Psychiatric inpatient cost of care before and after admission at a residential subacute step-up/step-down mental health facility

Journal of Medical Economics
Irina KinchinChristopher M Doran

Abstract

Residential step-up/step-down services provide transitional care and reintegration into the community for individuals experiencing episodes of subacute mental illness. This study aims to examine psychiatric inpatient admissions, length of stay, and per capita cost of care following the establishment of a step-up/step-down Prevention And Recovery Care (PARC) facility in regional Australia. This was a pragmatic before and after study set within a participatory action research methodology. The target sample comprised patients at a PARC facility over 15 months. Six-month individual level data prior to study entry, during, and over 6-months from study exit were examined using patient activity records. Costs were expressed in 2015-2016AU$. An audit included 192 people experiencing 243 episodes of care represented by males (58%), mean age = 39.3 years (SD = 12.7), primarily diagnosed with schizophrenia (48%) or mood disorders (30%). The cost of 1 day in a psychiatric inpatient unit was found to be comparable to an average of 5 treatment days in PARC; the mean cost difference per-bed day (AU$1,167) was associated with fewer and shorter inpatient stays. Reduced use of inpatient facility translated into an opportunity cost of improved pa...Continue Reading

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Citations

Jul 4, 2020·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Sophie IsobelPaul Clenaghan
Jan 12, 2021·The Australian and New Zealand Journal of Psychiatry·John FarhallJane Pirkis

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