Cost implications of treatment non-completion in a forensic personality disorder service

2016-05-20T13:48:04Z

ChrisSampson87: Created page with "{{Summary |title=Cost implications of treatment non-completion in a forensic personality disorder service |authors=Christopher James Sampson, Marilyn James, Nick Huband, Steve..."

{{Summary
|title=Cost implications of treatment non-completion in a forensic personality disorder service
|authors=Christopher James Sampson, Marilyn James, Nick Huband, Steve Geelan, Mary McMurran
|url=http://onlinelibrary.wiley.com/doi/10.1002/cbm.1866/full
|tags=personality disorder, markov model, non-completion, costs
|summary=A lot of people with personality disorder do not complete treatment after being admitted to a specialist secure hospital. Evidence shows that non-completion is often associated with poorer treatment outcomes, hospital readmission and higher rates of criminal activity. This study looks at the economic consequences of non-completion of treatment, in terms of the costs incurred by the National Health Service (NHS) and criminal justice system (CJS). It compares total costs over a period of 10 years after admission for people who do complete treatment and people who don't. Case study data are used for a group of people admitted to a medium security hospital personality disorder unit in England. A cohort simulation is constructed to model the expected pathways for this group through different types of hospital, prison and community care. In the 10 years after admission, a person who does not complete treatment incurs on average £52,000 more in costs to the NHS and CJS than a person who completes treatment. The study cannot determine if this is because treatment was not completed or for other reasons. Nevertheless, the study highlights that people who do not complete treatment incur far greater costs. It may be possible to address this in part by introducing routine monitoring of treatment completion or by improving the process of selection into treatment.
|journal=Criminal Behaviour and Mental Health
|pub_date=2013
|doi=10.1002/cbm.1866
|subject=Health
}}

Occupational therapy pre-discharge home visits for patients with a stroke (HOVIS): results of a feasibility randomized controlled trial

2016-05-19T08:15:12Z

ChrisSampson87: Created page with "{{Summary |title=Occupational therapy pre-discharge home visits for patients with a stroke (HOVIS): results of a feasibility randomized controlled trial |authors=A E R Drummon..."

{{Summary
|title=Occupational therapy pre-discharge home visits for patients with a stroke (HOVIS): results of a feasibility randomized controlled trial
|authors=A E R Drummond, P Whitehead, K Fellows, N Sprigg, C J Sampson, C Edwards, N B Lincoln
|url=http://cre.sagepub.com/content/27/5/387.full
|tags=stroke, occupational therapy, home visit, RCT,
|summary=People who return home from hospital after having a stroke might experience problems with the activities of daily living. For example, they may be at increased risk of falls. Because of this, many people admitted to stroke units in England have a home visit before discharge. A home visit allows a health professional to assess potential problems and offers patients the opportunity to practise techniques learnt in hospital. However, there is no evidence to support the use of home visits. This study reports on a randomised controlled trial of home visits compared with a hospital-based interview about the home setting. Home visits were carried out by an occupational therapist. For some people, staff considered a home visit to be 'essential'. The trial therefore included 126 people across three arms: i) those randomised to receive a home visit (n=47), ii) those randomised to receive a hospital interview (n=46) and iii) those not randomised and receiving a home visit (n=33). The study's main aim was to test the feasibility of a larger trial, but also reports on patient outcomes at one month follow-up and the costs of the intervention. 90% of people received the intended intervention and follow-up was good at 1 month. However, the study highlighted the need for strict protocol adherence. No significant differences were found in the outcome measures. The average cost of a home visit was £208. This study supports the need for a larger trial of home visits to justify their use in practice.
|journal=Clinical Rehabilitation
|pub_date=2013
|doi=10.1177/0269215512462145
|wikidata=Q24101137
|subject=Health
}}

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Cost implications of treatment non-completion in a forensic personality disorder service

Occupational therapy pre-discharge home visits for patients with a stroke (HOVIS): results of a feasibility randomized controlled trial