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Making the business case for effective interventions for people with schizophrenia and psychosis

Martin Knapp, Alison Andrew, David McDaid, Valentina Iemmi, Paul McCrone, A-La Park, Michael Parsonage, Jed Boardman, Geoff Shepherd

15 April 2014

Spending on services for people with psychosis is currently skewed towards the more expensive parts of the system, at £350 average cost per day for inpatient care compared with £13 per day in some community settings.

This report provides the most up-to-date economic evidence to support the business case for investment in effective, recovery-focused services. Drawing on a wide range of data, evidence for the cost-effectiveness of these recovery-focused interventions is set out:

  • Early Detection (ED) services
  • Early Intervention (EI) teams
  • Individual Placement and Support (IPS)
  • Family therapy
  • Criminal justice liaison and diversion
  • Physical health promotion, including health behaviours
  • Supported housing
  • Crisis Resolution and Home Treatment (CRHT) teams
  • Crisis houses
  • Peer support
  • Self-management
  • Cognitive Behavioural Therapy (CBT)
  • Anti-stigma and discrimination campaigns
  • Personal Budgets (PBs)
  • Welfare advice


Audience: local and national commissioners

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