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Economic impact of early intervention in people at high risk of psychosis

Valmaggia, L. R. and McCrone, P. and Knapp, Martin and Woolley, J. B. and Broome, M. R. and Tabraham, P. and Johns, L. C. and Prescott, C. and Bramon, E. and Lappin, J. and Power, P. and McGuire, P. K. (2009) Economic impact of early intervention in people at high risk of psychosis. Psychological Medicine, 39 (10). pp. 1617-1626. ISSN 0033-2917

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Identification Number: 10.1017/S0033291709005613

Abstract

Background: Despite the increasing development of early intervention services for psychosis, little is known about their cost-effectiveness. We assessed the cost-effectiveness of Outreach and Support in South London (OASIS), a service for people with an at-risk mental state (ARMS) for psychosis. Method: The costs of OASIS compared to care as usual (CAU) were entered in a decision model and examined for 12- and 24-month periods, using the duration of untreated psychosis (DUP) and rate of transition to psychosis as key parameters. The costs were calculated on the basis of services used following referral and the impact on employment. Sensitivity analysis was used to test the robustness of all the assumptions made in the model. Results: Over the initial 12 months from presentation, the costs of the OASIS intervention were £1872 higher than CAU. However, after 24 months they were £961 less than CAU. Conclusions: This model suggests that services that permit early detection of people at high risk of psychosis may be cost saving.

Item Type: Article
Official URL: http://journals.cambridge.org/action/displayJourna...
Additional Information: © 2009 Cambridge University Press
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HC Economic History and Conditions
R Medicine > RA Public aspects of medicine
Sets: Departments > Social Policy
Collections > Economists Online
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Date Deposited: 09 Oct 2009 09:58
Last Modified: 30 Jan 2012 13:30
URI: http://eprints.lse.ac.uk/id/eprint/25444

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