@article{ref1,
title="The cost-effectiveness of the Improving Access to Psychological Therapies (IAPT) programme in severe mental illness: a decision analytical model using routine data",
journal="Community mental health journal",
year="2019",
author="Zala, Darshan and Brabban, Alison and Stirzaker, Alex and Kartha, Muralikrishnan Radhakrishnan and McCrone, Paul",
volume="55",
number="5",
pages="873-883",
abstract="This is the first site level economic evaluation of the Improving Access to Psychological Therapies programme for severe mental illness (IAPT-SMI) that is funded by NHS England. It also aims to illustrate the challenges involved in evaluations based on routine data with low internal validity. Six IAPT-SMI pilot sites treated 1 of 2 clinical groups: (i) psychosis or bipolar disorder; (ii) personality disorder. A decision analytical model nested in a before-after framework- the same patients 12 months after treatment versus 12 months before treatment-was used to compare the cost-effectiveness of IAPT-SMI with treatment as usual (TAU). IAPT-SMI appears to be more costly overall but save non-psychological treatment costs. There is evidence it may improve function and lower incidence of harmful behaviour. However, there is a need for evaluations with a more conventional study design that measure a more comprehensive array of resource use and clinical outcomes.<p /> <p>Language: en</p>",
language="en",
issn="0010-3853",
doi="10.1007/s10597-019-00390-z",
url="http://dx.doi.org/10.1007/s10597-019-00390-z"
}