Economic evaluation of Early Intervention in Psychosis in comparison to Treatment as Usual

Presentation First Author: 
Caragh Behan

Early intervention in psychosis (EIP) is an accepted policy internationally. It is important to evaluate whether policies are applicable within a local context. The aim of this study is to perform an economic evaluation of an EIP service in comparison to treatment as usual (TAU). We examined two epidemiological cohorts of individuals presenting with first-episode psychosis (FEP), one to an EIP service covering three predominantly urban community mental health services, the other to a predominantly rural community mental health service delivered by best practice community mental health teams. Both FEP cohorts were aged 18-65 and had similar socio-demographic characteristics. The EIP cohort received a rapid assessment, phase specific interventions and were followed up at one year. The TAU cohort had an assessment by a research registrar at baseline and one year and received care as usual. The economic evaluation was from the societal perspective and concentrated on direct medical costs, including in-patient, community mental health costs, other medical costs, medication and criminal justice costs. The primary outcome measure was relapse requiring admission / homecare by one year. Secondary outcome measures included the proportion not in education or employment and engagement with services. The average cost was €21,456 in the EI cohort and €20,986 in the TAU cohort. The proportion who relapsed requiring admission /homecare was 28.3% in the TAU cohort and 15.8% in the EI cohort. It costs €470 for a 12.5% reduction in relapse requiring admission/homecare. Sensitivity analysis will be performed to test the assumptions in this evaluation.

Conference Name: 
Presentation Date: 
January, 2015
Additional Authors: 
Sarah Masterson - Laoise Renwick - Brendan Kennelly - Catherine Mcdonough - Paul McCrone - Mary Clarke
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