Department of Psychological Medicine, University of Sydney, Westmead Hospital, Westmead, New South Wales 2145, Australia. Email: < firstname.lastname@example.org>
Psychotherapy with borderline patients: II. A preliminary cost benefit study
Article first published online: 24 DEC 2001
Australian and New Zealand Journal of Psychiatry
Volume 33, Issue 4, pages 473–477, August 1999
How to Cite
Stevenson, J. and Meares, R. (1999), Psychotherapy with borderline patients: II. A preliminary cost benefit study. Australian and New Zealand Journal of Psychiatry, 33: 473–477. doi: 10.1046/j.1440-1614.1999.00595.x
- Issue published online: 24 DEC 2001
- Article first published online: 24 DEC 2001
- cost benefit;
Objective: The aim of this study was to conduct a preliminary cost benefit study of the effect of outpatient psychotherapy, twice a week for 1 year, in 30 borderline patients.
Method: Costs to the health system in terms of inpatient care for the year before treatment were compared with the costs for the year following treatment.
Results: The cost of hospital admissions for the 30 patients for the year before treatment was $684 346 (range = $0–$143 756/patient). The cost of hospital admissions for the year after treatment was $41 424 (range = $0–$12 333/patient). These figures represent an average decrease in costs per patient of $21 431. By using the schedule fee as the basis, the estimated cost of therapy per patient was approximately $13 000, representing a saving/patient of $8431 or approximately $250 000 over the total cohort in the first year after treatment.
Conclusion: This study suggests that there is a significant cost benefit in the appropriate treatment of borderline patients.