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首页> 外文期刊>Archives of general psychiatry. >Effect of full-service partnerships on homelessness, use and costs of mental health services, and quality of life among adults with serious mental illness.
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Effect of full-service partnerships on homelessness, use and costs of mental health services, and quality of life among adults with serious mental illness.

机译：效果上的全方位服务合作伙伴无家可归、使用和心理健康成本服务,和成年人的生活质量严重的精神疾病。

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CONTEXT: Chronically homeless adults with severe mental illness are heavy users of costly inpatient and emergency psychiatric services. Full-service partnerships (FSPs) provide housing and engage clients in treatment. OBJECTIVE: To examine changes in recovery outcomes, mental health service use and costs, and quality of life associated with participation in FSPs. DESIGN: A quasi-experimental, difference-in-difference design with a propensity score-matched control group was used to compare mental health service use and costs of FSP with public mental health services. Recovery outcomes were compared before and after services use, and quality of life was compared cross-sectionally. SETTING: San Diego County, California, from October 2005 through June 2008. PARTICIPANTS: Two hundred nine FSP clients and 154 clients receiving public mental health services. MAIN OUTCOME MEASURES: Recovery outcomes (housing, financial support, and employment), mental health service use (use of outpatient, inpatient, emergency, and justice system services), and mental health services and housing costs from the perspective of the public mental health system. RESULTS: Among FSP participants, the mean number of days spent homeless per year declined 129 days from 191 to 62 days; the probability of receiving inpatient, emergency, and justice system services declined by 14, 32, and 17 percentage points, respectively; and outpatient mental health visits increased by 78 visits (P < .001 each). Outpatient costs increased by Dollars 9180; inpatient costs declined by Dollars 6882; emergency service costs declined by Dollars 1721; jail mental health services costs declined by Dollars 1641; and housing costs increased by Dollars 3180 (P < .003 each). Quality of life was greater among FSP clients than among homeless clients receiving services in outpatient programs. CONCLUSIONS: Participation in an FSP was associated with substantial increases in outpatient services and days spent in housing. Reductions in costs of inpatient/emergency and justice system services offset 82% of the cost of the FSP.
机译：背景:长期无家可归的成年人患有严重精神疾病的昂贵住院和急诊精神服务。提供全面服务的合作伙伴(FSPs)提供住房和客户参与治疗。检查恢复结果的变化,心理卫生服务利用和成本,和生活质量与参与FSPs有关。准实验,即法设计一个倾向score-matched控制组是用来比较的心理健康服务使用和成本FSP与公众心理健康服务。服务使用之后,和生活质量而横向比较。县,加州从2005年10月通过2008年6月。客户和154客户收到公共精神卫生服务。(住房、金融支持和结果就业),精神卫生服务使用(使用门诊、住院、应急和正义系统服务),和精神健康服务住房成本从公众的角度来看心理健康系统。参与者的平均天数从191年到无家可归的每年下降129天62天;紧急状态,并拒绝司法系统服务32岁的14和17个基点,分别;每增加78人次(P <措施)。门诊费用增加了9180美元;住院成本下降了6882美元;紧急服务成本下降了1721美元;监狱心理健康服务成本下降了美元1641;3180美元(P < .003每个)。在FSP客户比无家可归客户端接收服务在门诊项目。与大量增加门诊服务和天花费在住房。减少住院/紧急和成本司法系统服务抵消成本的82%FSP。

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