Table 3.
Cost results (in GBP, for year 2016/17).
| Before Trial Costs (Extrapolated) | During Trial Costs | Before Trial vs. During Trial Costs | ||||||
|---|---|---|---|---|---|---|---|---|
| PoMeT (n = 48) | TAU (n = 46) | PoMET vs. TAU | PoMeT (n = 48) | TAU (n = 46) | PoMeT vs. TAU | PoMeT (n = 48) | TAU (n = 46) | |
| Cost category | Mean (SD) | Mean (SD) | Diff (95% CI) | Mean (SD) | Mean (SD) | Diff (95% CI) | Diff (95% CI) | Diff (95% CI) |
| (A) Mental Health (MH) Community, Outpatient and Inpatient Care | 2015 (3414) | 2274 (6093) | −259 (−2303 to 1785) | 1636 (2304) | 1370 (1798) | 265 (−580 to 1110) | 379 (−705 to 1464) | 904 (−878 to 2685) |
| MH Community Care | 1253 (2191) | 1070 (1530) | 183 (−589 to 955) | 891 (996) | 1111 (1743) | −220 (−807 to 367) | 363 (−109 to 835) | −41 (−637 to 556) |
| Drop-in Center | 425 (1339) | 208 (632) | 217 (−212 to 645) | 205 (509) | 203 (532) | 2 (−211 to 216) | 220 (−99 to 539) | 6 (−142 to 154) |
| Community Psychiatrist | 0 | 0 | 0 | 5 (23) | 5 (14) | −0.2 (−8 to 8) | −5 (−11 to 2) | −5 (−9 to −1) |
| Community Psychologist | 48 (334) | 0 | 48 (−49 to 145) | 3 (19) | 56 (291) | −53 (−140 to 33) | 46 (−52 to 143) | −56 (−142 to 31) |
| CPN | 373 (343) | 437 (652) | −63 (279 to 152) | 414 (411) | 438 (443) | −25 (−200 to 151) | −41 (−181 to 101) | −2 (−193 to 190) |
| Self Help Group | 332 (844) | 396 (992) | −64 (−442 to 314) | 222 (496) | 404 (1442) | −182 (−631 to 268) | 110 (−56 to 277) | −8 (−504 to 489) |
| Drug Alcohol Support | 75 (398) | 29 (139) | 46 (−76 to 168) | 43 (234) | 6 (33) | 37 (−31 to 106) | 32 (−16 to 80) | 24 (−10 to 58) |
| MH Outpatient Care | 393 (948) | 353 (399) | 40 (−257 to 338) | 263 (266) | 259 (209) | 3 (−94 to 101) | 131 (−160 to 421) | 94 (−30 to 218) |
| Outpatient Psychiatrist | 269 (251) | 314 (392) | −45 (−181 to 91) | 225 (199) | 227 (149) | −2 (−74 to 70) | 44 (−35 to 122) | 87 (−22 to 196) |
| Outpatient Psychologist | 124 (862) | 39 (149) | 85 (−168 to 339) | 37 (177) | 32 (151) | 5 (−62 to 72) | 87 (−170 to 344) | 7 (−58 to 71) |
| MH Inpatient Care | 368 (2550) | 850 (5581) | −482 (−2284 to 1319) | 482 (164) | 0 | 482 (−146 to 1110) | −113 (−1031 to 803) | −850 (−807 to 2508) |
| (B) Psychiatric Medication | 1006 (1011) | 839 (890) | 167 (−223 to 556) | 1359 (1338) | 1197 (779) | 162 (−401 to 726) | −353 (−566 to −141) * | −358 (−688 to −28) * |
| (C) Intervention (PoMeT) | 0 | 0 | 0 | 823 (354) | 0 | 823 (721 to 927) * | −823 (−927 to −721) * | 0 |
| MH Care: A + B + C | 3021 (3795) | 3113 (6272) | −92 (−2234 to 2049) | 3818 (2803) | 2567 (2370) | 1251 (185 to 2316) * | −798 (−1966 to 371) | 546 (−1291 to 2382) |
| (D) Non-Mental Health Care | 888 (1729) | 1112 (2058) | −224 (−1005 to 556) | 758 (1180) | 2247 (1014) | −1489 (−3557 to 578) | 130 (−305 to 565) | −1135 (−3284 to 914) |
| Primary Care | 182 (220) | 212 (254) | −30 (−127 to 67) | 175 (175) | 162 (166) | 13 (−56 to 83) | 7 (−32to 45) | 50 (−22 to 123) |
| General Practitioner (GP) | 163 (210) | 196 (245) | −33 (−127 to 60) | 150 (170) | 143 (159) | 7 (−60 to 75) | 12 (−21 to 46) | 53 (−17 to 122) |
| GP Practice Nurse | 19 (35) | 16 (32) | 3 (−11 to 17) | 25 (38) | 18 (30) | 6 (−8 to 20) | −6 (−16 to 5) | −2 (−15 to 10) |
| NMH Community Care | 279 (423) | 244 (379) | −35 (−129 to 199) | 218 (268) | 367 (720) | −148 (−375 to 78) | 61 (−58 to 181) | −123 (−362 to 117) |
| Community District Nurse | 11 (62) | 7 (50) | 4 (−19 to 27) | 25 (119) | 13 (57) | 11 (−26 to 49) | −14 (−33 to 5) | −6 (−29 to 17) |
| Occupational Therapy | 6 (44) | 28 (190) | −22 (−79 to 36) | 4 (15) | 98 (553) | 50 (−29 to 129) | 2 (−12 to 16) | −70 (−244 to 104) |
| Physiotherapy | 0 | 10 (65) | −10 (−29 to 10) | 9 (45) | 22 (77) | −14 (−40 to 13) | −9 (−22 to 5) | −13 (−35 to 10) |
| Emergency Services | 59 (246) | 24 (112) | 35 (−43 to 114) | 20 (79) | 77 (185) | −57 (−116 to 2) | 39 (−24 to 103) | −53 (−120 to 13) |
| Alternative Care | 25 (171) | 0 | 25 (−25 to 74) | 0 | 9 (58) | −9 (−26 to 9) | 25 (−25 to 74) | −9 (−26 to 9) |
| Other Health Care | 178 (302) | 176 (234) | 3 (−108 to 113) | 161 (189) | 148 (186) | 12 (−64 to 89) | 18 (−67 to 103) | 28 (−53 to 108) |
| NMH Out- and Daypatient Care | 221 (592) | 446 (1294) | −226 (−643 to 192) | 164 (328) | 286 (759) | −122 (−365 to 121) | 57 (−98 to 213) | 161 (−267 to 589) |
| Accident and Emergency | 28 (108) | 48 (167) | −20 (−78 to 38) | 41 (114) | 48 (112) | −7 (−53 to 40) | −14 (−61 to 34) | 0 (−62 to 62) |
| NMH Outpatient | 130 (319) | 399 (1267) | −269 (−655 to 117) | 102 (245) | 175 (408) | −73 (−212 to 66) | 28 (−84 to 139) | 224 (−142 to 589) |
| Daypatient | 64 (441) | 0 | 64 (−64 to 192) | 21 (123) | 63 (367) | −42 (−156 to 72) | 43 (−50 to 136) | −63 (−172 to 46) |
| NMH Inpatient Care | 206 (1151) | 209 (992) | −3 (−443 to 436) | 201 (839) | 1433 (6379) | −1232 (−3141 to 676) | 5 (−372 to 383) | −1224 (−3155 to 708) |
| Health Care: A + B + C + D | 3909 (3887) | 4225 (6893) | −317 (−2631 to 1998) | 4576 (2894) | 4814 (7238) | −239 (−2532 to 2055) | −668 (−1876 to 541) | −589 (−3483 to 2304) |
| (E) Social Care | 784 (1836) | 1520 (4282) | −736 (−2016 to 633) | 1118 (2438) | 745 (2397) | 373 (−618 to 1363) | −335 (−931 to 261) | 775 (−504 to 2054) |
| Social Worker | 180 (546) | 793 (3686) | −613 (−1718 to 492) | 254 (522) | 208 (473) | 46 (−157 to 250) | −74 (−261 to 112) | 585 (−440 to 1610) |
| Home Helper | 103 (698) | 78 (519) | 25 (−226 to 277) | 29 (181) | 172 (1058) | −143 (−461 to 175) | 74 (−136 to 285) | −94 (−255 to 67) |
| Housing Worker | 4 (22) | 35 (110) | −32 (−65 to 1) | 31 (178) | 21 (97) | 10 (−48 to 69) | −28 (−79 to 24) | 15 (−13 to 42) |
| Community Support Worker | 478 (1544) | 561 (1963) | −83 (−809 to 643) | 789 (2180) | 334 (1110) | 454 (−253 to 1162) | −311 (−1024 to 403) | 227 (−385 to 838) |
| Volunteer Helper | 19 (93) | 53 (215) | −34 (−103 to 35) | 15 (56) | 11 (53) | 4 (−18 to 27) | 4 (−27 to 35) | 43 (−17 to 103) |
| Health and Social Care: A + B + C + D + E | 4692 (4324) | 5746 (7721) | −1054 (−3643 to 1535) | 5694 (3997) | 5560 (7588) | 134 (−2378 to 2646) | −1002 (−2661 to 257) | 186 (−2857 to 3229) |
| (F) Total Indirect Costs | 1617 (3070) | 4920 (13782) | −3303 (−7482 to 876) | 2300 (4607) | 2762 (5894) | −462 (−2638 to 1713) | −683 (−1924 to 558) | 2158 (−1367 to 5683) |
| Lost Productivity (days) | 49 (301) | 298 (1502) | −250 (−704 to 204) | 176 (1027) | 95 (457) | 81 (−244 to 406) | −127 (−338 to 84) | 203 (−236 to 643) |
| Informal Care | 1568 (3081) | 4521 (13750) | −3053 (−7224 to 1117) | 2124 (4489) | 2667 (5908) | −543 (−2702 to 1616) | −556 (−1765 to 653) | 1954 (−1547 to 5456) |
| Societal: A + B + C + D + E + F | 6309 (5344) | 10666 (15826) | −4357 (−9283 to 569) | 7994 (6623) | 8322 (9843) | −328 (−3836 to 3081) | −1685 (−3444 to 73) | 2344 (−2474 to 7161) |
PoMeT: PoMeT intervention group, TAU: Treatment As Usual group, * p < 0.05, italics: summary cost sub-categories, bold: summary cost categories.