Table 3.
Cost of services pre- and post-diagnosis by groups defined by receipt of specialist care
| Pre-diagnosis | Post-diagnosis | Whole period | ||||
|---|---|---|---|---|---|---|
| Specialist | Non-specialist | Specialist | Non-specialist | Specialist | Non-specialist | |
| In-patient services | ||||||
| Non-forensic in-patient | 28 396 (70 706)** | 42 945 (100 289) | 44 317 (89 539)** | 59 335 (149 347) | 52 408 (104 312)** | 75 678 (178 304) |
| Forensic in-patient | 12 227 (8122) | 42 501 (57 795) | 54 620 (45 851) | 94 782 (88 999) | 54 284 (45 988)* | 109 069 (92 536) |
| Community services | ||||||
| Adult | 1826 (3660)* | 1587 (4599) | 2817 (4975)** | 2002 (4929) | 3712 (6154)** | 2754 (6467) |
| Child and adolescent mental health services | 7016 (10 280)** | 3670 (5840) | 5630 (9567) | 4575 (7867) | 8698 (13 066)** | 5528 (8934) |
| Older adult | 391 (520) | 1142 (1778) | 385 (976)* | 1497 (2604) | 455 (1052)** | 2038 (3031) |
| Dialectical behaviour therapy | 1006 (1226) | − | 3029 (3331) | − | 3102 (3397) | − |
| Complex emotional needs | 1858 (6517) | − | 5656 (13 219) | − | 5726 (13 376) | − |
| Forensic out-patient | 811 (1630)** | 4764 (8466) | 2382 (6560)** | 9676 (14 633) | 2168 (6099)** | 10 177 (15 384) |
| Homeless | 1387 (1395) | 1588 (3065) | 1907 (1424) | 3231 (5226) | 2210 (2195) | 3184 (5310) |
| Addictions | 2252 (4161)* | 3049 (4722) | 2402 (3907)** | 3261 (5183) | 2831 (5021)** | 4260 (6837) |
| Rehab | 4929 (10 068) | 8713 (16 968) | 11 622 (26 604) | 17 692 (42 831) | 10 588 (24 479)* | 17 711 (40 265) |
| Total in-patient cost | 7111 (37 503)* | 9685 (50 954) | 15 470 (57 448) | 18 588 (85 334) | 22 582 (73 694)* | 28 273 (112 541) |
| Total community cost | 3045 (7154)** | 1846 (5760) | 8547 (15 640)** | 3678 (11 538) | 11 592 (17 554)** | 5524 (13 519) |
| Total cost | 10 156 (39 251) | 11 531 (53 111) | 24 017 (63 990) | 22 266 (88 204) | 34 174 (80 316) | 33 797 (116 221) |
All costs are mean (s.d.) GBP, 2016–2017.
*P < 0.05, **P < 0.01.