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Published on: September 10, 2018
Economic Evaluation of a Crisis Residential Program.
Todd A Olmstead1, Paul J Rathouz1, Kathleen A Casey1
1Lyndon B. Johnson School of Public Affairs (Olmstead) and Dell Medical School (Rathouz, Strakowski), the University of Texas at Austin, Austin; Integral Care, Austin (Casey, Abzug). This study was presented in part at the virtual Crisis Residential Annual Conference, October 14, 2020. Marcela Horvitz-Lennon, M.D., Kenneth Minkoff, M.D., and Esperanza Diaz, M.D., are editors of this column.
The Inn, a crisis residential facility, saved Austin
Area of Science:
- Health Services Research
- Mental Health Economics
- Psychiatric Care Delivery
Background:
- Acute psychiatric illness necessitates effective and cost-efficient treatment pathways.
- Traditional hospitalization can be a significant financial burden on healthcare systems.
- Alternative crisis residential facilities offer potential cost-saving opportunities.
Purpose of the Study:
- To evaluate the economic impact of a crisis residential facility (the Inn) compared to hospitalization.
- To quantify cost savings for the local healthcare system in Austin, Texas.
- To assess the feasibility of the Inn as an alternative for acute psychiatric care.
Main Methods:
- Analysis of health service utilization data for 1,364 individuals over FY2017-FY2019.
- Inclusion of data from the crisis facility provider and regional health information exchange.
- Unit cost data sourced from multiple healthcare providers and national surveys.
Main Results:
- The Inn demonstrated significant cost savings for the healthcare system.
- Annual savings reached up to $2.8 million by utilizing the Inn instead of hospitalization.
- The facility proved to be a cost-effective alternative for acute psychiatric care.
Conclusions:
- Crisis residential facilities like the Inn offer substantial financial benefits to local healthcare systems.
- Findings support the integration of such facilities into mental healthcare frameworks.
- Further research can optimize mental health system efficiency and effectiveness.
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