Service use and costs of people with dual diagnosis in South London.

Abstract:

OBJECTIVE:To compare the service use and costs of individuals who have a dual diagnosis of psychosis and substance abuse with those who have a diagnosis of psychosis but no substance abuse. METHOD:Patients with psychosis were identified and a representative sample were interviewed. Six-month service use was measured and costs calculated. Regression models were developed to predict costs from background characteristics and dual diagnosis status. RESULTS:A greater proportion of the patients with dual diagnosis used community psychiatric nurses, in-patient care and the emergency clinic. The regression analysis revealed that dual diagnosis patients had significantly higher 'core' psychiatric service costs (a difference of pound sterling 1362) and non-accommodation service costs (pound sterling 1360) than non-dual-diagnosis patients. The difference when all services were analysed was pound sterling 1046, but this was not statistically significant. CONCLUSION:Specific interventions for dual diagnosis patients should be introduced and assessed in terms of individual outcomes, service use and costs.

journal_name

Acta Psychiatr Scand

authors

McCrone P,Menezes PR,Johnson S,Scott H,Thornicroft G,Marshall J,Bebbington P,Kuipers E

doi

10.1034/j.1600-0447.2000.101006464.x

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

464-72

issue

6

eissn

0001-690X

issn

1600-0447

journal_volume

101

pub_type

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