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Psychiatric Bulletin (1996) 20: 413-417. doi: 10.1192/pb.20.7.413
© 1996 The Royal College of Psychiatrists
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Cost-offset following specialist treatment of severe personality disorders

B. M. Dolan, Research Fellow and Hon. Lecturer in Forensic Psychiatry*, F. M. Warren, Psychology Research Assistant, D. Menzies, Senior Registrar in Psychotherapy and K. Norton, Consultant Psychotherapist and Hon. Senior Lecturer

Henderson Hospital, 2 Homeland Drive, Sutton, Surrey, SM2 5LT, and St. George's Hospital Medical School, Section of Forensic Psychiatry, Tooting, London, SW17 0RE

* Correspondence: Dr Bridget Dolan, Henderson Hospital, Sutton, Surrey SM2 5LT

Service usage of 24 patients with a personality disorder was established for one year pre-treatment and one year post-treatment via a prospective survey of the patients, their original referrer and their general practitioner. The average annual cost of psychiatric and prison services (calculated from extra-contractual referrals (ECR) tariffs and Home Office data) was £13 966 pre-treatment compared to £1308 post-treatment, representing a cost-offset of £12 658 per patient per year. The average cost of the specialist admission was £25 641. Thus the cost to the Nation for treating these personality disordered patients in a tertiary treatment resource would be recouped within two years and represent a saving thereafter.




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Copyright © 1996 The Royal College of Psychiatrists.