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Services Effectiveness Research Program (SERP)

Duke University School of Medicine
Department of Psychiatry and Behavioral Sciences

Current and Recent Projects


Title: Costs Associated with Outpatient Treatment for Persons with Severe Mental Illness in North Carolina

Sponsor: The Stanley Medical Research Institute

Principal Investigator(s): Jeffrey Swanson, PhD

SERP Investigators & Collaborators: Marvin Swartz, MD; Richard Van Dorn, PhD

Project Description: We are examining inpatient and outpatient service-utilization patterns and costs and potential savings for persons with severe mental illness who received court-ordered assisted outpatient treatment (AOT), compared to those who received usual care services as part of a randomized controlled trial that took place in North Carolina between 1993 and 1996. While prior research from the North Carolina study has shown sustained AOT to be effective in improving many clinical outcomes, there is of yet, no evidence that AOT can lead to cost savings. Specifically, what is missing in the research literature are the mental health service costs and potential savings associated with providing AOT to patients in the community, i.e. the costs of providing appropriate in and outpatient services to AOT patients compared to an eligible and comparable group randomized to not receive AOT. Other states throughout the U.S. may look to the results from the current proposal for specific policy guidance regarding the "price tag" of AOT policies. This study will provide crucial information on the costs and benefits of North Carolina 's AOT program.

 


 
 

 

 

 

 

 

    



 
    
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