Investing in recovery

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