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Community Mental Health Care for Former Hospital In-Patients: Predicting Costs from Needs and Diagnoses

Published online by Cambridge University Press:  06 August 2018

Martin Knapp ,
Jennifer Beecham ,
Andrew Fenyo  and
Angela Hallam
Martin Knapp
Affiliation:
Personal Social Services Research Unit, University of Kent at Canterbury, Canterbury, Kent CT2 7NF; and Centre for the Economics of Mental Health, Institute of Psychiatry, London SE5 8BB
Jennifer Beecham
Affiliation:
Personal Social Services Research Unit, University of Kent at Canterbury, Canterbury, Kent CT2 7NF; and Centre for the Economics of Mental Health, Institute of Psychiatry, London SE5 8BB
Andrew Fenyo
Affiliation:
Personal Social Services Research Unit, University of Kent at Canterbury, Canterbury, Kent CT2 7NF; and Centre for the Economics of Mental Health, Institute of Psychiatry, London SE5 8BB
Angela Hallam
Affiliation:
Personal Social Services Research Unit, University of Kent at Canterbury, Canterbury, Kent CT2 7NF; and Centre for the Economics of Mental Health, Institute of Psychiatry, London SE5 8BB
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Abstract

Background. In the UK the replacement of long-term in-patient care with community-based support has been part of central government health policy for many years. One of the challenges of implementing such a policy is the prediction of support and service needs in the community and the associated costs.

Method. Using research data from north London analyses were undertaken to examine the associations between service use and costs in the community and the characteristics of hospital in-patients.

Results. Although clinical diagnosis was not a useful predictor of either service utilisation or costs, more than a third of the variation in community care costs could be explained by symptoms, behaviour and personal characteristics at least one year earlier.

Type
I. General Issues
Information
The British Journal of Psychiatry , Volume 166 , Issue S27: Economics of Anxiety and Depression , April 1995 , pp. 10 - 18
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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