The REACT study: cost-effectiveness analysis of assertive community treatment in north London.
Psychiatr Serv
; 60(7): 908-13, 2009 Jul.
Article
em En
| MEDLINE
| ID: mdl-19564220
ABSTRACT
OBJECTIVE:
Assertive community treatment (ACT) is a key component of mental health care, but recent information on its cost-effectiveness is limited. This article provides a cost-effectiveness analysis of assertive community treatment and usual care from community mental health teams (CMHTs) in the United Kingdom.METHODS:
Participants who had difficulties engaging with community services were randomly assigned to ACT (N=127) or continued usual care from CMHTs (N= 124). Costs were measured at baseline and 18 months later and compared between the two groups. In the analysis, cost data were linked to information on satisfaction, which had been shown to be significantly higher with ACT.RESULTS:
Total follow-up costs over 18 months were higher for the ACT group by pounds sterling 4,031 ($6,369), but this was not statistically significant (95% confidence interval of - pounds sterling 2,592 to pounds sterling 10,690 [-$4,095 to $16,890]). A one-unit improvement in satisfaction was associated with extra costs in the ACT group of pounds sterling 473 ($747).CONCLUSIONS:
The costs of ACT were not significantly different from usual care. ACT did, however, result in greater levels of client satisfaction and engagement with services and as such may be the preferred community treatment option for patients with long-term serious mental health problems.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Medicina Estatal
/
Serviços Comunitários de Saúde Mental
/
Administração de Caso
/
Transtornos Mentais
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article