service for Psychotic Disorders on Patient Characteristics, Service Use, and Hospital Costs in a Defined Catchment Area

TLDR
Introducing a specialized early intervention program may be beneficial to patients and to the health care system, and longer term and more detailed data may be required.

Specialised care for early psychosis: Symptoms, social functioning and patient satisfaction

TLDR
Outcomes for the participants treated by the early onset team were significantly better at 18 months for aspects of social and vocational functioning, satisfaction, quality of life and medication adherence, which provides support for current policy.

Reducing the duration of untreated first-episode psychosis: effects on clinical presentation.

TLDR
It is possible to reduce the DUP for first-episode patients in a defined health care area through the introduction of an early detection (ED) program, compared with parallel health care areas without an ED program (No-ED).

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.

Prevention of negative symptom psychopathologies in first-episode schizophrenia: two-year effects of reducing the duration of untreated psychosis.

TLDR
Reducing the DUP has effects on the course of symptoms and functioning, including negative symptoms, suggesting secondary prevention of the negative psychopathologies in first-episode schizophrenia.

Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis in a clinical sample with subthreshold symptoms.

TLDR
More specific pharmacotherapy and psychotherapy reduces the risk of early transition to psychosis in young people at ultra-high risk, although their relative contributions could not be determined.

A randomised multicentre trial of integrated versus standard treatment for patients with a first episode of psychotic illness

TLDR
At one year's follow-up, psychotic symptoms changed favourably to a mean of 1.09 (standard deviation 1.27) with an estimated mean difference between groups of −0.31 (95% confidence interval −0-0.07, P = 0.02) in favour of integrated treatment.