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Allocation of resources and psychosis


Neil, AL and Lewin, TJ and Carr, VJ, Allocation of resources and psychosis, Australian and New Zealand Journal of Psychiatry, 37, (1) pp. 15-23. ISSN 0004-8674 (2003) [Refereed Article]

Copyright Statement

Copyright 2003 SAGE Publications

DOI: doi:10.1046/j.1440-1614.2003.01117.x


Objective: This commentary reviews current expenditure on psychosis in Australia, identifies discretionary expenditure that could be used more efficiently, discusses the factors influencing resource allocation and intervention selection decisions, and suggests priorities for change.

Method: Cost-of-illness findings from the Low Prevalence Disorders Study (LPDS), and related service use and psychosocial data, are used to highlight patterns of expenditure on psychosis and potential resource allocation issues. Arguments are also presented suggesting that mental health resource allocation in Australia should be informed primarily by treatment efficiency, equity and humanitarian considerations, not differences in the global burden of disease. However, our evidence-base about the effectiveness and costs associated with individual treatments, programmes, and organizational structures is also shown to be limited.

Conclusions: The patterns of service use and expenditure on psychosis suggest certain imbalances, including an over-reliance on hospitalization, low levels of supported community accommodation, and inadequate provision of evidence-based psychosocial treatments, rehabilitation and supported employment programmes. We need to identify and develop efficient interventions and programmes, re-orientate our services to better utilize those interventions, increase community awareness, improve monitoring of outcomes and costs, and undertake timely evaluations at multiple levels, from the individual to the societal perspective.

Item Details

Item Type:Refereed Article
Keywords:commentary, cost of illness, health care costs, intervention studies, programme evaluation, psychotic disorders
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Neil, AL (Associate Professor Amanda Neil)
ID Code:138427
Year Published:2003
Web of Science® Times Cited:6
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-04-07
Last Modified:2020-06-23

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