Results of a pilot randomised controlled trial to measure the clinical and cost effectiveness of peer support in increasing hope and quality of life in mental health patients discharged from hospital in the UK

Simpson, Alan; Flood, Chris; Rowe, Julie; Quigley, Jody; Henry, Susan; Hall, Cerdic; Evans, Richard; Sherman, Paul; Bowers, Len

doi:10.1186/1471-244X-14-30

Table 3 Cost per patient by treatment arm (£ Sterling 2010 prices)

From: Results of a pilot randomised controlled trial to measure the clinical and cost effectiveness of peer support in increasing hope and quality of life in mental health patients discharged from hospital in the UK

		PSW arm			Control arm
		(N = 6)			(N = 9)
		Total cost						Mean difference
Type of cost	Detail of costs	Mean	(SD)	%	Mean	(SD)	%	(PSW - control)	(95% CI)		P
Primary care		126	703	6	317	423	16	191	418	−37	0.11
	Total drugs	38	117	2	160	257	8	122	252	−7	0.07
	General practitioner	88	211	4	147	187	8	58	186	−70	0.38
	Dentist	0	0	0	4	15	0	4	11	−3	0.31
	Physiotherapist	0	0	0	6	27	0	0	0	19	0.00
Secondary care
	Accident & emergency for non psychiatric care	5	22	0	0	0	0	−5	−5	−15	0.34
Mental health service		2005	4930	93	1622	3016	84	−382	2236	−3000	0.77
	CRHTT psychiatric visits	20	87	1	0	0	0	−20	19	−59	0.53
	CRHTT nurse visits	6	27	0	24	83	1	18	58	−22	0.38
	CRHTT OT visits	0	0	0	19	82	1	19	57	−19	0.31
	CMHT psychiatric visits	106	299	5	33	83	2	72	647	−71	0.32
	CMHT nurse visits	18	77	1	9	40	0	−8	31	−48	0.68
	CMHT OT visits	10	34	0	39	89	2	29	72	−15	0.20
	AOT social worker visits	0	0	0	39	164	2	39	114	−37	0.31
	AOT OT visits	0	0	0	3	14	0	3	10	−3	0.31
	Psychologist visits	0	0	0	68	230	4	68	174	−39	0.21
	Other doctor visits	7	29	0	0	0	0	−7	6	−20	0.34
	Drug & alcohol advisor visits	16	59	1	0	0	0	−16	10	−43	0.26
	Peer support worker visits	9	6	0	0	0	0	−9	−6	−12	0.00
	Other counselor/therapist visits	0	0	0	18	54	1	18	−7	43	0.16
	Care co-ordinator	6	27	0	10	41	1	4	26	−19	0.75
	Housing support worker	8	33	0	16	67	1	8	43	−26	0.63
	Community mental health centre visits	18	78	1	0	0	0	18	17	−53	0.34
	Daycare centre/day hospital visits	205	750	10	338	840	18	133	647	−381	0.61
	Telephone crisis line calls	0	0	0	6	18	0	6	15	−2	0.14
	Psychiatric admission	1648	4981	77	965	3001	50	−684	1950	−3318	0.61
Total cost to health service		2136	4919	99	1922	3046	100	−213	2408	−2835	0.87
Total cost to criminal justice system		18	60	1	0	0	0	−18	9	−45	0.22
	Police contact	4	19	0	0	0	0	−4	4	−13	0.34
	Police doctor	13	58	1	0	0	0	−13	13	−40	0.34
Total cost per case		2154	4919	100	1922	3046	100	−231	−2853	2390	0.86

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ISSN: 1471-244X

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