title: Study of psychiatric admission patterns before and after out-patient psychotherapy in a district service setting.
abstract: There is a need for evidence to demonstrate the clinical and economic effectiveness of psychotherapy as a component of mental health service delivery. A naturalistic cohort study was carried out in a specialist psychotherapy department in a district mental health service. Thirty-six patients were identified with hospital admissions in the study period who had also received a course of outpatient psychotherapy. There was a significant decrease in hospital in-patient usage temporally associated with receipt of psychotherapy and associated cost savings. Out-patient psychotherapy leads to less in-patient bed usage and significant health-care savings among previously hospitalized psychiatric patients (approximately 6700 pounds sterling per patient).
authors.affiliation: Peninsula Rotation, South West England, UK.
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Pearson
authors.forename: Richard I L
authors.initials: RI
authors.lastname: Tillett
authors.forename: Keith R
authors.initials: KR
authors.lastname: Lloyd
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000191:economics / Q000706:statistics & numerical data; D015331:Cohort Studies; D003156:Community Mental Health Services / Q000191:economics / Q000706:statistics & numerical data*; D003362:Cost-Benefit Analysis; D005260:Female; D005500:Follow-Up Studies; D006778:Hospitals, Psychiatric / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000191:economics / Q000453:epidemiology* / Q000628:therapy; D010343:Patient Admission / Q000191:economics / Q000706:statistics & numerical data*; D011613:Psychotherapy / Q000191:economics / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014600:Utilization Review