Related Experiment Video
Updated: Sep 13, 2025
Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
Cost-Effectiveness of Crisis Resolution Home Treatment for Managing Acute Psychiatric Crises in Southern Switzerland
Emiliano Soldini1, Maddalena Alippi2, Salvatore Maione1
1Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.
Objectives:
This study aimed at providing the first formal cost-effectiveness evaluation of Crisis Resolution Home Treatment (CRHT) compared to hospitalization for the management of acute psychiatric crises in Switzerland.
Methods:
Intervention (CRHT) and control (hospital) groups were formed based on patients' place of residence according to a quasi-experimental design. Patients were followed starting from an acute episode of care until 2 years after discharge. Effectiveness measures were variation of psychiatric symptoms between admission and discharge and number of non-readmission days. Direct costs were obtained from the Cantonal Psychiatric Clinic and patients' health insurance companies. Indirect costs were estimated based on sick leave certificates. Bootstrap resampling procedures and Cost-Effectiveness Acceptability Curves were used to assess cost differences between groups and cost-effectiveness.
Results:
CRHT resulted generally less costly than hospitalization. In the treatment phase, cost-effectiveness depended on the type of psychiatric symptoms considered, while CRHT resulted highly cost-effective in the follow-up phase.
Conclusion:
CRHT can be a cost-effective alternative to hospitalization for managing acute psychiatric crises in Ticino. Further research is needed to explore patients' conditions and characteristics associated with cost-effectiveness.
More Related Videos
11:50Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
Related Concept Videos
01:26Psychosis: Goals of Pharmacotherapy
01:28Acute Coronary Syndrome IV: Interprofessional Care
01:30Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:24Treatment Strategies for Psychological Disorders
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
01:30Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...