Individual Health Budgets in Mental Health: Results of Its Implementation in the Friuli Venezia Giulia Region, Italy
| Autor: | Davide Tossut, Morena Furlan, Elisa Fontecedro, Elisabetta Pascolo-Fabrici, Barbara D'Avanzo, Luis Salvador-Carulla, Matteo Balestrieri, Giulio Castelpietra |
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| Přispěvatelé: | Fontecedro, Elisa, Furlan, Morena, Tossut, Davide, PASCOLO-FABRICI, Elisabetta, Balestrieri, Matteo, Salvador-Carulla, Lui, D’Avanzo, Barbara, Castelpietra, Giulio |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Budgets Male personalized care Gerontology mental disorder Health Toxicology and Mutagenesis media_common.quotation_subject Family support lcsh:Medicine Social issues Logistic regression Article Young Adult recovery 03 medical and health sciences 0302 clinical medicine Individual Health Budget Intervention (counseling) Health care Humans Medicine Personality 030212 general & internal medicine Socioeconomic status Aged media_common personal budget business.industry lcsh:R Public Health Environmental and Occupational Health Mental disorders Mental health services Personal budget Personalized care Recovery mental health services Middle Aged Mental health mental disorders 030227 psychiatry Mental Health Italy Female business |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 17, Iss 5017, p 5017 (2020) International Journal of Environmental Research and Public Health Volume 17 Issue 14 |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17145017 |
| Popis: | Background: Individual Health Budget (IHB) is an intervention for recovery in mental health services, providing personalized care for subjects with severe disorders and complex needs. Little is known on its effectiveness and on the criteria for its delivery. Methods: A total of 67 IHB beneficiaries and 61 comparators were recruited among service users of the Mental Health Department of the Trieste Healthcare Agency, Italy. Data included sociodemographic and clinical variables, type of IHB, and Health of the Nation Outcome Scale (HoNOS) scores. Results: A comparison between groups showed significant differences in several socioeconomic and clinical characteristics. Multivariate logistic regression showed that IHB was positively associated to the 20&ndash 49 age group, single status, unemployment, low family support, cohabitation with relatives or friends, diagnosis of personality disorder, and a higher number of hospitalizations. The IHB group was at a higher risk of severe problems related to aggressive or agitated behaviors (OR = 1.4), hallucinations and delusions (OR = 1.5), and impairment in everyday life activities (OR = 2.1). Conclusions: IHB was used in patients with severe clinical and social problems. More resources, however, may be aimed at the working and social axes. More research is needed to better assess clinical and social outcomes of IHB and to adjust their intensity in a longitudinal perspective in order to enhance cost-effectiveness. |
| Databáze: | OpenAIRE |
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