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  • Title: Community mental health care for former hospital in-patients. Predicting costs from needs and diagnoses.
    Author: Knapp M, Beecham J, Fenyo A, Hallam A.
    Journal: Br J Psychiatry Suppl; 1995 Apr; (27):10-8. PubMed ID: 7794588.
    Abstract:
    BACKGROUND: In the UK the replacement of long-term in-patient care with community-based support has been part of central government health policy for many years. One of the challenges of implementing such a policy is the prediction of support and service needs in the community and the associated costs. METHOD: Using research data from north London analyses were undertaken to examine the associations between service use and costs in the community and the characteristics of hospital in-patients. RESULTS: Although clinical diagnosis was not a useful predictor of either service utilisation or costs, more than a third of the variation in community care costs could be explained by symptoms, behaviour and personal characteristics at least one year earlier.
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