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Costs of treating patients with schizophrenia who have illness-related crisis events

BACKGROUND: Relatively little is known about the relationship between psychosocial crises and treatment costs for persons with schizophrenia. This naturalistic prospective study assessed the association of recent crises with mental health treatment costs among persons receiving treatment for schizop...

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Autores principales: Zhu, Baojin, Ascher-Svanum, Haya, Faries, Douglas E, Peng, Xiaomei, Salkever, David, Slade, Eric P
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2533651/
https://www.ncbi.nlm.nih.gov/pubmed/18727831
http://dx.doi.org/10.1186/1471-244X-8-72
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author Zhu, Baojin
Ascher-Svanum, Haya
Faries, Douglas E
Peng, Xiaomei
Salkever, David
Slade, Eric P
author_facet Zhu, Baojin
Ascher-Svanum, Haya
Faries, Douglas E
Peng, Xiaomei
Salkever, David
Slade, Eric P
author_sort Zhu, Baojin
collection PubMed
description BACKGROUND: Relatively little is known about the relationship between psychosocial crises and treatment costs for persons with schizophrenia. This naturalistic prospective study assessed the association of recent crises with mental health treatment costs among persons receiving treatment for schizophrenia. METHODS: Data were drawn from a large multi-site, non-interventional study of schizophrenia patients in the United States, conducted between 1997 and 2003. Participants were treated at mental health treatment systems, including the Department of Veterans Affairs (VA) hospitals, community mental health centers, community and state hospitals, and university health care service systems. Total costs over a 1-year period for mental health services and component costs (psychiatric hospitalizations, antipsychotic medications, other psychotropic medications, day treatment, emergency psychiatric services, psychosocial/rehabilitation group therapy, individual therapy, medication management, and case management) were calculated for 1557 patients with complete medical information. Direct mental health treatment costs for patients who had experienced 1 or more of 5 recent crisis events were compared to propensity-matched samples of persons who had not experienced a crisis event. The 5 non-mutually exclusive crisis event subgroups were: suicide attempt in the past 4 weeks (n = 18), psychiatric hospitalization in the past 6 months (n = 240), arrest in the past 6 months (n = 56), violent behaviors in the past 4 weeks (n = 62), and diagnosis of a co-occurring substance use disorder (n = 413). RESULTS: Across all 5 categories of crisis events, patients who had a recent crisis had higher average annual mental health treatment costs than patients in propensity-score matched comparison samples. Average annual mental health treatment costs were significantly higher for persons who attempted suicide ($46,024), followed by persons with psychiatric hospitalization in the past 6 months ($37,329), persons with prior arrests ($31,081), and persons with violent behaviors ($18,778). Total cost was not significantly higher for those with co-occurring substance use disorder ($19,034). CONCLUSION: Recent crises, particularly suicide attempts, psychiatric hospitalizations, and criminal arrests, are predictive of higher mental health treatment costs in schizophrenia patients.
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spelling pubmed-25336512008-09-12 Costs of treating patients with schizophrenia who have illness-related crisis events Zhu, Baojin Ascher-Svanum, Haya Faries, Douglas E Peng, Xiaomei Salkever, David Slade, Eric P BMC Psychiatry Research Article BACKGROUND: Relatively little is known about the relationship between psychosocial crises and treatment costs for persons with schizophrenia. This naturalistic prospective study assessed the association of recent crises with mental health treatment costs among persons receiving treatment for schizophrenia. METHODS: Data were drawn from a large multi-site, non-interventional study of schizophrenia patients in the United States, conducted between 1997 and 2003. Participants were treated at mental health treatment systems, including the Department of Veterans Affairs (VA) hospitals, community mental health centers, community and state hospitals, and university health care service systems. Total costs over a 1-year period for mental health services and component costs (psychiatric hospitalizations, antipsychotic medications, other psychotropic medications, day treatment, emergency psychiatric services, psychosocial/rehabilitation group therapy, individual therapy, medication management, and case management) were calculated for 1557 patients with complete medical information. Direct mental health treatment costs for patients who had experienced 1 or more of 5 recent crisis events were compared to propensity-matched samples of persons who had not experienced a crisis event. The 5 non-mutually exclusive crisis event subgroups were: suicide attempt in the past 4 weeks (n = 18), psychiatric hospitalization in the past 6 months (n = 240), arrest in the past 6 months (n = 56), violent behaviors in the past 4 weeks (n = 62), and diagnosis of a co-occurring substance use disorder (n = 413). RESULTS: Across all 5 categories of crisis events, patients who had a recent crisis had higher average annual mental health treatment costs than patients in propensity-score matched comparison samples. Average annual mental health treatment costs were significantly higher for persons who attempted suicide ($46,024), followed by persons with psychiatric hospitalization in the past 6 months ($37,329), persons with prior arrests ($31,081), and persons with violent behaviors ($18,778). Total cost was not significantly higher for those with co-occurring substance use disorder ($19,034). CONCLUSION: Recent crises, particularly suicide attempts, psychiatric hospitalizations, and criminal arrests, are predictive of higher mental health treatment costs in schizophrenia patients. BioMed Central 2008-08-26 /pmc/articles/PMC2533651/ /pubmed/18727831 http://dx.doi.org/10.1186/1471-244X-8-72 Text en Copyright © 2008 Zhu et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Zhu, Baojin
Ascher-Svanum, Haya
Faries, Douglas E
Peng, Xiaomei
Salkever, David
Slade, Eric P
Costs of treating patients with schizophrenia who have illness-related crisis events
title Costs of treating patients with schizophrenia who have illness-related crisis events
title_full Costs of treating patients with schizophrenia who have illness-related crisis events
title_fullStr Costs of treating patients with schizophrenia who have illness-related crisis events
title_full_unstemmed Costs of treating patients with schizophrenia who have illness-related crisis events
title_short Costs of treating patients with schizophrenia who have illness-related crisis events
title_sort costs of treating patients with schizophrenia who have illness-related crisis events
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2533651/
https://www.ncbi.nlm.nih.gov/pubmed/18727831
http://dx.doi.org/10.1186/1471-244X-8-72
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