Psychotherapy with Borderline Patients: II. A Preliminary Cost Benefit Study
Objective: The aim of this study was to conduct a preliminary cost benefit study of the effect of outpatient psychotherapy, twice a week for 1 year, in 30 borderline patients. Method: Costs to the health system in terms of inpatient care for the year before treatment were compared with the costs for...
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| Veröffentlicht in: | Australian and New Zealand journal of psychiatry 1999-08, Vol.33 (4), p.473-477 |
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| container_title | Australian and New Zealand journal of psychiatry |
| container_volume | 33 |
| creator | Stevenson, Janine Meares, Russell |
| description | Objective: The aim of this study was to conduct a preliminary cost benefit study of the effect of outpatient psychotherapy, twice a week for 1 year, in 30 borderline patients.
Method: Costs to the health system in terms of inpatient care for the year before treatment were compared with the costs for the year following treatment.
Results: The cost of hospital admissions for the 30 patients for the year before treatment was $684 346 (range = $0–$143 756/patient). The cost of hospital admissions for the year after treatment was $41 424 (range = $0–$12 333/patient). These figures represent an average decrease in costs per patient of $21 431. By using the schedule fee as the basis, the estimated cost of therapy per patient was approximately $13 000, representing a saving/patient of $8431 or approximately $250 000 over the total cohort in the first year after treatment.
Conclusion: This study suggests that there is a significant cost benefit in the appropriate treatment of borderline patients. |
| doi_str_mv | 10.1080/j.1440-1614.1999.00595.x |
| format | Article |
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Method: Costs to the health system in terms of inpatient care for the year before treatment were compared with the costs for the year following treatment.
Results: The cost of hospital admissions for the 30 patients for the year before treatment was $684 346 (range = $0–$143 756/patient). The cost of hospital admissions for the year after treatment was $41 424 (range = $0–$12 333/patient). These figures represent an average decrease in costs per patient of $21 431. By using the schedule fee as the basis, the estimated cost of therapy per patient was approximately $13 000, representing a saving/patient of $8431 or approximately $250 000 over the total cohort in the first year after treatment.
Conclusion: This study suggests that there is a significant cost benefit in the appropriate treatment of borderline patients.</description><identifier>ISSN: 0004-8674</identifier><identifier>EISSN: 1440-1614</identifier><identifier>DOI: 10.1080/j.1440-1614.1999.00595.x</identifier><identifier>PMID: 10483841</identifier><identifier>CODEN: ANZPBQ</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Australia ; Biological and medical sciences ; Borderline personality disorder ; Borderline Personality Disorder - economics ; Borderline Personality Disorder - therapy ; Cohort Studies ; Cost benefit analysis ; Female ; Humans ; Individual psychotherapy ; Male ; Medical sciences ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapies. Psychological and clinical counseling ; Psychotherapy ; Psychotherapy - economics ; Treatment Outcome ; Treatments</subject><ispartof>Australian and New Zealand journal of psychiatry, 1999-08, Vol.33 (4), p.473-477</ispartof><rights>1999 The Royal Australian and New Zealand College of Psychiatrists</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c349t-4c543dd6be363a5ad0a6da038566409c7f5a028bb1a2ef1f51ff45453921e4a43</citedby><cites>FETCH-LOGICAL-c349t-4c543dd6be363a5ad0a6da038566409c7f5a028bb1a2ef1f51ff45453921e4a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1080/j.1440-1614.1999.00595.x$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1080/j.1440-1614.1999.00595.x$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,21806,27911,27912,30987,43608,43609</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1910348$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10483841$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stevenson, Janine</creatorcontrib><creatorcontrib>Meares, Russell</creatorcontrib><title>Psychotherapy with Borderline Patients: II. A Preliminary Cost Benefit Study</title><title>Australian and New Zealand journal of psychiatry</title><addtitle>Aust N Z J Psychiatry</addtitle><description>Objective: The aim of this study was to conduct a preliminary cost benefit study of the effect of outpatient psychotherapy, twice a week for 1 year, in 30 borderline patients.
Method: Costs to the health system in terms of inpatient care for the year before treatment were compared with the costs for the year following treatment.
Results: The cost of hospital admissions for the 30 patients for the year before treatment was $684 346 (range = $0–$143 756/patient). The cost of hospital admissions for the year after treatment was $41 424 (range = $0–$12 333/patient). These figures represent an average decrease in costs per patient of $21 431. By using the schedule fee as the basis, the estimated cost of therapy per patient was approximately $13 000, representing a saving/patient of $8431 or approximately $250 000 over the total cohort in the first year after treatment.
Conclusion: This study suggests that there is a significant cost benefit in the appropriate treatment of borderline patients.</description><subject>Adult</subject><subject>Australia</subject><subject>Biological and medical sciences</subject><subject>Borderline personality disorder</subject><subject>Borderline Personality Disorder - economics</subject><subject>Borderline Personality Disorder - therapy</subject><subject>Cohort Studies</subject><subject>Cost benefit analysis</subject><subject>Female</subject><subject>Humans</subject><subject>Individual psychotherapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapies. Psychological and clinical counseling</subject><subject>Psychotherapy</subject><subject>Psychotherapy - economics</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0004-8674</issn><issn>1440-1614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkM9P2zAUx61paJRu_8LkA9ot4b3YTuzdoNqgUqVVAs6Wm9jUVZoU29Hof0-6VrAbp3d4n-_78SGEIuQIEq42OXIOGZbIc1RK5QBCifzlE5m8NT6TCQDwTJYVPycXMW4AkKGovpBzBC6Z5Dghi2Xc1-s-rW0wuz3969Oa3vShsaH1naVLk7ztUvxJ5_OcXtNlsK3f-s6EPZ31MdEb21nnE71PQ7P_Ss6caaP9dqpT8vj718PsLlv8uZ3PrhdZzbhKGa8FZ01TriwrmRGmAVM2BpgUZclB1ZUTBgq5WqEprEMn0DkuuGCqQMsNZ1Py4zh3F_rnwcaktz7Wtm1NZ_sh6gqgUCXCh6CoJBZSiRGUR7AOfYzBOr0Lfjt-qRH0Qbne6INZfTCrD8r1P-X6ZYx-P-0YVlvb_Bc8Oh6ByxNgYm1aF0xX-_jOqfHQEZ0SccSiebJ60w-hGx1-vP8VOWqY7g</recordid><startdate>19990801</startdate><enddate>19990801</enddate><creator>Stevenson, Janine</creator><creator>Meares, Russell</creator><general>SAGE Publications</general><general>Informa</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>19990801</creationdate><title>Psychotherapy with Borderline Patients: II. A Preliminary Cost Benefit Study</title><author>Stevenson, Janine ; Meares, Russell</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c349t-4c543dd6be363a5ad0a6da038566409c7f5a028bb1a2ef1f51ff45453921e4a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Australia</topic><topic>Biological and medical sciences</topic><topic>Borderline personality disorder</topic><topic>Borderline Personality Disorder - economics</topic><topic>Borderline Personality Disorder - therapy</topic><topic>Cohort Studies</topic><topic>Cost benefit analysis</topic><topic>Female</topic><topic>Humans</topic><topic>Individual psychotherapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapies. Psychological and clinical counseling</topic><topic>Psychotherapy</topic><topic>Psychotherapy - economics</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stevenson, Janine</creatorcontrib><creatorcontrib>Meares, Russell</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Australian and New Zealand journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stevenson, Janine</au><au>Meares, Russell</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychotherapy with Borderline Patients: II. A Preliminary Cost Benefit Study</atitle><jtitle>Australian and New Zealand journal of psychiatry</jtitle><addtitle>Aust N Z J Psychiatry</addtitle><date>1999-08-01</date><risdate>1999</risdate><volume>33</volume><issue>4</issue><spage>473</spage><epage>477</epage><pages>473-477</pages><issn>0004-8674</issn><eissn>1440-1614</eissn><coden>ANZPBQ</coden><abstract>Objective: The aim of this study was to conduct a preliminary cost benefit study of the effect of outpatient psychotherapy, twice a week for 1 year, in 30 borderline patients.
Method: Costs to the health system in terms of inpatient care for the year before treatment were compared with the costs for the year following treatment.
Results: The cost of hospital admissions for the 30 patients for the year before treatment was $684 346 (range = $0–$143 756/patient). The cost of hospital admissions for the year after treatment was $41 424 (range = $0–$12 333/patient). These figures represent an average decrease in costs per patient of $21 431. By using the schedule fee as the basis, the estimated cost of therapy per patient was approximately $13 000, representing a saving/patient of $8431 or approximately $250 000 over the total cohort in the first year after treatment.
Conclusion: This study suggests that there is a significant cost benefit in the appropriate treatment of borderline patients.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>10483841</pmid><doi>10.1080/j.1440-1614.1999.00595.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Australian and New Zealand journal of psychiatry, 1999-08, Vol.33 (4), p.473-477 |
| issn | 0004-8674 1440-1614 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; Taylor & Francis Journals Complete |
| subjects | Adult Australia Biological and medical sciences Borderline personality disorder Borderline Personality Disorder - economics Borderline Personality Disorder - therapy Cohort Studies Cost benefit analysis Female Humans Individual psychotherapy Male Medical sciences Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapies. Psychological and clinical counseling Psychotherapy Psychotherapy - economics Treatment Outcome Treatments |
| title | Psychotherapy with Borderline Patients: II. A Preliminary Cost Benefit Study |
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