Intellectual functioning and outcome of patients with severe psychotic illness randomised to intensive case management: Report from the UK700 trial
Little research has been carried out on the benefits of intensive case management (ICM) for people with borderline IQ and severe mental illness. To compare outcome and costs of care of patients with severe psychotic illness with borderline IQ to patients of normal IQ and to assess whether ICM is mor...
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| Veröffentlicht in: | British journal of psychiatry 2001-02, Vol.178 (2), p.166-171 |
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| container_title | British journal of psychiatry |
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| creator | HASSIOTIS, A UKOUMUNNE, O.C BYFORD, S TYRER, P HARVEY, K PIACHAUD, J GILVARRY, K FRASER, J |
| description | Little research has been carried out on the benefits of intensive case management (ICM) for people with borderline IQ and severe mental illness.
To compare outcome and costs of care of patients with severe psychotic illness with borderline IQ to patients of normal IQ and to assess whether ICM is more beneficial for the former than for the latter.
The study utilises data from the UK700 multi-centre randomised controlled trial of case management. The main outcome measure was the number of days spent in hospital for psychiatric reasons. Secondary outcomes were costs of care and clinical outcome.
ICM was significantly more beneficial for borderline-IQ patients than those of normal IQ in terms of reductions in days spent in hospital, hospital admissions, total costs and needs and increased satisfaction.
ICM appears to be a cost-effective strategy for a subgroup of patients with severe psychosis with cognitive deficits. |
| doi_str_mv | 10.1192/bjp.178.2.166 |
| format | Article |
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To compare outcome and costs of care of patients with severe psychotic illness with borderline IQ to patients of normal IQ and to assess whether ICM is more beneficial for the former than for the latter.
The study utilises data from the UK700 multi-centre randomised controlled trial of case management. The main outcome measure was the number of days spent in hospital for psychiatric reasons. Secondary outcomes were costs of care and clinical outcome.
ICM was significantly more beneficial for borderline-IQ patients than those of normal IQ in terms of reductions in days spent in hospital, hospital admissions, total costs and needs and increased satisfaction.
ICM appears to be a cost-effective strategy for a subgroup of patients with severe psychosis with cognitive deficits.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.178.2.166</identifier><identifier>PMID: 11157431</identifier><language>eng</language><publisher>England: RCP</publisher><subject>Case management ; Case Management - organization & administration ; Case Management - standards ; Clinical outcomes ; Cognitive ability ; Cognitive impairment ; Cost analysis ; Costs ; Costs and Cost Analysis ; Disability ; England ; Health care expenditures ; Health services ; Hospitalization ; Hospitals ; Humans ; Hypotheses ; Intellectual functioning ; Intelligence ; Intelligence - physiology ; Intelligence tests ; Interpersonal Relations ; Learning disabilities ; Medical research ; Mental disorders ; Mental health care ; Mental Health Services - economics ; Mental Health Services - statistics & numerical data ; Mentally Disabled Persons - psychology ; Outcome and Process Assessment (Health Care) ; Patient Acceptance of Health Care - statistics & numerical data ; Patients ; Prognosis ; Psychiatry ; Psychosis ; Psychotic Disorders - economics ; Psychotic Disorders - therapy ; Quality of life ; R&D ; Research & development ; Severity</subject><ispartof>British journal of psychiatry, 2001-02, Vol.178 (2), p.166-171</ispartof><rights>Copyright © 2001 The Royal College of Psychiatrists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c299t-cec48040215c85710f352f6775d1d0867938c6a80d0930e31d39e60a95b505313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,12846,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11157431$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HASSIOTIS, A</creatorcontrib><creatorcontrib>UKOUMUNNE, O.C</creatorcontrib><creatorcontrib>BYFORD, S</creatorcontrib><creatorcontrib>TYRER, P</creatorcontrib><creatorcontrib>HARVEY, K</creatorcontrib><creatorcontrib>PIACHAUD, J</creatorcontrib><creatorcontrib>GILVARRY, K</creatorcontrib><creatorcontrib>FRASER, J</creatorcontrib><title>Intellectual functioning and outcome of patients with severe psychotic illness randomised to intensive case management: Report from the UK700 trial</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>Little research has been carried out on the benefits of intensive case management (ICM) for people with borderline IQ and severe mental illness.
To compare outcome and costs of care of patients with severe psychotic illness with borderline IQ to patients of normal IQ and to assess whether ICM is more beneficial for the former than for the latter.
The study utilises data from the UK700 multi-centre randomised controlled trial of case management. The main outcome measure was the number of days spent in hospital for psychiatric reasons. Secondary outcomes were costs of care and clinical outcome.
ICM was significantly more beneficial for borderline-IQ patients than those of normal IQ in terms of reductions in days spent in hospital, hospital admissions, total costs and needs and increased satisfaction.
ICM appears to be a cost-effective strategy for a subgroup of patients with severe psychosis with cognitive deficits.</description><subject>Case management</subject><subject>Case Management - organization & administration</subject><subject>Case Management - standards</subject><subject>Clinical outcomes</subject><subject>Cognitive ability</subject><subject>Cognitive impairment</subject><subject>Cost analysis</subject><subject>Costs</subject><subject>Costs and Cost Analysis</subject><subject>Disability</subject><subject>England</subject><subject>Health care expenditures</subject><subject>Health services</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Intellectual functioning</subject><subject>Intelligence</subject><subject>Intelligence - physiology</subject><subject>Intelligence tests</subject><subject>Interpersonal Relations</subject><subject>Learning disabilities</subject><subject>Medical research</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Mental Health Services - 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Academic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HASSIOTIS, A</au><au>UKOUMUNNE, O.C</au><au>BYFORD, S</au><au>TYRER, P</au><au>HARVEY, K</au><au>PIACHAUD, J</au><au>GILVARRY, K</au><au>FRASER, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intellectual functioning and outcome of patients with severe psychotic illness randomised to intensive case management: Report from the UK700 trial</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>2001-02-01</date><risdate>2001</risdate><volume>178</volume><issue>2</issue><spage>166</spage><epage>171</epage><pages>166-171</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><abstract>Little research has been carried out on the benefits of intensive case management (ICM) for people with borderline IQ and severe mental illness.
To compare outcome and costs of care of patients with severe psychotic illness with borderline IQ to patients of normal IQ and to assess whether ICM is more beneficial for the former than for the latter.
The study utilises data from the UK700 multi-centre randomised controlled trial of case management. The main outcome measure was the number of days spent in hospital for psychiatric reasons. Secondary outcomes were costs of care and clinical outcome.
ICM was significantly more beneficial for borderline-IQ patients than those of normal IQ in terms of reductions in days spent in hospital, hospital admissions, total costs and needs and increased satisfaction.
ICM appears to be a cost-effective strategy for a subgroup of patients with severe psychosis with cognitive deficits.</abstract><cop>England</cop><pub>RCP</pub><pmid>11157431</pmid><doi>10.1192/bjp.178.2.166</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | British journal of psychiatry, 2001-02, Vol.178 (2), p.166-171 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Cambridge Journals; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection |
| subjects | Case management Case Management - organization & administration Case Management - standards Clinical outcomes Cognitive ability Cognitive impairment Cost analysis Costs Costs and Cost Analysis Disability England Health care expenditures Health services Hospitalization Hospitals Humans Hypotheses Intellectual functioning Intelligence Intelligence - physiology Intelligence tests Interpersonal Relations Learning disabilities Medical research Mental disorders Mental health care Mental Health Services - economics Mental Health Services - statistics & numerical data Mentally Disabled Persons - psychology Outcome and Process Assessment (Health Care) Patient Acceptance of Health Care - statistics & numerical data Patients Prognosis Psychiatry Psychosis Psychotic Disorders - economics Psychotic Disorders - therapy Quality of life R&D Research & development Severity |
| title | Intellectual functioning and outcome of patients with severe psychotic illness randomised to intensive case management: Report from the UK700 trial |
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