Patterns of mental health service utilization in a general hospital and outpatient mental health facilities

Abstract

Variables related to psychiatric diagnoses and sociodemographic factors have influence on the cost of mental healthcare.

The difficult task of predicting the costs of community-based mental health care. A comprehensive case register study

“…However, comparing costs of mental health care across different countries requires some caution, as different studies use different methods and data sources to calculate costs and include different variables. For example, the costs for our study were based on a unit cost list developed locally in Italy (Amaddeo et al 1995) and calculated in Euros, whereas the study by Baca-Garcia et al (2008) calculated costs in international dollars using tables provided by the World Health Organisation for the Global Burden of Disease EUR-A region (WHO, 2000). Regarding the range of variables, our study included costs of care that ranged from inpatient, out-patient, day patient and visits to patients in their homes, whereas the study by Baca-Garcia et al (2008) just included inpatient, emergency care and ambulatory visits.…”

“…For example, the costs for our study were based on a unit cost list developed locally in Italy (Amaddeo et al 1995) and calculated in Euros, whereas the study by Baca-Garcia et al (2008) calculated costs in international dollars using tables provided by the World Health Organisation for the Global Burden of Disease EUR-A region (WHO, 2000). Regarding the range of variables, our study included costs of care that ranged from inpatient, out-patient, day patient and visits to patients in their homes, whereas the study by Baca-Garcia et al (2008) just included inpatient, emergency care and ambulatory visits. Furthermore, these two studies only included direct costs, whereas other studies have also included indirect costs such societal and government costs, including welfare benefits and lost productivity/time loss associated costs for patients and families (Carr et al 2003;Mangalore & Knapp, 2007).…”

“…A cross-national study conducted in five European countries, investigating patterns and costs of care for patients with schizophrenia, found that higher needs, greater symptom severity and longer psychiatric history were associated with higher costs (Knapp et al 2002). A recent study conducted on a large sample of patients receiving psychiatric care in a Spanish Hospital found that mental health care costs were not evenly distributed throughout the patient population, and that early onset of the mental disorder, permanent disability, organic mental disorders, substance-related disorders, psychotic disorders and some external factors, such as variables related to socio-economic and psychosocial circumstances, were associated with higher costs (Baca-Garcia et al 2008).…”

The Interplay of Outpatient Services and Psychiatric Hospitalization Among Medicaid-Enrolled Children With Autism Spectrum Disorders

“…At the individual patient level, increasing mental health care has rarely been shown to reduce inpatient care, 44 in large part because children are not randomized to levels of service use, and the frequent (high-level) users of services use all types of services in response to their considerable need. 16,45 Because claims data provide no measure of severity, disentangling these relationships is particularly difficult and often results in a null finding or positive association between community-based service use and hospitalization. Therefore, an inverse relationship between respite services and hospitalization in claims data may be considered particularly robust.…”

Utilization of the mental health services among the Yemeni peoples, IBB city, Yemen

“…The last age range was 25-29 years representing only 17.2%.it can be noticed that most of the participants were married represent 50.9%,then unmarried represent 49.1%.it can also be noticed that the most of participants were unemployed represent 52.9%,then employed 47.1%.most of the participants qualification were high school and above represent 79.9%.then under the high school represent 20.1%. The participants suggest the following for encourage the use of the mental health services 32.7%suggest that that the cost of treatment must be an appropriate,31.5% suggest that the mental health centers should be close to the community, while 19.3% suggest availability of mental health specialists, 16.5% suggest that the Raise the level of awareness in the community about mental health is important.…”