Abstract | OBJECTIVE: The authors assessed health care costs associated with psychoanalytically oriented partial hospital treatment for borderline personality disorder compared with treatment as usual within general psychiatric services. METHOD: Health care utilization of all borderline personality disorder patients who participated in a previous trial of partial hospital treatment compared with treatment as usual was assessed by using information from case notes and service providers. Costs were compared for the 6 months before treatment, 18 months of treatment, and an 18-month follow-up period. RESULTS: There were no cost differences between the groups during pretreatment or treatment. Costs of partial hospital treatment were offset by less psychiatric inpatient care and reduced emergency room treatment. The trend for costs to decrease in the partial hospitalization group during the follow-up period was not apparent in the treatment-as-usual group. CONCLUSIONS:
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Authors | Anthony Bateman, Peter Fonagy |
Journal | The American journal of psychiatry
(Am J Psychiatry)
Vol. 160
Issue 1
Pg. 169-71
(Jan 2003)
ISSN: 0002-953X [Print] United States |
PMID | 12505818
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
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Topics |
- Borderline Personality Disorder
(economics, therapy)
- Community Mental Health Services
(economics)
- Cost-Benefit Analysis
- Day Care, Medical
(economics)
- Emergency Services, Psychiatric
(economics)
- Follow-Up Studies
- Health Services Misuse
(economics)
- Humans
- London
- Patient Readmission
(economics)
- Psychoanalytic Therapy
(economics)
- Psychotropic Drugs
(administration & dosage, economics)
- Utilization Review
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