Isaacs Anton N, Dalziel Kim, Sutton Keith, Maybery Darryl
Senior Lecturer, Monash University, School of Rural Health, Latrobe Valley and West Gippsland, Traralgon, VIC, Australia.
Associate Professor, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Australas Psychiatry. 2018 Dec;26(6):586-589. doi: 10.1177/1039856218759408. Epub 2018 Feb 19.
: The purpose of this paper is to provide some learnings for the NDIS from the referral pattern and cost of implementing the Partners in Recovery initiative of Gippsland.
: Information on referral areas made for each consumer was collated from support facilitators. Cost estimates were determined using budget estimates, administrative costs and a literature review and are reported from a government perspective.
: Sixty-three per cent of all referrals were made to organisations that provided multiple types of services. Thirty-one per cent were to Mental Health Community Support Services. Eighteen per cent of referrals were made to clinical mental health services. The total cost of providing the service for a consumer per year (set-up and ongoing) was estimated to be AUD$15,755 and the ongoing cost per year was estimated to be AUD$13,434. The cost of doing nothing is likely to cost more in the longer term, with poor mental health outcomes such as hospital admission, unemployment benefits, prison, homelessness and psychiatric residential care.
: Supporting recovery in persons with Severe and Persistent Mental Illness is likely to be economically more beneficial than not doing so. Recovery can be better supported when frequently utilised services are co-located. These might be some learnings for the NDIS.
本文旨在通过吉普斯兰地区“康复伙伴”倡议的转诊模式和实施成本,为国家残疾保险计划提供一些经验教训。
从支持协调员处整理每个消费者的转诊领域信息。成本估计是根据预算估计、行政成本和文献综述确定的,并从政府角度进行报告。
所有转诊中有63%是转至提供多种服务类型的组织。31%是转至心理健康社区支持服务机构。18%的转诊是转至临床心理健康服务机构。为每个消费者每年提供服务的总成本(启动和持续成本)估计为15,755澳元,每年的持续成本估计为13,434澳元。从长远来看,无所作为可能会花费更多,因为会出现心理健康状况不佳的后果,如住院、失业救济、入狱、无家可归和精神科住院护理。
支持重度和持续性精神疾病患者康复在经济上可能比不这样做更有益。当经常使用的服务集中设置时,可以更好地支持康复。这些可能是国家残疾保险计划可以借鉴的一些经验教训。