{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T21:38:17Z","timestamp":1785447497160,"version":"3.56.0"},"reference-count":15,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T00:00:00Z","timestamp":1686614400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec id=\"S2056469423000414_sec_a1\"><jats:title>Aims and method<\/jats:title><jats:p>We aimed to estimate the costs of care for people with a personality disorder diagnosis and compare service use and costs for those receiving specialist input and those receiving generic care. Service use data were obtained from records and costs calculated. Comparisons were made between those who received care from specialist personality disorder teams and those who did not. Demographic and clinical predictors of costs were identified with regression modelling.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469423000414_sec_a2\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Mean total costs before diagnosis were \u00a310 156 for the specialist group and \u00a311 531 for the non-specialist group. Post-diagnosis costs were \u00a324 017 and \u00a322 266 respectively. Costs were associated with specialist care, comorbid conditions and living outside of London.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469423000414_sec_a3\"><jats:title>Clinical implications<\/jats:title><jats:p>Receiving increased support from a specialist service may reduce the need for in-patient care. This may be clinically appropriate and results in a distribution of costs.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjb.2023.41","type":"journal-article","created":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T13:37:34Z","timestamp":1686663454000},"page":"85-92","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Mental health service use and costs associated with complex emotional needs and a diagnosis of personality disorder: analysis of routine data"],"prefix":"10.1192","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1530-7350","authenticated-orcid":false,"given":"Joseph","family":"Botham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Simpson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7001-4502","authenticated-orcid":false,"given":"Paul","family":"McCrone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2023,6,13]]},"reference":[{"key":"S2056469423000414_ref6","volume-title":"Paying the Price: The Cost of Mental Health Care in England to 2026","author":"McCrone","year":"2008"},{"key":"S2056469423000414_ref4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0171592"},{"key":"S2056469423000414_ref9","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-9-51"},{"key":"S2056469423000414_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-014-0874-4"},{"key":"S2056469423000414_ref8","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03605-4"},{"key":"S2056469423000414_ref13","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.172.1.11"},{"key":"S2056469423000414_ref5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0107748"},{"key":"S2056469423000414_ref14","unstructured":"14 NHS Improvement. 2016\/17 Reference Costs. Department of Health and Social Care, 2017 (https:\/\/webarchive.nationalarchives.gov.uk\/ukgwa\/20200501111106\/https:\/\/improvement.nhs.uk\/resources\/reference-costs\/)."},{"key":"S2056469423000414_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2018.07.009"},{"key":"S2056469423000414_ref7","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2021.1043"},{"key":"S2056469423000414_ref2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248316"},{"key":"S2056469423000414_ref1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.166"},{"key":"S2056469423000414_ref12","unstructured":"12 Ministry of Housing, Communities and Local Government. English Indices of Deprivation 2019. The Stationery Office, 2019 (www.gov.uk\/government\/statistics\/english-indices-of-deprivation-2019)."},{"key":"S2056469423000414_ref15","unstructured":"15 National Institute for Health and Care Excellence (NICE). Borderline personality disorder: recognition and management. Clinical Guideline [CG78]. NICE, 2009 (https:\/\/www.nice.org.uk\/guidance\/cg78)."},{"key":"S2056469423000414_ref11","unstructured":"11 World Health Organization (WHO). International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10 Version: 2016). WHO, 2016 (https:\/\/icd.who.int\/browse10\/2016\/en)."}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469423000414","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T00:33:15Z","timestamp":1712104395000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469423000414\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,13]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["S2056469423000414"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2023.41","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,13]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}