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Costs of psychiatric residential care in Italy

Published online by Cambridge University Press:  11 October 2011

Laura Grigoletti ,
Francesco Amaddeo ,
Giovanni de Girolamo  and
Angelo Picardi
Laura Grigoletti*
Affiliation:
Dipartimento di Medicina e Sanità Pubblica, Sezione di Psichiatria e Psicologia Clinica, Università di Verona, Verona
Francesco Amaddeo
Affiliation:
Dipartimento di Medicina e Sanità Pubblica, Sezione di Psichiatria e Psicologia Clinica, Università di Verona, Verona
Giovanni de Girolamo
Affiliation:
Dipartimento di Salute Mentale. ASL di Bologna, Bologna
Angelo Picardi
Affiliation:
Centro Nazionale di Epidemiologia, Soiveglianza e Promozione della Salute, Istituto Superiore di Sanità, Roma
*
Address for correspondence: Dr. L. Grigoletti. Dipartimento di Medicina e Sanità Pubblica. Sezione di Psichiatria e Psicologia Clinica. Policlinico G.B. Rossi. P.le L.A. Scuro 10, 37134 Verona (Italy). Fax: +39-045-8074.889 E-mail: laura.grigoletti@medicina.univr.it
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Summary

Objective – The aims of this study are: (1) to estimate patients' costs in Italian non hospital Residential Facilities (RF); (2) to analyse the relationship between the costs of care received by residents and patients' or facilities characteristics. Method – The PROGRES study included all Italian private and public RF (1370) with more than 4 beds. Of those, 265 were selected through stratified random sampling to be included in phase 2. Data were obtained through a schedule filled in by the facility manager. Additional information about costs related to the use of Community Psychiatric Service (CPS) by residents has also been collected. The cost components of residential accommodation include the costs of the RF, of the CPS, of general medical care, of the informal assistance provided by family or friends, and other non-medical costs. Results – The mean annual cost of stay in RFs was approximately 34,000 Euro, and it was related to the RF size and to staffing levels. Both RF and CPS are more expensive in the north of Italy, as compared to the center and the south. Costs were lower for older patients. CPS costs are lower when RF staffing levels are higher. Conclusions – In general, patients in RFs cost between 20,000 and 40,000 Euro per year; to this sum, additional 2,000-6,000 Euros per year should be added to include the costs of care provided outside the facility. Both RFs and CPS have different costs depending on the geographical area where the facilities are located, and staffing levels. Changes in CPS costs seem to be related to patients' characteristics.

Declaration of Interest: none

Keywords

residential facilitiespsychiatric servicescosts' evaluationpsychiatric epidemiology
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 13 , Issue 4 , December 2004 , pp. 262 - 269
Copyright
Copyright © Cambridge University Press 2004

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