it depends on the kind of outcomes You are looking for.
I'm also studing outcomes in psychosis , focusing on 18-55 life years. and this an exemple of our results.
we are now collecting data of 120 patients from 1985 to 2012, to see better the results in a longer perspective.
The mental health care in the Sanitary District of Amandola (FM)
T. Damiani1, M. Passamonti 2, T. On Angelo2, N. Kardos2, N. Raffaelli3, F. 3 Rossi, V. Barchetti3, M.G. 3 Ciarrocchi, P. 3 Deales, G. Fiori3, G. 3 Gallo, M. Gaspari3, L. Liberati3, B. Maddalena3, A. Pucci3, A. Sacconi3, L. 3 Siliquini, D. Vallesi3, G. Giannini4, S. Pacifici4, M. Mariani1.
1ASUR Marche - Z.T. AP 13, Department of Mental Health; 2ASUR Marche - ZT AP 13, District of Amandola, 3Medici of General Medicine, ASUR Marche - ZT AP 13, District of Amandola, 4 Psychologists, Project Relief, Marche Region XXIV Territorial Area.
In the Sanitary District of Amandola (11 municipalities of the Sibillini Mountain Community, south of the Marche region) we have performed a ten years follow up (1998-2008) of a cohort consisting of 85 patients aged between 18 and 55 years and followed by serious illness, ICD 295-296-297 and 301.
The decision to limit the study to patients under 55 years of age was determined by the choice of observing these patients in theyr working-age, limiting pollution data because of degenerative phenomena induced by ageeing.
It was calculated for each patient the annual number of admissions to SPDC(acute psychiatric wards) at Hospital "Mazzoni" of Ascoli Piceno and psychiatric clinic of ascoli piceno (subacute hospitalization), it was also calculated the annual cost per patient of-hospital care (home visits and outpatient).
There have been 39 patients who underwent admissions to SPDC (22 patients had only one and 16 with more than one admission), while 46 patients had no hospitalization in the period observed (1998-2008).
The total cost for hospital care is € 114,320.00 and the minimum and maximum costs for hospital costs respectively € 2,465.00 and € 8.000,00. The total cost for the service area is € 47,245.00, the minimum and maximum cost for the area (visit and drugs) are respectively € 17.16 (for 1 outpatient visit /year) and € 588.94 (18 home visits/year + long acting drugs). Costs are defined in accordance with regional rates at DGRM 2265/02.
The data in our record indicate a low costs of the hospital psychiatric care in planning, much less than for other studies, and the containment of retirement to illness.
The joint work between the district health workers and hospital of Amandola, general practitioners, social workers and mental health dept. social network, has achieved these results in terms of health and social spending.
Next this survey has now reached the second year the survey of subjective health status among the same patients, with the administration of the SF36 questionnaire and to the own family members from this year it was proposed the questionnaire QOL-Proxy.
A further current study is the longitudinal assessment of cognitive deficits in patients followed for serious disease. In this case the patient is proposed to carry the battery of neuropsychological tests each year.