Community mental health care for former hospital in-patients. Predicting costs from needs and diagnoses
Knapp, M.; Beecham, J.; Fenyo, A.; Hallam, A.
British Journal of Psychiatry. Supplement 1995(27): 10-18
1995
ISSN/ISBN: 0960-5371 PMID: 7794588 Document Number: 447928
Background: In the UK the replacement of long-term in-patient care with community-based support has been part of central government health policy for many years. One of the challenges of implementing such a policy is the prediction of support and service needs in the community and the associated costs. Method: Using research data from north London analyses were undertaken to examine the associations between service use and costs in the community and the characteristics of hospital in-patients. Results: Although clinical diagnosis was not a useful predictor of either service utilisation or costs, more than a third of the variation in community care costs could be explained by symptoms, behaviour and personal characteristics at least one year earlier.