The economic consequences of deinstitutionalisation of mental health services: Lessons from a systematic review of European experience

Health and Social Care in the Community

Volumn 19, Issue 2, 2011, Pages 113-125

  Knapp, Martin ^a,b   Beecham, Jennifer ^a,c   McDaid, David ^a   Matosevic, Tihana ^a   Smith, Monique ^a  

^a LONDON SCHOOL OF ECONOMICS   (United Kingdom)

^b KING'S COLLEGE LONDON   (United Kingdom)

^c UNIVERSITY OF KENT   (United Kingdom)

Author keywords

Community care; Costs; Deinstitutionalisation; Economics; Mental health

Indexed keywords

COST; COST BENEFIT ANALYSIS; DEINSTITUTIONALIZATION; ECONOMICS; EUROPE; HEALTH SERVICE; HOSPITALIZATION; HUMAN; MENTAL HEALTH SERVICE; ORGANIZATION AND MANAGEMENT; REVIEW; SOCIOECONOMICS;

COMMUNITY MENTAL HEALTH SERVICES; COST-BENEFIT ANALYSIS; COSTS AND COST ANALYSIS; DEINSTITUTIONALIZATION; EUROPE; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; SEVERITY OF ILLNESS INDEX; SOCIOECONOMIC FACTORS;

EID: 79751503158     PISSN: 09660410     EISSN: 13652524     Source Type: Journal    
DOI: 10.1111/j.1365-2524.2010.00969.x     Document Type: Review

References (55)

1. Amaddeo F., Grigoletti L., de Girolamo G., Picardi A. & Santone G. (2007) Which factors affect the costs of psychiatric residential care? Findings from the Italian PROGRES study. Acta Psychiatrica Scandanavica 115, 132-141.
2. Audini B., Marks I. & Laurence R. (1994) Home-based versus out-patient/in-patient care for people with serious mental illness: phase II of a controlled trial. British Journal of Psychiatry 165, 204-210.
3. Beecham J., Hallam A., Knapp M., Baines B., Fenyo A. & Asbury M. (1997) Costing care in the hospital and in the community. In: J. Leff (Ed.) Care in the Community: Illusion or Reality?, pp. 93-108. John Wiley, Chichester.
4. Beecham J., Hallam A., Knapp M. et al. (2004) Twelve years on: service use and costs for people with mental health problems who left psychiatric hospitals. Journal of Mental Health 13 (4), 363-377.
5. Bonizzato P., Bisoffi G., Amaddeo F., Chisholm D. & Tansella M. (2000) Community-based mental health care: to what extent are service costs associated with clinical, social and service history variables? Psychological Medicine 30, 1205-1215.
6. Brazier J. (2008) Measuring and valuing mental health for use in economic evaluation. Journal of Health Services Research and Policy 13 (supp 3), 70-75.
7. Burns T., Raftery J., Beadsmoore A., McGuigan S. & Dickson M. (1993) A controlled trial of home-based acute psychiatric services II: treatment patterns and costs. British Journal of Psychiatry 163, 55-61.
8. Byford S., Fiander M., Barber J. et al. (2000) Cost-effectiveness of intensive v. standard case management for severe psychotic illness: UK700 case management trial. British Journal of Psychiatry 176, 537-543.
9. Cambridge P., Carpenter J., Beecham J. et al. (2003) Twelve years on: outcomes and costs of deinstitutionalisation for people with mental health problems. Mental Health Research Review 9, 10-13.
10. Carpenter J., Schneider J., McNiven F., Brandon T., Stevens R. & Wooff D. (2004) Integration and targeting of community care for people with severe and enduring mental health problems: users' experiences of the care programme approach and care management. British Journal of Social Work 34, 313-333.
11. Chisholm D., Knapp M., Astin J., Beecham J., Audini B. & Lelliott P. (1997a) The mental health residential care study: the costs of provision. Journal of Mental Health 6 (1), 85-100.
12. Chisholm D., Knapp M., Astin J., Lelliott P. & Audini B. (1997b) The mental health residential care study: predicting costs from resident characteristics. British Journal of Psychiatry 170 (1), 37-42.
13. Davies B. & Knapp M. (1981) Old People's Homes and the Production of Welfare. Routledge and Kegan Paul, London.
14. De Girolamo G. & Cozza M. (2000) The Italian psychiatric reform: a 20year perspective. International Journal of Law and Psychiatry 23, 211.
15. De Girolamo G., Picardi A., Micciolo R., Falloon I., Fioritti A. & Morosini P. (2002) Residential care in Italy: national survey of non-hospital facilities. British Journal of Psychiatry 181, 220-225.
16. De Girolamo G., Picardi A., Santone G. et al. (2005) The severely mentally ill in residential facilities: a national survey in Italy. Psychological Medicine 35, 421-431.
17. Donnelly M., McGilloway S., Mays N. et al. (1994) Opening New Doors: An Evaluation of Community Care for People Discharged from Psychiatric and Mental Handicap Hospitals. Her Majesty's Stationery Office, London.
18. Ford R., Minghella E., Chalmers C., Hoult J., Raftery J. & Muijen M. (2001) Cost consequences of home-based and in-patient-based acute psychiatric treatment: results of an implementation study. Journal of Mental Health 10 (4), 467-476.
19. Gater R., Goldberg D., Jackson G. et al. (1997) The care of patients with chronic schizophrenia: a comparison between two services. Psychological Medicine 27, 1325-1336.
20. Goodwin S. (1997) Comparative Mental Health Policy: From Institutional to Community Care. Sage Publications Ltd, London.
21. Häfner H. & an der Heiden W. (1989) The evaluation of mental health care systems. British Journal of Psychiatry 155, 12-17.
22. Hallam A. & Trieman N. (2001) The cost effectiveness of specialised facilities for service users with persistent challenging behaviours. Health Social Care in the Community 9 (6), 429-435.
23. Huxley P., Evans S., Burns T., Fahy T. & Green J. (2001) Quality of life outcome in a randomised controlled trial of care management. Social Psychiatry and Psychiatric Epidemiology 36, 249-255.
24. Jones D. (1993) The TAPS Project II: the selection of patients for reprovision. British Journal of Psychiatry 162 (Supplement), 36-39.
25. Kilian R., Matschinger H., Loffler W., Roick C. & Angermeyer M. (2002) A comparison of methods to handle skew distributed cost variables in the analysis of the resource consumption in schizophrenia treatment. Journal of Mental Health Policy and Economics 5, 21-31.
26. Knapp M. (1984) The Economics of Social Care. Macmillan, Basingstoke.
27. Knapp M. (1990) Economic barriers to innovation in mental health care. In: I. Marks and R. Scott (Eds) Mental Health Care Delivery: Innovations, Impediments and Implementation, pp. 204-219. Cambridge University Press, Cambridge.
28. Knapp M. (1998) Making music out of noise: the cost function approach to evaluation. British Journal of Psychiatry 173 (Supplement 36), 7-11.
29. Knapp M. & Mangalore R. (2007) The trouble with QALYs.... Epidemiologia e Psichiatria Sociale 16, 289-293.
30. Knapp M., Cambridge P., Thomason C., Beecham J., Allen C. & Darton R. (1992) Care in the Community: Challenge and Demonstration. Ashgate, Aldershot.
31. Knapp M., Beecham J., Koutsogeorgopoulou V. et al. (1994) Service use and costs of home-based versus hospital-based care for people with serious mental illness. British Journal of Psychiatry 165, 195-203.
32. Knapp M., Beecham J., Fenyo A. & Hallam A. (1995) Community mental health care for former hospital in-patients; predicting costs from needs and diagnoses. British Journal of Psychiatry Supplement 27, 10-18.
33. Knapp M., Chisholm D., Astin J., Lelliott P. & Audini B. (1997) The cost consequences of changing the hospital-community balance: the mental health residential care study. Psychological Medicine 27 (3), 681-692.
34. Knapp M., Chisholm D., Astin J., Lelliott P. & Audini B. (1998a) Public, private and voluntary residential mental health care: is there a cost difference? Journal of Health Services Research and Policy 3, 141-148.
35. Knapp M., Marks M., Wolstenholme J. et al. (1998b) Home-based versus hospital-based care for serious mental illness: controlled cost-effectiveness study over four years. British Journal of Psychiatry 172, 506-512.
36. Knapp M., Hallam A., Beecham J. & Baines B. (1999) Private, voluntary or public? Comparative cost-effectiveness in community mental health care. Policy Politics 27, 25-41.
37. Latimer E. (1999) Economic impacts of assertive community treatment: a review of the literature. Canadian Journal of Psychiatry 44, 443-454.
38. Leff J., Ed. (1997) Care in the Community: Illusion or Reality? John Wiley & Sons, Chichester.
39. Leff J., Trieman N. & Gooch C. (1996) The TAPS Project 33: a prospective follow-up study of long-stay patients discharged from two psychiatric hospitals. American Journal of Psychiatry 153, 1318-1324.
40. Lelliott P., Audini B., Knapp M. & Chisholm D. (1996) The mental health residential care study: classification of facilities and description of services. British Journal of Psychiatry 169 (2), 139-147.
41. Mansell J., Knapp M., Beadle-Brown J. & Beecham J. (2007) Deinstitutionalisation and Community Living - Outcome and Costs, Volume 11 of the Report of a European Study. Tizard Centre, University of Kent, Canterbury.
42. Marks I., Connolly J. & Muijen M. (1994) Home-based versus hospital-based care for people with serious mental illness. British Journal of Psychiatry 165, 179-194.
43. McCrone P., Beecham J. & Knapp M. (1994) Community psychiatric nurse teams: cost-effectiveness of intensive support versus generic care. British Journal of Psychiatry 165, 218-221.
44. McCrone P., Hallam A., Knapp M. et al. (2006) Service use and costs of supporting the most socially disabled patients in a hospital reprovision programme: a two hospital comparison. Social Psychiatry and Psychiatric Epidemiology 41, 656-661.
45. Muijen M., Cooney M., Strathdee G., Bell R. & Hudson A. (1994) Community Psychiatric nurse teams: intensive support versus generic care. British Journal of Psychiatry 165, 211-217.
46. National Collaborating Centre for Mental Health. Schizophrenia (2002) The Treatment and Management of Schizophrenia in Primary and Secondary Care. National Institute for Clinical Excellence, London.
47. NHS Centre for Reviews and Dissemination (2001) Undertaking Systematic Reviews of Research on Effectiveness: CRD's Guidance for those Carrying Out or Commissioning Reviews, 2nd edn. University of York, York.
48. Priebe S., Frottier P., Gaddani A. et al. (2008) Mental health care institutions in nine European countries, 2002-2006. Psychological Services 59, 570-573.
49. Renshaw J., Hampson R., Thomason C., Darton R., Judge K. & Knapp M. (1988) Care in the Community: The First Steps. Gower Publishing Company Ltd, Aldershot.
50. Rivett J. (1998) From Cradle to Grave: 50 Years of the NHS. King's Fund, London.
51. Roberts E., Cumming J. & Nelson K. (2005) A review of economic evaluations of community mental health care. Medical Care Research and Review 62, 503-543.
52. Scheytt O., Kaiser P. & Priebe S. (1996) Behandlungsdauer und Fallkosten in unterschiedlichen stationaren psychiatrischen Einrichtungen in Berlin. Psychiatrische Praxis 23, 10-14.
53. Trieman N. & Leff J. (1996) Difficult-to-place patients in a psychiatric hospital closure programme. Psychological Medicine 26, 765-774.
54. Tyrer P., Evans K., Gandhi N., Lamont A., Harrison-Read P. & Johnson T. (1998) A randomised controlled trial of two models of care for discharged patients: no advantage of better community care with insufficient hospital beds. British Medical Journal 316, 106-109.
55. World Health Organisation (2000) The World Health Report 2000 Health Systems: Improving performance. World Health Organisation, Geneva.