Outcomes and costs of a community support worker service for the severely mentally ill

Acta Psychiatrica Scandinavica

Volumn 99, Issue 3, 1999, Pages 196-206

  Clarkson, P ^a   McCrone, Paul ^a   Sutherby, K ^a   Johnson, C ^a   Johnson, S ^a   Thornicroft, G ^a  

^a KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

Community support worker; Costs; Paraprofessional; Service use; Severe mental illness

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; COMMUNITY CARE; DISEASE SEVERITY; FEMALE; HEALTH CARE COST; HEALTH CARE PERSONNEL; HUMAN; MALE; MENTAL HEALTH SERVICE; OUTCOMES RESEARCH; PRIORITY JOURNAL;

EID: 0033013447     PISSN: 0001690X     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1600-0447.1999.tb00976.x     Document Type: Article

References (31)

1. SCHINDLER R, BRAWLEY EA. Factors contributing to the use of paraprofessionals. London: Tavistock Publications, 1987.
2. Department of Health and Social Security. National Health Service and Community Care Act. London: HMSO, 1990.
3. JOHNSON S, BROOKS L, SUTHERBY K, THORNICROFT G, JOHNSON C, LOFTUS L. Sending in the paras. Health Serv J 1997;11 September:30-31.
4. NASH KB, LIFTON N, SMITH NE. Paraprofessionals and community mental health. Commun Ment Health Rev 1978;3:1-8.
5. DURLAK JA. Comparative effectiveness of paraprofessional and professional helpers. Psychol Bull 1979;86:80-92.
6. STEVENSON EW, VINEY LL. The effectiveness of non-professional therapists with chronic psychotic patients: an experimental study. J Nerv Ment Dis 1996;156:38-46.
7. KATKIN S, ZIMMERMAN V, ROSENTHAL J. Using volunteer therapists to reduce hospital readmissions. Hosp Commun Psychiatry. 1975;36:151-153.
8. GODLEY SH, SABIN MC, MCCLURE C. Paid friends for frequent recidivists: an evaluation of a multifaceted community aid programme. Psychosoc Rehabil J 1988;11:29-39.
9. MAK KY, GOW L. Clinical usefulness of an aftercare worker for psychotic patients discharged from halfway houses in Hong Kong. Br J Psychiatry 1996;168:757-761.
10. OLIVER J, HUXLEY P, BRIDGES K, MOHAMAD H. Quality of life and mental health services. London: Routledge, 1996.
11. ROSENFIELD S. Factors contributing to the subjective quality of life of the chronic mentally ill. J Health Soc Behav 1992;33:299-315.
12. BAKER F, JODREY D, INTAGLIATA J. Social support and quality of life of community support clients. Commun Ment Health J 1992;5:69-79.
13. THORNICROFT G, BREAKEY WR. The COSTAR programme. 1. Improving social networks of the long-term mentally ill. Br J Psychiatry 1991;159:245-249.
14. WRIGHT RJ, HEIMAN JR, SHUPE J. Defining and measuring stabilisation of patients during four years of intensive community support. Am J Psychiatry 1989;146:1293-1298.
15. DAYSON D, GOOCH C, THORNICROFT G. The TAPS Project. 16. Difficult to place, long-term psychiatric patients: risk factors for failure to resettle long-stay patients in community facilities. Br Med J 1992;305:993-995.
16. MCGUFFIN P, FARMER A, HARVEY I. A polydiagnostic application of operational criteria in studies of psychotic illness. Development and reliability of the OPCRIT system. Arch Gen Psychiatry 1991;48:764-770.
17. PHELAN M, SLADE M, THORNICROFT G et al. The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. Br J Psychiatry 1995;167:589-595.
18. OLIVER JPJ. The social care directive: development of a quality of life profile for use in community services for the mentally ill. Soc Work Soc Sci Rev 1991;3:5-45.
19. RUGGERI M, DALL AGNOLA R. The development and use of the Verona Expectations for Care Scale (VECS) and the Verona Service Satisfaction Scale (VSSS) for measuring expectations and satisfaction with community-based services in patients, relatives and professionals. Psychol Med 1993;23:511-523.
20. LEFF J, O'DRISCOLI C, DAYSON D, WILLS W, ANDERSON J. The TAPS Project 5. The structure of social network data obtained from long-stay patients. Br J Psychiatry 1990;157:848-852.
21. American Psychiatric Association. Diagnostic and statistical manual, revised 3rd edn. Washington, DC: American Psychiatric Press, 1987.
22. WYKES T, STURT E. The measurement of social behaviour in psychiatric patients: an assessment of the reliability and validity of the Social Behaviour Schedule. Br J Psychiatry 1986;148:1-12.
23. BEECHAM J, KNAPP M. Costing psychiatric interventions. In: THORNICROFT G, BREWIN C, WING J, ed. Measuring mental health needs. London: Gaskell, 1992:163-183.
24. KNAPP M, BEECHAM J. Costing mental health services. Psychol Med 1990;20:893-908.
25. ALLEN C, BEECHAM J. Costing services: ideals and reality. In: NETTEN A, BEECHAM J, ed. Costing community care: theory and practice. Aldershot: Ashgate, 1993:2542.
26. NETTEN A. The unit costs of community care. Canterbury: Personal Social Services Research Unit, 1994.
27. Central Statistical Office. Family Expenditure Survey. London: HMSO, 1992.
28. SLADE M. Needs assessment: who needs to assess. Br J Psychiatry 1994;165:287-292.
29. KNAPP M, BEECHAM J. Reduced list costings: examination of an informed short cut in mental health research. Health Econ 1993;2:313-322.
30. MCCRONE P, BEECHAM J, KNAPP M. Community psychiatric nurse teams: cost-effectiveness of intensive support versus generic care. Br J Psychiatry 1994;165:218-221.
31. KNAPP M, BEECHAM J, ANDERSON J et al. The TAPS Project 3. Predicting the community costs of closing psychiatric hospitals. Br J Psychiatry 1990;157:661-670.