Treatment costs for youths receiving multisystemic therapy or hospitalization after a psychiatric crisis.

Psychiatr Serv 2004 May;55(5):548-54

Department of Psychiatry and Behavioral Sciences, MUSC, 67 President Street, Suite CPP, Box 250861, Charleston, South Carolina 29425, USA.

Objective: The authors conducted a cost analysis for multisystemic therapy, an evidence-based treatment that is used as an intensive community-based alternative to the hospitalization of youths presenting with psychiatric emergencies.

Methods: Data from a randomized clinical trial that compared multisystemic therapy with usual inpatient services followed by community aftercare were used to compare Medicaid costs and clinical outcomes during a four-month period postreferral and a 12-month follow-up period. Data were from 115 families receiving Medicaid (out of 156 families in the clinical trial).

Results: During the four months postreferral, multisystemic therapy was associated with an average net savings per youth treated of $1,617 compared with usual services. Costs during the 12-month follow-up period were similar between treatments. Multisystemic therapy demonstrated better short-term cost-effectiveness for each of the clinical outcomes (externalizing behavior, internalizing behavior, and global severity of symptoms) than did usual inpatient care and community aftercare. The two treatments demonstrated equivalent long-term cost-effectiveness.

Conclusions: Among youths presenting with psychiatric emergencies, multisystemic therapy was associated with better outcomes at a lower cost during the initial postreferral period and with equivalent costs and outcomes during the 12-month follow-up period.

Download full-text PDF

Source
http://dx.doi.org/10.1176/appi.ps.55.5.548DOI Listing
May 2004
6 Reads

Publication Analysis

Top Keywords

multisystemic therapy
24
12-month follow-up
12
follow-up period
12
therapy associated
8
usual inpatient
8
community aftercare
8
youths presenting
8
clinical outcomes
8
presenting psychiatric
8
therapy
6
multisystemic
6
period
5
savings youth
4
associated average
4
average net
4
net savings
4
youth treated
4
services costs
4
costs 12-month
4
period treatments
4

Similar Publications