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The cost and utilization of psychotherapy in Community-bases Mental Health Services. A multicentre study in five Italian areas

Published online by Cambridge University Press:  18 May 2011

Marco Chiappelli*
Affiliation:
Dipartimento di Salute Mentale Azienda USL Bologna, Bologna
Laura Grigoletti
Affiliation:
Dipartimento di Medicina e Sanità Pubblica, Sezione di Psichiatria, Università di Verona, Verona
Paolo Albanese
Affiliation:
Dipartimento di Salute Mentale Azienda USL RM/
Maria Antonietta Taras
Affiliation:
Dipartimento di Salute Mentale Azienda USL RM/
Paola Tulli
Affiliation:
Dipartimento di Salute Mentale Azienda USL RM/
Aldrigo Grassi
Affiliation:
Dipartimento di Salute Mentale Azienda USL Bologna, Bologna
*
Address for correspondence: Dr. M. Chiappelli, Dipartimento di Salute Mentale AUSL Bologna, Viale Carlo Pepoli 5, 40100 Bologna. Fax: +39-051-553037 E-mail: marco.chiappelli@ausl.bologna.it

Summary

Aims — To investigate the prevalence of psychotherapy intervention in five Italian Centres for Mental Health. Analysing sociodemographic characteristics, geographical differences, frequencies of psychotherapy interventions, and the costs of these interventions. Methods — Five Italian Community—based Psychiatric Services collected data from 1250 patients during October 2002. Socio—demographic and clinical characteristics and GAF scores were collected at baseline. All psychiatric contacts during the following six months were recorded and categorised into 24 service contact categories. A comparison between patients who received or did not receive psychotherapy was made. Results — The socio—demographic characteristics of patients are very similar to those found in previous studies; there is a great difference in the number of psychotherapy treatments between the five areas. Psychotherapy patients use different services compared to the other patients, and their care cost less. Conclusions — This study provides a description of the provision of psychotherapy by Italian Mental Health Services. Further research is required into this topic.

Declaration of Interest: None.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2007

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References

Allevi, L., Salvi, G. & Ruggeri, M. (2006). La qualità dei servizi di Salute mentale: un esercizio di autovalutazione nel Servizio psichiatrico di Verona Sud. Epidemiologia e Psichiatria Sociale 15, 138147.CrossRefGoogle Scholar
Amaddeo, F.Bacigalupi, M., de Girolamo, G., Di Munzio, W., Lora, A. & Semisa, D. (1998). Attività, Interventi e Strutture del Dipartimento di Salute Mentale. Epidemiologia e Psichiatria Sociale, Monograph Supplement No. 2.Google Scholar
Andreoli, A. (2004). II ruolo della psicoterapia nel trattamento dei disturbi psichiatrici acuti. Epidemiologia e Psichiatria Sociale 13, 227236.CrossRefGoogle Scholar
Browne, G., Steiner, M., Roberts, J., Gafni, A., Byrne, C, Dunn, E., Bell, B., Mills, M., Chalklin, L., Wallik, D. & Kraemer, J. (2002). Sertraline and/or interpersonal psychotherapy for patients with dysthymic disorder in primary care: 6-month comparison with longitudinal 2-year follow-up of effectiveness and costs. Journal of Affective Disorders 68(2-3), 317330.CrossRefGoogle ScholarPubMed
Chambless, D.L. & Hollon, S.D. (1998). Defining empirical supported psychological treatment. Journal of Consulting and Clinical Psychology 66, 618.CrossRefGoogle Scholar
Beutel, M.E., Rasting, M., Stuhr, U., Rüger, B. & Lauzinger-Bohleber, M. (2004). Assessing impact of psychoanalyses and psychoanalytic therapies on health care utilization and costs. Psychotherapy Research 14, 146160.CrossRefGoogle Scholar
Chiles, J.A., Lambert, M.J. & Hatch, A.L. (1999). The impact of psychological interventions on medical cost offset: a meta-analytic review. Clinical Psychology: Science and Practice 6, 204220.Google Scholar
Dobrez, D.G., Melfi, C.A., Croghan, T.W., Kniesner, T.J. & Obenchain, R.L. (2000). Antidepressant treatment for depression: total charges and therapy duration. Journal of Mental Health Policy and Economics 3(4), 187197.CrossRefGoogle ScholarPubMed
Edgell, E.T., Hylan, T.R., Draugalis, J.R. & Coons, S.J. (2000). Initial treatment choice in depression: impact on medical expenditures. Pharmacoeconomics 17(4), 371382.CrossRefGoogle ScholarPubMed
Erlicher, A. & Rossi, G. (1999). Manuale di Accreditamento Professionale per il Dipartimento di Salute Mentale. Centro Scientifico Editore: Torino.Google Scholar
Fava, E., Lammoglia, M., Palma D'Angelo, P., Pozzi, E., Calini, P. & Mazzariol, M. (1997). Psicoterapia e trattamenti psicofarmacologici nei servizi territoriali della Regione Lombardia. In Psicoterapia e Psicofarmaci (ed. Furlan, P.M.), 5168. Centro Scientifico Editore: Torino.Google Scholar
Festini Cucco, W. & Gasseau, M. (a cura di) (1985). La Psicoterapia nei Servizi Psichiatrici. Franco Angeli: Milano.Google Scholar
Finicelli, C, Colombo, A. & Verga, E. (2001). La psicoterapia nel servizio sanitario pubblico. Minerva Psichiatrica 12, 285297.Google Scholar
Gallo, E. & Di Salvo, A. (1998). Domanda e offerta di psicoterapia nel servizio psichiatrico pubblico. Rivista Sperimentale di Freniatria 122, 111118.Google Scholar
Gallo, E. & Rucci, P. (2000). Domanda, offerta e fattori predittivi delle psicoterapie in 10 Centri di Salute Mentale dell'Emilia-Romagna. Epidemiologia e Psichiatria Sociale 9, 103112.CrossRefGoogle Scholar
Grassi, A., Rizzoli, P. & Scondotto, C. (1996). La psicoterapia. In L'Ambulatorio Psichiatrico Pubblico (ed. Ceroni, G. Berti e Paltrinieri, E.). La Nuova Italia Scientifica: Roma.Google Scholar
Grassi, A., Rizzoli, P. & Paltrinieri, E. (1999). Fattori predittivi e followup a un anno della psicoterapia in un Centro di Salute Mentale. Rivista Sperimentale di Freniatria 123, 5361.Google Scholar
Grigoletti, L., Amaddeo, F, Grassi, A., Boldrini, M., Chiappelli, M., Percudani, M., Catapano, F., Fiorillo, A., Bartoli, L., Bacigalupi, M., Albanese, P., Simonetti, S., Perali, F., e Agostani, P., Tansella, M. & Gruppo I-psycost (2006). La valutazione di un nuovo sistema di finanziamento dei Dipartimenti di Salute Mentale: risultati di uno studio multicentrico nazionale (I-psycost study). Epidemiologia e Psichiatria Sociale 15, 295306.Google Scholar
Guthrie, E., Moorey, J., Margison, F., Barker, H., Palmer, S., McGrath, G., Tomenson, B. & Creed, F. (1999). Cost-effectiveness of brief psychodynamic-interpersonal therapy in high utilizers of psychiatric services. Archives of General Psychiatry 56, 519526.CrossRefGoogle ScholarPubMed
Hall, J., Caleo, S., Stevenson, J. & Meares, R. (2001). An economic analysis of psychotherapy for borderline personality disorder patients. Journal of Mental Health Policy and Economics 4, 38.Google ScholarPubMed
Kendall, P.C. (1998). Empirical supported psychological treatment. Journal of Consulting and Clinical Psychology 66, 36.CrossRefGoogle Scholar
Lave, J.R., Frank, R.G., Schulberg, H.C. & Kamlet, M.S. (1998). Costeffectiveness of treatments for major depression in primary care practice. Archives of General Psychiatry 55, 645651.CrossRefGoogle Scholar
Lo Verso, G. (a cura di) (1989). La Psicoterapia nei Servizi Pubblici. Giuffrè: Milano.Google Scholar
Lomazzi, L., Fava, E., Landra, S., D'Angelo, P., Lammoglia, M., Pazzi, E., Calini, P., Arduini, L., Barattini, D. & Carta, I. (1997). Le psicoterapie nei centri psicosociali della Lombardia: il punto di vista di psichiatri e psicologi. Epidemiologia e Psichiatria Sociale 3, 184193.CrossRefGoogle Scholar
McDaid, D., Knapp, M., Curran, C. & the MHEEN Group. (2006). Meeting tha challenge of funding and allocating resources to mental health across Europe: developing the Mental Health Economics European Network. Epidemiologia e Psichiatria Sociale 15, 117122.CrossRefGoogle Scholar
Miller, P., Chilvers, C, Dewey, M., Fielding, K., Gretton, V., Palmer, B., Weller, D., Churchill, R., Williams, I., Bedi, N., Duggan, C, Lee, A. & Harrison, G. (2003). Counseling versus antidepressant therapy for the treatment of mild to moderate depression in primary care: economic analysis. International Journal of Technology Assessment in Health Care 19, 8090.CrossRefGoogle ScholarPubMed
Minenna, M.G., Chiappelli, M., e Santis, F., Nanetti, C, Persichella, C. & Grassi, A. (2004). L'offerta strutturata di psicoterapia in un centro di salute mentale: un progetto possibile. Psichiatria di Comunità 3, 177185.Google Scholar
Minguzzi, G.F. (a cura di) (1986). Il Divano e la Panca. Franco Angeli: Milano.Google Scholar
Monari, M., Beltrami, M.G., Berti Ceroni, F., Bonatti, L., Gallo, E., Neri, C, Ricciutello, N., Rizzardi, F., Solinas, F. & Tomelli, A. (2001). Dalla ricerca sull'efficacia della psicoterapia psicodinamica alia buona pratica clinica nei servizi pubblici: una proposta operativa. Psichiatria di Comunità 1, 1-2, 1022.Google Scholar
Moos, R.H., McCoy, L. & Moos, B.S. (2000). Global assessment of functioning (GAF) ratings: determinants and role as predictors of oneyear treatment outcomes. Journal of Clinical Psychology 56, 449461.3.0.CO;2-8>CrossRefGoogle Scholar
Morlino, M., Martucci, G., Amendola, D. & Muscettola, G. (1993). Interventi psicoterapici nei dipartimenti di salute mentale di Napoli: un'indagine sulle scelte e sulla qualificazione degli operatorie. Rivista Sperimentale di Freniatria 118, 648659.Google Scholar
Morlino, M., Martucci, G., Formato, A. & Basciano, M.G. (1996). Psicoterapia nei D.S. M. della Campania: un confronto tra area urbana e area rurale. Rivista Sperimentale di Freniatria 120, 713724.Google Scholar
Muller, P. & Schoneich, D. (1992). Effect of combined pharmaco- and psychotherapy in schizophrenia ambulatory care on rehospitalization incidents and treatment costs. Psychiatrische Praxis 19, 9195.Google ScholarPubMed
Nucleo di Valutazione Progetto QUALI DSM, Regione Lazio (1998). Monitoraggio, Valutazione e Programmazione dei DSM. Epidemiologia e Psichiatria Sociale, Monograph Supplement No. 3.Google Scholar
Olfson, M. & Pincus, H.A. (1994). Outpatient psychotherapy in the United States, I: Volume, costs, and user characteristics. American Journal of Psychiatry 151, 12811288.Google ScholarPubMed
Rezzonico, G. & Lambruschi, F. (a cura di) (1996). La Psicoterapia Cognitiva nei Servizio Pubblico. Franco Angeli: Milano.Google Scholar
SPSS (2001). Statistical Packages for Social Sciences. Release 11.0 for Windows. SPSS Inc.: Chicago.Google Scholar
STATA Corporation (2004). STATA Statistical Software. Release 8.0. Texas: College Station.Google Scholar
Tibaldi, G., Glover, G., Costa, G., Petrelli, A. & Munizza, C. (2006). Deprivazione sociale e salute mentale. Le esperienze di ricerca e di allocazione delle risorse sanitarie nei Regno Unito e la loro possibilità di “traduzione” nei contesto italiano. Epidemiologia e Psichiatria Sociale 15, 211218.CrossRefGoogle Scholar
Von Korff, M., Katon, W., Bush, T., Lin, E.H., Simon, G.E., Saunders, K., Ludman, E., Walker, E. & Unutzer, J. (1998). Treatment costs, cost offset, and cost-effectiveness of collaborative management of depression. Psychosomatic Medicine 60(2), 143149.CrossRefGoogle Scholar
World Health Organization (2003). Mental Health Policy and Service Guidance Package - Quality Improvement for Mental Health. WHO: Geneva.Google Scholar
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