Patterns Of Use And Costs Among Severely Mentally Ill People

Steinwachs, Donald M.; Kasper, Judith D.; Skinner, Elizabeth A.

doi:10.1377/hlthaff.11.3.178

Cited by 16 publications

(4 citation statements)

References 5 publications

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“…However, only 2.6% of the SCAP subjects reported having private health insurance, limiting this effect. Underinsurance of patients with schizophrenia has been reported in other counties as well [38]. In addition, we did not collect data on the use of non-government support and rehabilitation agency services although these were relatively limited in the area at the time of the study.…”

Section: Discussionmentioning

confidence: 99%

Australian Schizophrenia Care and Assessment Programme: Real-World Schizophrenia: Economics

Fitzgerald

Montgomery²,

Castella

et al. 2007

Aust N Z J Psychiatry

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Considerable resources are required for the provision of treatment for patients with schizophrenia. But for the majority of people in this cohort, funding assertive treatment programmes and measures to reduce hospitalization was accompanied with enhanced functioning and quality of life, as well as a reduction in long-term societal and government costs. The distribution of health-care costs is highly skewed, with a relatively small proportion of patients (39%) consuming the majority of resources (80%). Improving rates of employment for this patient group could hold substantial benefits in reducing the overall economic and personal impact of this disorder.

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Section: Discussionmentioning

confidence: 99%

Australian Schizophrenia Care and Assessment Programme: Real-World Schizophrenia: Economics

Fitzgerald

Montgomery²,

Castella

et al. 2007

Aust N Z J Psychiatry

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“…The estimate of time lost to family caregiving is based on a 1985 survey of members of the National Alliance of the Mentally Ill (NAMI), which ascertained how many hours of care families provide to their schizophrenic family member [45] (cited in [7]), Sixty-five thousand families belong to NAMI, and 64% of these families have one or more schizophrenic members [46]. However, only a small percentage of families with a schizophrenic member belong to NAMI.…”

Section: Premature Mortality Suicidementioning

confidence: 99%

An economic evaluation of schizophrenia-1991

Wyatt

Henter

Leary

et al. 1995

Soc Psychiatry Psychiatr Epidemiol

161

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In 1991, the costs for schizophrenia, which has a lifetime prevalence of 1.5% among adult Americans, totaled $65 billion. Costs were broken down into their direct and indirect components. Direct costs, which totaled $19 billion dollars, consisted of treatment-related expenditures such as those for inpatients and outpatients, as well as nontreatment-related expenditures such as those for the criminal justice system used by individuals with schizophrenia. The direct costs were fairly similar to those of other recent estimates of the cost of schizophrenia. Indirect costs, which were $46 billion dollars, included the lost productivity of both wage earners ($24 billion) and homemakers ($4.5 billion), individuals who were in institutions ($4.5 billion) or who had committed suicide ($7 billion), and caregivers who took care of schizophrenic family members ($7 billion). Our method for calculating the indirect costs was slightly different than methods used in prior studies, which may account for our estimates being higher. The method for determining each expenditure is provided, and the implications of these staggering costs are discussed.

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“…Within the psychiatric rehabilitation field, most consumers consider employment as a key element in recovery (Rogers, 1995; Steele & Berman, 2001). Family members (Noble, Honberg, Hall & Flynn, 1997; Steinwachs, Kasper & Skinner, 1992), mental health professionals (NASMHPD, 2002; New Freedom Commission on Mental Health, 2003), policy makers (Shumway et al, 2003) and society in general also view employment as a high priority and valued outcome. Most consumers with severe mental illnesses (SMI) want to work (McQuilken et al, 2003; Mueser, Salyers & Mueser, 2001; Rogers, Walsh, Masotta & Danley, 1991).…”

Section: Introductionmentioning

confidence: 99%

Supported Employment: Evidence for an Evidence-Based Practice.

Bond

2004

Psychiatric Rehabilitation Journal

576

544

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Supported employment for people with severe mental illnesses is an evidence-based practice, based on converging findings from 4 studies of the conversion of day treatment to supported employment and 9 randomized controlled trials comparing supported employment to a variety of alternative approaches. These two lines of research suggest that between 40% and 60% of consumers enrolled in supported employment obtain competitive employment while less than 20% of similar consumers do so when not enrolled in supported employment. Consumers who hold competitive jobs for a sustained period of time show benefits such as improved self-esteem and better symptom control, although by itself, enrollment in supported employment has no systematic impact on nonvocational outcomes, either on undesirable outcomes, such as rehospitalization, or on valued outcomes, such as improved quality of life. The psychiatric rehabilitation field has achieved consensus on a core set of principles of supported employment, although efforts continue to develop enhancements. A review of the evidence suggests strong support for 4 of 7 principles of supported employment, while the evidence for the remaining 3 is relatively weak. Continued innovation and research on principles is recommended.

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Patterns Of Use And Costs Among Severely Mentally Ill People

Cited by 16 publications

References 5 publications

Australian Schizophrenia Care and Assessment Programme: Real-World Schizophrenia: Economics

Australian Schizophrenia Care and Assessment Programme: Real-World Schizophrenia: Economics

An economic evaluation of schizophrenia-1991

Supported Employment: Evidence for an Evidence-Based Practice.

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