Effectiveness and cost-effectiveness of admissions to women's crisis houses compared with traditional psychiatric wards: Pilot patient-preference randomised controlled trial

British Journal of Psychiatry

Volumn 197, Issue SUPPL. 53, 2010, Pages

  Howard, Louise ^a   Flach, Clare ^a   Leese, Morven ^a   Byford, Sarah ^a   Killaspy, Helen ^b   Cole, Laura ^a   Lawlor, Caroline ^b   Betts, Jennifer ^b   Sharac, Jessica ^a   Cutting, Penny ^c   McNicholas, Shirley ^d   Johnson, Sonia ^b  

^a KING'S COLLEGE LONDON   (United Kingdom)

^b UNIVERSITY COLLEGE LONDON   (United Kingdom)

^c SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST   (United Kingdom)

^d CAMDEN AND ISLINGTON NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; CRISIS INTERVENTION; ECONOMIC EVALUATION; FEMALE; HEALTH CARE COST; HEALTH CARE NEED; HOSPITAL ADMISSION; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MENTAL DISEASE; PATIENT SATISFACTION; PERSUASIVE COMMUNICATION; PILOT STUDY; PSYCHIATRIC DEPARTMENT; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; STIGMA; TREATMENT OUTCOME; ACUTE DISEASE; COMMUNITY MENTAL HEALTH CENTER; COST BENEFIT ANALYSIS; ECONOMICS; HEALTH SERVICE; HOSPITALIZATION; MENTAL HOSPITAL; NATIONAL HEALTH SERVICE; OUTCOME ASSESSMENT; PATIENT PREFERENCE; SOCIAL STIGMA; STATISTICS; UNITED KINGDOM;

ACUTE DISEASE; ADULT; COMMUNITY MENTAL HEALTH CENTERS; COST-BENEFIT ANALYSIS; ENGLAND; FEMALE; HOSPITALIZATION; HOSPITALS, PSYCHIATRIC; HUMANS; MENTAL DISORDERS; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT PREFERENCE; PATIENT SATISFACTION; PILOT PROJECTS; QUALITY OF LIFE; SOCIAL STIGMA; STATE MEDICINE; WOMEN'S HEALTH SERVICES;

EID: 77956274692     PISSN: 00071250     EISSN: 14721465     Source Type: Journal    
DOI: 10.1192/bjp.bp.110.081083     Document Type: Article

References (36)

1. Johnson S, Gilburt H, Lloyd-Evans B, Osborn DPJ, Boardman J, Leese M, et al. In-patient and residential alternatives to standard acute psychiatric wards in England. Br J Psychiatry 2009; 194: 456-63.
2. Department of Health. Women-Only and Women-Sensitive Mental Health Services. Department of Health, 2003.
3. Johnson S, Bingham C, Billings J, Pilling S, Morant N, Bebbington P, et al. Women's experiences of admission to a crisis house and to acute hospital wards: a qualitative study. J Ment Health 2004; 13: 247-62.
4. Killaspy H, Dalton J, McNicholas S, Johnson S. Drayton Park, an alternative to hospital admission for women in acute mental health crisis. Psychiatr Bull 2000; 24: 101-4. (Pubitemid 30189249)
5. Meiser-Stedman C, Howard L, Cutting P. Evaluating the effectiveness of a women's crisis house: a prospective observational study. Psychiatr Bull 2006; 30: 324-6.
6. Torgerson DJ, Sibbald B. Understanding controlled trials. What is a patient preference trial? BMJ 1998; 31: 360.
7. King M, Nazareth I, Lampe F, Bower P, Chandler M, Morou M, et al. Impact of participant and physician intervention preferences on randomized trials: a systematic review. JAMA 2005; 293: 1089-99.
8. Howard LM, Thornicroft G. Patient preference randomised controlled trials in mental health research. Br J Psychiatry 2006; 188: 303-4.
9. Howard LM, Leese M, Byford S, Killaspy H, Cole L, Lawlor C, et al. Methodological challenges in evaluating the effectiveness of women's crisis houses compared with psychiatric wards; findings from a pilot patient preference RCT. J Nerv Ment Dis 2009; 197: 722-7.
10. Endicott J, Spitzer RL, Fleiss JL, Cohen J. The Global Assessment Scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry 1976; 33: 766-71.
11. Overall JE, Gorham DR. BPRS. Brief Psychiatric Rating Scale. In ECDEU Assessment Manual for Psychopharmacology. US Department of Health, Education and Welfare, 1976.
12. Priebe S, Huxley P, Knight S, Evans S. Application and results of the Manchester Short Assessment of QoL (MANSA). Int J Soc Psychiatry 1999; 45: 7-12. (Pubitemid 29158596)
13. Brooks R, EuroQol Group. EQ-5D: the current state of play. Health Policy 1996; 37: 3-2.
14. Phelan M, Slade M, Thornicroft G, Dunn G, Holloway F, Wykes T, 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: 589-95.
15. 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 psychiatric services in patients, relatives and professionals. Psychol Med 1993; 23: 511-23.
16. Gardner W, Hoge S, Bennett N, Roth L, Lidz C, Monahan J, et al. Two scales for measuring patients' performance perceptions of coercion during hospital admission. Behav Sci Law 1993; 20: 307-21.
17. Ritsher JB, Otilingam PG, Grajales M. Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 2003; 121: 31-49. (Pubitemid 37311386)
18. Byford S, Fiander M, Torgerson DJ, Barber JA, Thompson SG, Burns T, et al. Cost-effectiveness of intensive v. standard case management for severe psychotic illness: UK700 case management trial. Br J Psychiatry 2000; 176: 537-43.
19. Barrett B, Byford S, Crawford M, Patton R, Drummond C, Henry J, et al. Cost effectiveness of referral to an alcohol health worker in patients attending an accident and emergency department: a decision-making approach. Drug Alcohol Depend 2006; 81: 47-54.
20. Kuyken W, Byford S, Taylor RS, Watkins E, Holden E, White K, et al. Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. J Consult Clin Psychol 2008; 76: 966-78.
21. Department of Health. National Health Service Reference Costs. Department of Health, 2007.
22. Finn W, Hyslop J, Truman, C. Mental Health, Multiple Needs and the Police. Revolving Doors Agency, 2000.
23. Legal Services Commission. Civil Remuneration Rates. Legal Services Commission, 2004.
24. Curtis L. Unit Costs of Health and Social Care. Personal Social Services Research Unit, 2006.
25. HM Prison Service. Prison Service Annual Report and Accounts. TSO (The Stationery Office), 2007.
26. British Medical Association, Royal Pharmaceutical Society of Great Britain. British National Formulary. BMJ Books/Pharmaceutical Press, 2007.
27. Koopmanschap MA, Rutten FFH. A practical guide for calculating indirect costs of disease. Pharmacoeconomics 1996; 10: 460-6.
28. Efron B, Tibshirani RJ. An Introduction to the Bootstrap. Chapman & Hall, 1993.
29. Thompson SG, Barber JA. How should cost data in randomised controlled trials be analysed? BMJ 2000; 320: 1197-200.
30. Fenwick E, Claxton K, Sculpher M. Representing uncertainty: the role of cost-effectiveness acceptability curves. Health Econ 2001; 10: 779-87. (Pubitemid 34041389)
31. Slade M, Byford S, Barrett B, Lloyd-Evans B, Gilburt H, Osborn DPJ, et al. Alternatives to standard acute in-patient care in England: short-term clinical outcomes and cost-effectiveness. Br J Psychiatry 2010 (suppl 53): s14-9.
32. Howard LM, Rigon E, Cole L, Lawlor C, Johnson S. Admissions to women's crisis houses or to psychiatric wards: women's pathways to admission. Psychiatr Serv 2008; 59: 1443-9.
33. Johnson S, Lloyd-Evans B, Morant N, Gilburt H, Shepherd G, Slade M, et al. Alternatives to standard acute in-patient care in England: roles and populations served. Br J Psychiatry 2010 (suppl 53): s6-13.
34. Preference Collaborative Review Group. Patients' preferences within randomised trials: systematic review and patient level meta-analysis. BMJ 2008; 337: 1864.
35. Gilburt H, Slade M, Rose D, Lloyd-Evans B, Johnson S, Osborn DPJ. Service users' experiences of residential alternatives to standard acute wards: qualitative study of similarities and differences. Br J Psychiatry 2010 (suppl 53): s26-31.
36. Johnson S, Lloyd-Evans B, Howard L, Osborn DPJ, Slade M. Where next with residential alternatives to admission? Br J Psychiatry 2010 (suppl 53): s52-4.