Costs And Effects Of Managing Chronic Psychotic Patients (health Systems Research)

This volume deals with theoretical, methodical and empirical aspects of the management of chronic psychotic patients. The possibilities for assessing this specific task of mental health care in terms of cost and effectiveness are examined. For this purpose the authors refer to social and economic implications of de-institutionalization, procedures for estimating the costs of treatment, public and private costs of selected treatment strategies and time-budget analyses of chronic psychotic patients. The contributions are interdisciplinary as well as international and will be of value to public health organisations, politicians and researchers alike. PREFACE BACKGROUND REPORTS --- Studies on the Cost-Effectiveness of Managing Chronic Psychotic Patients. Report on a WHO Planning Meeting at Mannheim, 2-4 May, 1983 - D. Schwefel --- Summary Report of the WHO Meeting 'Cost-Effectiveness of Managing Chronic Psychotic Patients', Munich, 16-18 December, 1985 - R. Leidl NATIONAL APPROACHES --- Management of the Cost-Effectiveness of Managing Chronic Psychotic Persons in Ireland - D. Walsh --- Social and Economic Policies in the Mental Health Sector in Greece - J. N. Yfantopoulos --- Financing of Care for the Chronically Mentally Ill in the USA: A Patchwork of Policies - R. G. Frank, J. R. Lave, and H. H. Goldman --- Managing Chronic Psychotic Patients: A Clinical and a Political Point of View - M. Kastrup and M. Bille REGIONAL APPROACHES --- Economic Analysis of Different Patterns of Psychiatric Treatment and Management of Chronic Psychotic Patients in the Basque Country - J. A. Ozámiz and J. M. Cabasés --- Cost-Effectiveness of Health-Care Delivery to Chronic Psychotic Patients in Southern Alberta, Canada - R. Williams and J. T. Dalby --- Schizophrenia: Results of a Cohort Study with Respect to Cost-Accounting Problems of Patterns of Mental Health Care in Relation to Course of Illness - D. Wiersma, R. Giel, A. de Jong, and C. J. Slooff --- Cost-Effectiveness of Managing Chronic Psychotic Patients: Italian Experience Under the New Psychiatric Law - A. Marinoni, M. Grassi, D. Ebbli, A. Brenna, S. Silva, and E. Torre INSTITUTIONAL APPROACHES --- The Application of Modified Cost-Benefit Analysis in the Evaluation of a Hostel Ward for Chronic Psychotic Patients - K. Bridges, D. Goldberg, C. Hyde, K. Lowson, C. Sterling, and B. Faragher --- The Cost of Long-Term Psychoses in a Scottish Psychiatric Hospital - A. A. McKechnie and J. May --- Management of Schizophrenia: Cost-Benefits, Time-Budget, Better Treatment? Which Time Frame Are We in? - L. Barrelet and W. Fischer METHODOLOGICAL APPROACHES --- Methodological Problems of Comparing the Cost-Effectiveness of Different Mental Health Institutions - J. Sabatini and J. M. Elchardus --- Time-Budget Analysis for Chronic Patients. Towards a Cost-Effectiveness - Oriented Indicator System for Comparing Inpatient and Outpatient Psychiatric Care - P. Potthoff, R. Leidl, W. Bender, and D. Schwefel Front Matter....Pages I-XIV Front Matter....Pages 1-1 Studies on the Cost-Effectiveness of Managing Chronic Psychotic Patients....Pages 3-31 Summary Report of the WHO Meeting ‘Cost-Effectiveness of Managing Chronic Psychotic Patients’, Munich, 16–18 December, 1985....Pages 32-39 Front Matter....Pages 41-41 Management of the Cost-Effectiveness of Managing Chronic Psychotic Persons in Ireland....Pages 43-50 Social and Economic Policies in the Mental Health Sector in Greece....Pages 51-75 Financing of Care for the Chronically Mentally Ill in the USA: A Patchwork of Policies....Pages 76-87 Managing Chronic Psychotic Patients: A Clinical and a Political Point of View....Pages 88-93 Front Matter....Pages 95-95 Economic Analysis of Different Patterns of Psychiatric Treatment and Management of Chronic Psychotic Patients in the Basque Country....Pages 97-105 Cost-Effectiveness of Health-Care Delivery to Chronic Psychotic Patients in Southern Alberta, Canada....Pages 106-114 Schizophrenia: Results of a Cohort Study with Respect to Cost-Accounting Problems of Patterns of Mental Health Care in Relation to Course of Illness....Pages 115-125 Cost-Effectiveness of Managing Chronic Psychotic Patients: Italian Experience Under the New Psychiatric Law....Pages 126-161 Front Matter....Pages 163-163 The Application of Modified Cost-Benefit Analysis in the Evaluation of a Hostel Ward for Chronic Psychotic Patients....Pages 165-174 The Cost of Long-Term Psychoses in a Scottish Psychiatric Hospital....Pages 175-184 Management of Schizophrenia: Cost-Benefits, Time-Budget, Better Treatment? Which Time Frame Are We in?....Pages 185-219 Front Matter....Pages 221-221 Methodological Problems of Comparing the Cost-Effectiveness of Different Mental Health Institutions....Pages 223-227 Time-Budget Analysis for Chronic Patients. Towards a Cost-Effectiveness-Oriented Indicator System for Comparing Inpatient and Outpatient Psychiatric Care....Pages 228-252 Back Matter....Pages 253-254 Contributions to a European study of the World Health Organization regarding strategies and options for giving health care to chronic psychotic patients, e.g. inpatient or outpatient care.