Some Aspects of Family Interventions in Schizophrenia. II: Financial Considerations

The direct costs to the mental health services for patients who participated in a trial of a behavioural family intervention to reduce schizophrenic relapse were estimated. Comparisons were made between two patient groups from households of high expressed emotion (HEE): one group received a nine-mon...

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Bibliographic Details
Published in:British journal of psychiatry 1991-10, Vol.159 (4), p.481-484
Main Authors: Tarrier, Nicholas, Lowson, Karen, Barrowclough, Christine
Format: Article
Language:English
Subjects:
Adult
Behavior Therapy - economics
Caregivers - psychology
Community Mental Health Services - economics
Cost Control - trends
Costs
Expressed emotion
Families & family life
Family Therapy - economics
Female
Health care expenditures
Health services
Hospitalization - economics
Hostility
Households
Humans
Intervention
Male
Mental disorders
Mental health
Mental health services
Patients
Recurrence
Relapse
Schizophrenia
Schizophrenia - economics
Schizophrenia - therapy
Schizophrenic Psychology
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Summary:The direct costs to the mental health services for patients who participated in a trial of a behavioural family intervention to reduce schizophrenic relapse were estimated. Comparisons were made between two patient groups from households of high expressed emotion (HEE): one group received a nine-month family intervention (HEE Intervention) and the other group routine treatment (HEE Control). A third group consisted of patients from low-EE households (LEE Control). The significant decrease in relapse rates in the HEE Intervention group compared with the HEE Control group has previously been reported; the analysis of costs indicates that any increase in costs due to the family intervention is outweighed by a decrease in usage of the established mental health services. The intervention resulted in a decrease of 27% in mean cost per patient.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.159.4.481