Bartels S J, Teague G B, Drake R E, Clark R E, Bush P W, Noordsy D L
West Central Services, Lebanon, New Hampshire 03766.
J Nerv Ment Dis. 1993 Apr;181(4):227-32. doi: 10.1097/00005053-199304000-00003.
Utilization and cost of institutional and outpatient services were prospectively measured over 1 year for three groups of schizophrenic patients: current substance abusers, past substance abusers, and those without a history of substance abuse. Current abusers had significantly greater utilization and cost of institutional (hospital and jail) services. Current abusers also had greater utilization of emergency services. There were no significant differences between the groups in utilization and cost of other services, including psychosocial rehabilitation, outpatient treatment (case management, psychotherapy, and psychiatric visits), and housing supports. The implications for developing cost-effective treatments for dually diagnosed individuals are discussed.
对三组精神分裂症患者进行了为期1年的前瞻性研究，测量其机构服务和门诊服务的使用情况及费用：当前药物滥用者、过去药物滥用者和无药物滥用史者。当前滥用者在机构（医院和监狱）服务的使用和费用方面显著更高。当前滥用者对急诊服务的使用也更多。在其他服务的使用和费用方面，包括心理社会康复、门诊治疗（病例管理、心理治疗和精神科就诊）以及住房支持，三组之间没有显著差异。文中讨论了为双重诊断个体开发具有成本效益治疗方法的意义。
