Document Detail

Service use and costs of people with dual diagnosis in South London.
MedLine Citation:
PMID:  10868470     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the service use and costs of individuals who have a dual diagnosis of psychosis and substance abuse with those who have a diagnosis of psychosis but no substance abuse. METHOD: Patients with psychosis were identified and a representative sample were interviewed. Six-month service use was measured and costs calculated. Regression models were developed to predict costs from background characteristics and dual diagnosis status. RESULTS: A greater proportion of the patients with dual diagnosis used community psychiatric nurses, in-patient care and the emergency clinic. The regression analysis revealed that dual diagnosis patients had significantly higher 'core' psychiatric service costs (a difference of pound sterling 1362) and non-accommodation service costs (pound sterling 1360) than non-dual-diagnosis patients. The difference when all services were analysed was pound sterling 1046, but this was not statistically significant. CONCLUSION: Specific interventions for dual diagnosis patients should be introduced and assessed in terms of individual outcomes, service use and costs.
P McCrone; P R Menezes; S Johnson; H Scott; G Thornicroft; J Marshall; P Bebbington; E Kuipers
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta psychiatrica Scandinavica     Volume:  101     ISSN:  0001-690X     ISO Abbreviation:  Acta Psychiatr Scand     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-10-19     Completed Date:  2000-10-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370364     Medline TA:  Acta Psychiatr Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  464-72     Citation Subset:  IM    
Maudsley Continuing Care Study and the Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London, UK.
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MeSH Terms
Community Mental Health Services / economics
Diagnosis, Dual (Psychiatry) / economics*
Health Care Costs*
Health Services Needs and Demand / economics*
Hospitalization / economics
Middle Aged
Psychotic Disorders / complications,  economics*
Residential Facilities / economics
Sampling Studies

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