The costs and effectiveness of two psychosocial treatment programmes for personality disorder: a controlled study

Beecham, Jennifer and Sleed, Michelle and Knapp, Martin R J. and Chiesa, Marco and Drahorhad, Carla (2006) The costs and effectiveness of two psychosocial treatment programmes for personality disorder: a controlled study. European Psychiatry, 21 (2). pp. 102-109. (The full text of this publication is not available from this repository)

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Official URL
http://dx.doi.org/10.1016/j.eurpsy.2005.05.006

Abstract

This paper examines the costs and cost-effectiveness of psychosocial treatment for personality disorder in a controlled study. Using well-validated cost and outcome measures three groups are compared: the One-Stage group (n = 32) received 12 months of inpatient treatment; the Step-Down group (n = 29) received 6 months of inpatient treatment followed by 12 months of outpatient therapy; and the control group of 47 people used routinely available services. Both specialist programmes were more effective than routine psychiatric services but more costly. Using an extended dominance approach the incremental cost-effectiveness ratio showed that achieving one extra person with clinically relevant outcomes required an investment in the Step-Down programme of around £3400 over 18 months. Small sample sizes and non-random allocation to programmes are limitations of this study but the costs and effectiveness findings consistently point to advantages for the shorter residential programme followed by community-based psychotherapeutic support.

Item Type: Article
Uncontrolled keywords: Cost; Cost-effectiveness; Personality disorder; Inpatient treatment
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Rosalyn Bass
Date Deposited: 20 May 2011 14:24
Last Modified: 08 May 2014 15:17
Resource URI: http://kar.kent.ac.uk/id/eprint/26702 (The current URI for this page, for reference purposes)
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