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 2003 SAGE Publications
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 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 Group:||Public health (excl. specific population health)|
|Objective Field:||Mental health|
|UTAS Author:||Neil, AL (Associate Professor Amanda Neil)|
|Web of Science® Times Cited:||6|
|Deposited By:||Menzies Institute for Medical Research|
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