A COMPARISON OF THE COST-EFFECTIVENESS OF DAY TREATMENT AND RESIDENTIAL-TREATMENT FOR CHILDREN WITH SEVERE BEHAVIOR PROBLEMS

被引:21
作者
GRIZENKO, N [1 ]
PAPINEAU, D [1 ]
机构
[1] DOUGLAS HOSP,LYALL PREADOLESCENT DAY TREATMENT PROGRAM,VERDUN,QUEBEC,CANADA
来源
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 1992年 / 37卷 / 06期
关键词
D O I
10.1177/070674379203700608
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This study compares the cost of treating 23 children admitted to a residential treatment unit in a psychiatric hospital and 23 children admitted to the same unit after it was converted to a day treatment program, through a retrospective chart review The two groups were similar in age, gender, diagnosis, severity of pathology, family functioning and support, the number of subjects who dropped-out, and treatment outcome. The average length of stay on the unit dropped from 19.6 to 6.1 months, and the average cost of treatment per child decreased from $61,412 to $9,213 (Canadian dollars, adjusted for inflation). The sharp decrease in treatment time with day treatment may be the result of close links with community schools and maintaining the child in the family and community. The cost savings can be attributed to the shorter hospital stays and the lower operating costs of day treatment. Implications of these findings will be discussed with respect to health care policy including the need to raise awareness of day treatment as a cost-effective alternative to residential hospital treatment.
引用
收藏
页码:393 / 400
页数:8
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