Peer-led self-management for people with severe mental disorders: an economic evaluation

Iemmi, Valentina, Crepaz-Kay, David, Cyhlarova, Eva and Knapp, Martin (2015) Peer-led self-management for people with severe mental disorders: an economic evaluation. Journal of Mental Health Training, Education and Practice, 10 (1). pp. 14-25. ISSN 1755-6228

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Abstract

Purpose:- We evaluated the effectiveness and cost-effectiveness of a peer-led self-management intervention for people with severe mental disorders. Design/methodology/approach:- This is a one-arm longitudinal study without control group. 262 adults with (self-reported) severe mental disorders, who have used secondary mental health services and were living in the community, were evaluated at three time-points (baseline, 6 months, 12 months). Socio-demographic data were collected at baseline. Wellbeing (Warwick-Edinburgh Mental Wellbeing Scale), functional living skills (Health Promoting Lifestyle Profile II) and service use (Client Service Receipt Inventory) data were assessed over time. Findings:- Self-management for people with severe mental disorders improved well-being and health-promoting lifestyles. After an increase in the short term, costs appeared to decrease in the longer term, although this change was not statistically significant. Due to the lack of a control group, we are unable to attribute those changes to the intervention only. Nevertheless, the self-management intervention appears to warrant further attention on both wellbeing and economic grounds. Originality/value:- Self-management may facilitate recovery, helping to support people with severe mental disorders at no additional cost. Given recent emphasis on recovery, peer workers and self-management, this peer-led self-management approach for people with severe mental disorders appears to have potential.

Item Type:	Article
Official URL:	http://www.emeraldinsight.com/loi/jmhtep
Additional Information:	© 2015 Emerald Group Publishing 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 R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Sets:	Departments > Social Policy Research centres and groups > Personal Social Services Research Unit (PSSRU)
Funders:	Big Lottery Fund, Wales, National Institute for Health Research (NIHR) School for Social Care Research
Date Deposited:	28 Nov 2014 10:12
URL:	http://eprints.lse.ac.uk/60340/

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