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

McCrone, Paul R., Singh, Swaran P., Knapp, Martin, Smith, Jo, Clark, Michael, Shiers, David and Tiffin, Paul A. (2013) The economic impact of early intervention in psychosis services for children and adolescents. Early Intervention in Psychiatry, 7 (4). pp. 368-373. ISSN 1751-7885

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Aims: 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 generic Child and Adolescent Mental Health Services (CAMHS). Method: A decision-tree-based model for EI in CAMHS was developed. The model was populated using data relating to the use of inpatient care and EI service activity for people aged under 18 from an area of North East England. Data were abstracted from the National Health Service clinical reporting systems for 2001-2008. Sensitivity analyses were performed to examine costs associated with the model under differing assumptions. Results: EI delivered cost savings of £4814 per patient compared to care provided by generic CAMHS. Cost savings were predominantly a consequence of reduced length of hospital admissions for patients served by the EI team. The findings were robust to sensitivity analyses. Conclusions: These findings suggest that EI services for children and adolescents with psychosis provide potential direct health cost savings comparable to those observed for working-age adults.

Item Type: Article
Official URL:
Additional Information: © 2013 Wiley Publishing Asia Pty Ltd
Library of Congress subject classification: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Social Policy
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > LSE Health
Research centres and groups > NIHR School for Social Care Research
Funders: Higher Education Funding Council for England (HEFCE) Clinical Senior Lecturership
Date Deposited: 05 Feb 2013 13:23

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