{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T00:02:36Z","timestamp":1705276956360},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T00:00:00Z","timestamp":1586995200000},"content-version":"unspecified","delay-in-days":5615,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0924933800009743_abs1\" sec-type=\"other\"><jats:title>Objective.<\/jats:title><jats:p>\u2013 This study estimated service and non-service costs in a random sample of patients attending a community psychiatric mental health centre in Italy.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800009743_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>\u2013 A randomly selected sample of patients identified during 1\u00a0week of routine clinical activity was enrolled. Information was collected using the Italian-language checklist<jats:italic>Questionario Economico per l\u2019attivit\u00e0 clinica dei Servizi Psichiatrici<\/jats:italic>(QESP). Costs were classified in two categories: service costs (from the provision of services) and non-service costs (loss of productivity and informal care).<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800009743_abs3\" sec-type=\"results\"><jats:title>Results.<\/jats:title><jats:p>\u2013 One hundred and twenty patients were included. Patients suffering from schizophrenia and related disorders (<jats:italic>n<\/jats:italic>\u00a0=\u00a050) had a mean age of 44.5\u00a0years (S.D. 12.9), and patients with other diagnoses (<jats:italic>n<\/jats:italic>\u00a0=\u00a070) had a mean age of 44.9\u00a0years (S.D. 14.8). More patients in the schizophrenia group were single, living alone, had a low educational level and a higher unemployment rate. In patients suffering from schizophrenia, the monthly service cost per patient was nearly double that for patients with other diagnoses. Non-service costs associated with patients\u2019 lack of job opportunities were more than three times higher for patients with schizophrenia. Non-service costs associated with patients\u2019 and care-givers\u2019 time off work were similar in the two groups. In the multivariate analysis, being unemployed was associated with higher service costs. Younger age, length of illness and diagnosis of schizophrenia were determinants of higher non-service costs. The latter three independent variables were also associated with overall (service and non-service) costs.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800009743_abs4\" sec-type=\"conclusions\"><jats:title>Conclusion.<\/jats:title><jats:p>\u2013 The present study estimated service and non-service costs under routine circumstances to provide information on costs that community psychiatric services, patients and care-givers sustain when dealing with psychiatric problems.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.eurpsy.2004.06.006","type":"journal-article","created":{"date-parts":[[2004,9,25]],"date-time":"2004-09-25T15:07:36Z","timestamp":1096124856000},"page":"469-477","source":"Crossref","is-referenced-by-count":5,"title":["Routine outcome monitoring in clinical practice: service and non-service costs of psychiatric patients attending a Community Mental Health Centre in Italy"],"prefix":"10.1017","volume":"19","author":[{"given":"Mauro","family":"Percudani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corrado","family":"Barbui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Beecham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Knapp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,4,16]]},"reference":[{"key":"S0924933800009743_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(86)90018-6"},{"key":"S0924933800009743_ref19","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1017\/S0033291797005692","article-title":"Predictors of mental health service costs for representative cases of psychosis in south London","volume":"28","author":"McCrone","year":"1998","journal-title":"Psychol Med"},{"key":"S0924933800009743_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s001270050073"},{"key":"S0924933800009743_ref14","first-page":"407","volume-title":"WPA series evidence and experience in psychiatry, 2","author":"Knapp","year":"1999"},{"key":"S0924933800009743_ref13","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.171.6.509"},{"key":"S0924933800009743_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00004850-199300730-00010"},{"key":"S0924933800009743_ref9","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195108248.001.0001","volume-title":"Cost-effectiveness in health and medicine","author":"Gold","year":"1996"},{"key":"S0924933800009743_ref6","doi-asserted-by":"publisher","DOI":"10.1214\/ss\/1177013815"},{"key":"S0924933800009743_ref5","volume-title":"Methods for the economic evaluation of health care programmes","author":"Drummond","year":"1997"},{"key":"S0924933800009743_ref3","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1016\/S0140-6736(99)00108-7","article-title":"High-quality clinical databases: breaking down barriers","volume":"353","author":"Black","year":"1999","journal-title":"Lancet"},{"key":"S0924933800009743_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1997.tb09619.x"},{"key":"S0924933800009743_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8510(99)00078-0"},{"key":"S0924933800009743_ref4","first-page":"184","article-title":"The economic and social burden of Alzheimer disease on families in the Lombardy region of Italy","volume":"11","author":"Cavallo","year":"1999","journal-title":"Alzheimer Dis Assoc Disord"},{"key":"S0924933800009743_ref22","doi-asserted-by":"publisher","DOI":"10.1192\/S0007125000293458"},{"key":"S0924933800009743_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/002076400004600403"},{"key":"S0924933800009743_ref20","first-page":"191","article-title":"Valutare i costi nell\u2019attivit\u00e0 clinica di routine dei servizi psichiatrici. Sviluppo ed applicazione del QESP","volume":"125","author":"Percudani","year":"2001","journal-title":"[Evaluating costs in routine clinical practice of psychiatric services. Development and use of QESP]. Riv Sper Freniatr"},{"key":"S0924933800009743_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S1121189X00005194"},{"key":"S0924933800009743_ref2","volume-title":"Measuring mental health needs","author":"Beecham","year":"2001"},{"key":"S0924933800009743_ref17","doi-asserted-by":"publisher","DOI":"10.1017\/S1121189X00005170"},{"key":"S0924933800009743_ref11","first-page":"405","article-title":"The economic burden of depression in 1990","volume":"54","author":"Greenberg","year":"1993","journal-title":"J Clin Psychiatry"},{"key":"S0924933800009743_ref18","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.173.4.281"},{"key":"S0924933800009743_ref21","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1192\/bjp.180.3.254","article-title":"Monitoring community psychiatric services in Italy: differences between patients who leave care and those who stay in treatment","volume":"180","author":"Percudani","year":"2002","journal-title":"Br J Psychiatry"},{"key":"S0924933800009743_ref15","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.2002._10310.x"},{"key":"S0924933800009743_ref8","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-200119120-00004"}],"container-title":["European Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933804001373?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933804001373?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0924933800009743","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,14]],"date-time":"2024-01-14T12:06:39Z","timestamp":1705233999000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0924933800009743\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,12]]},"references-count":24,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2004,12]]}},"alternative-id":["S0924933800009743"],"URL":"https:\/\/doi.org\/10.1016\/j.eurpsy.2004.06.006","relation":{},"ISSN":["0924-9338","1778-3585"],"issn-type":[{"value":"0924-9338","type":"print"},{"value":"1778-3585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,12]]}}}