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Economic impact of early intervention in psychosis services: results from a longitudinal retrospective controlled study in England

Overview of attention for article published in BMJ Open, October 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (98th percentile)
  • High Attention Score compared to outputs of the same age and source (96th percentile)

Mentioned by

news
3 news outlets
blogs
1 blog
twitter
179 tweeters
facebook
2 Facebook pages

Citations

dimensions_citation
23 Dimensions

Readers on

mendeley
70 Mendeley
Title
Economic impact of early intervention in psychosis services: results from a longitudinal retrospective controlled study in England
Published in
BMJ Open, October 2016
DOI 10.1136/bmjopen-2016-012611
Pubmed ID
Authors

Apostolos Tsiachristas, Tony Thomas, Jose Leal, Belinda R Lennox

Abstract

To demonstrate the costs, outcomes and economic impact of early intervention in psychosis (EIP) services. Longitudinal retrospective observational study of service usage and outcome data from mental health and acute care services for all those with a diagnosis of psychosis in contact with mental health services over a 3-year period (April 2010-March 2013). Thames Valley and South Midlands region in England (region covered by Oxford Academic Health Science Network). 3674 people with psychosis, aged 16-35 years. EIP team or other community mental health teams. Change in housing status, change in employment status and improvement on each of the four domains of the Health of the Nation Outcome Scale (HONOS) questionnaire. Costs of mental and acute health inpatient, outpatient and community service use were also included in the study. Patients in EIP services were 116% more likely (95% CI 1.263 to 3.708) to gain employment, 52% more likely to become accommodated in a mainstream house (95% CI 0.988 to 2.326) and 17% more likely to have an improvement in the emotional well-being domain of the HONOS questionnaire (95% CI 1.067 to 1.285), as compared to those in non-EIP services. Annual National Health Service (NHS) costs were also significantly lower for patients using EIP services compared to non-users. The mean annual NHS cost savings associated with EIP were £4031 (95% CI £1281 to £6780). These mostly came from lower mental health inpatient costs (£4075, 95% CI £1164 to £6986), lower acute hospital outpatient costs (£59, 95% CI £9 to £109), lower accident and emergency costs (£31, 95% CI £12 to £51), and higher mental health community costs (£648, 95% CI £122 to £1175). If all people with a first-episode psychosis across England were to be treated by EIP services, the savings in societal costs would be an estimated £63.3 million per year, of which £33.5 million would be in NHS costs. Treatment within an EIP service is associated with better health and social outcomes, and reduced costs.

Twitter Demographics

The data shown below were collected from the profiles of 179 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 1%
Canada 1 1%
Unknown 68 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 13 19%
Student > Master 12 17%
Unspecified 8 11%
Other 7 10%
Student > Ph. D. Student 7 10%
Other 23 33%
Readers by discipline Count As %
Medicine and Dentistry 22 31%
Psychology 21 30%
Unspecified 12 17%
Social Sciences 5 7%
Sports and Recreations 2 3%
Other 8 11%

Attention Score in Context

This research output has an Altmetric Attention Score of 163. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 October 2019.
All research outputs
#90,594
of 13,895,815 outputs
Outputs from BMJ Open
#210
of 12,550 outputs
Outputs of similar age
#4,236
of 291,098 outputs
Outputs of similar age from BMJ Open
#14
of 411 outputs
Altmetric has tracked 13,895,815 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 12,550 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 17.9. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 291,098 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 411 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 96% of its contemporaries.