title: Analysis of the Association of Clubhouse Membership with Overall Costs of Care for Mental Health Treatment.
abstract: We examined whether frequency of attendance at the B'More Clubhouse was associated with lower mental health care costs in the Medicaid database, and whether members in the B'More Clubhouse (n = 30) would have lower mental health care costs compared with a set of matched controls from the same claims database (n = 150). Participants who attended the Clubhouse 3 days or more per week had mean 1-year mental health care costs of US $5697, compared to $14,765 for those who attended less often. B'More Clubhouse members had significantly lower annual total mental health care costs than the matched comparison group ($10,391 vs. $15,511; p < 0.0001). Membership in the B'More Clubhouse is associated with a substantial beneficial influence on health care costs.
authors.affiliation: Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Baltimore, MD, 21205, USA.
authors.forename: Seungyoung
authors.initials: S
authors.lastname: Hwang
authors.affiliation: B'More Clubhouse, Inc., Baltimore, MD, 21202, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Woody
authors.affiliation: Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Baltimore, MD, 21205, USA. weaton1@jhu.edu.
authors.forename: William W
authors.initials: WW
authors.lastname: Eaton
mesh_terms: D000328:Adult; D003365:Costs and Cost Analysis; D016208:Databases, Factual; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D008297:Male; D008484:Medicaid; D001523:Mental Disorders / Q000534:rehabilitation*; D008605:Mental Health Services / Q000191:economics*; D008875:Middle Aged; D008962:Models, Theoretical; D014481:United States
keywords: Clubhouse; Cost; Medicaid; Mental health