| |
Centre for Policy on Ageing | |
 | |
|
Comparison of service utilisation and costs of working age adults and older adults receiving treatment for psychosis and severe non-psychotic conditions in England
— implications for commissioning | | Author(s) | Ramin Nilforooshan, Lee Benson, Heather Gage |
| Journal title | International Journal of Geriatric Psychiatry, vol 32, no 1, January 2017 |
| Publisher | Wiley Blackwell, January 2017 |
| Pages | pp 110-115 |
| Source | www.orangejournal.org |
| Keywords | Mental health [elderly] ; Adults ; Psychoses ; Services ; Therapeutics ; Management [care] ; Costs [care] ; England. |
| Annotation | Current plans in the English National Health Service are to replace block contracts for mental health providers with a single tariff for each 'cluster' of conditions. A single tariff will not take into account the potential additional complexity and costs inherent in caring for older people. To examine the basis for a uniform tariff, differences in service utilisation and costs between working age adults and older adults in two populous clusters (non-psychotic, psychotic) were investigated across five mental health healthcare providers in and around London. A retrospective review of records over three months was carried out assessing service utilisation and costs using the Client Services Receipt Inventory. Records of 362 patients were reviewed, as were those of 179 older adults (90 non-psychotic, 89 psychotic) and 183 adults of working age (83 non-psychotic, 100 psychotic). Older adults in both clusters had more tests, assessments and home visits. Overall costs of care of older adults were significantly higher in the non-psychotic cluster. The authors argue that an appropriate age-related tariff is required for each cluster. (JL). |
| Accession Number | CPA-170217246 A |
| Classmark | D: SD: EL: I: LL: QA: QDC: 82 |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|