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Toward managed care for persons with severe mental illness: implications from a cost-effectiveness study
1School of Medicine, University of South Carolina, Columbia, USA.
Health Affairs (Project Hope)
|January 1, 1995
Summary
The Program of Assertive Community Treatment (PACT) adaptation model improves psychosocial functioning and reduces care costs for individuals with severe mental illness compared to less intensive approaches.
Area of Science:
- Psychiatry
- Health Services Research
- Social Work
Background:
- Community-based care models for severe mental illness have evolved over 20 years.
- Evaluating the effectiveness of different care models is crucial for optimizing patient outcomes and resource allocation.
Purpose of the Study:
- To compare the Program of Assertive Community Treatment (PACT) adaptation model with less intensive community-based care approaches.
- To assess the impact of different care models on psychosocial functioning and healthcare costs for persons with severe mental illness.
Main Methods:
- Comparative study of three community-based care models: PACT adaptation, clinical team, and intensive broker.
- Analysis of client outcomes, including psychosocial functioning.
- Evaluation of acute, subacute, and supportive service costs.
Main Results:
- The PACT adaptation model demonstrated superior client outcomes, notably enhanced psychosocial functioning.
- PACT model use led to reduced acute and subacute care costs.
- Supportive service costs for the PACT model were comparable to the clinical team approach.
Conclusions:
- The PACT adaptation model is an effective approach for improving outcomes in severe mental illness care.
- PACT offers a cost-effective strategy by reducing overall healthcare expenditures.
- This model represents a successful advancement in community-based mental health services.
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