Cost effectiveness of interpersonal community psychiatric treatment for people with long-term severe non-psychotic mental disorders: protocol of a multi-centre randomized controlled trial

BMC Psychiatry

Theo van Achterberg³  Lisette Schoonhoven⁶  Steven Teerenstra²  Eddy Adang²  Debby Postulart⁵  Niels Mulder¹  Bauke Koekkoek⁷  Mark van Veen⁴ 

[1] Department of Psychiatry, Erasmus MC, University Medical Center, Rotterdam 3000, CA, The Netherlands;Epidemiology, Biostatistics & Health Technology Assessment, Radboud University Medical Center, Geert Grooteplein Zuid 10, Nijmegen 6525, GA, The Netherlands;Centre for Health Services and Nursing Research, Kapucijnenvoer 35 blok d, Leuven, 3000, Belgium;Altrecht Mental Health Services, Oude Arnhemseweg 260, Zeist 3705, BK, The Netherlands;Department of Research and Development, GGZ Oost Brabant Mental Health Services, Boekel 5427, ZG, The Netherlands;Faculty of Health Sciences Highfield, Southampton, University of Southampton, Southampton, SO17 1BJ, UK;Pro Persona Mental Health Services, Wolfheze 2 ProCES, Renkum 6874, BE, The Netherlands

关键词: Cost-effectiveness;    Cluster randomized controlled trial;    Long-term care;    Community mental health care;    Severe mental illness;   

Others  :  1178983
DOI  :  10.1186/s12888-015-0476-z

 received in 2014-12-03, accepted in 2015-04-23,  发布年份 2015

【 摘 要 】

Background

This study aims for health gain and cost reduction in the care for people with long-term non-psychotic psychiatric disorders. Present care for this population has a limited evidence base, is often open ended, little effective, and expensive. Recent epidemiological data shows that 43.5% of the Dutch are affected by mental illness during their life. About 80% of all patients receiving mental health services (MHS) have one or more non-psychotic disorders. Particularly for this group, long-term treatment and care is poorly developed. Care As Usual (CAU) currently is a form of low-structured treatment/care. Interpersonal Community Psychiatric Treatment (ICPT) is a structured treatment for people with long-term, non-psychotic disorders, developed together with patients, professionals, and experts. ICPT uses a number of evidence-based techniques and was positively evaluated in a controlled pilot study.

Methods/Design

Multi-centre cluster-randomized clinical trial: 36 professionals will be randomly allocated to either ICPT or CAU for an intervention period of 12 months, and a follow-up of 6 months. 180 Patients between 18–65 years of age will be included, who have been diagnosed with a non-psychotic psychiatric disorder (depressive, anxiety, personality or substance abuse disorder), have long-term (>2 years) or high care use (>1 outpatient contact per week or >2 crisis contacts per year or >1 inpatient admission per year), and who receive treatment in a specialized mental health care setting. The primary outcome variable is quality of life; secondary outcomes are costs, recovery, general mental health, therapeutic alliance, professional-perceived difficulty of patient, care needs and social contacts.

Discussion

No RCT, nor cost-effectiveness study, has been conducted on ICPT so far. The empirical base for current CAU is weak, if not absent. This study will fill this void, and generate data needed to improve daily mental health care.

Trial registration

Netherlands Trial Register (NTR): 3988. Registered 13th of May 2013.

【 授权许可】

   
2015 van Veen et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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