PMID- 35649422 OWN - NLM STAT- MEDLINE DCOM- 20230213 LR - 20230213 IS - 1502-4725 (Electronic) IS - 0803-9488 (Linking) VI - 77 IP - 2 DP - 2023 Feb TI - Resource utilization in mental illness - evaluation of an instrument for measuring direct costs of treatment for patients with severe mental illness (SMI). PG - 172-178 LID - 10.1080/08039488.2022.2077434 [doi] AB - PURPOSE: Serious mental illnesses (SMIs) exert a considerable financial burden on health-care systems. In this study, the resource utilization in mental illness (RUMI) tool was developed and employed to evaluate resource utilization in patients with SMI. MATERIALS AND METHODS: Data from 107 patients with SMI treated in four psychiatric outpatient clinics in Sweden were collected. The relationships between costs for physical and psychiatric care, social services, and the justice system, to self-reported health and quality of life, educational level, Global Assessment of Functioning (GAF), the Clinical Global Impressions scale score (CGI), and body mass index (BMI) were studied. RESULTS: Sixteen out of 107 patients accounted for 74% of the total costs. The mean and median cost for 6 months included in the survey for social services, family and social welfare and healthcare, psychiatric and physical treatment interventions, mean 8349 EUR, median 2599 EUR per patient (currency value for 2021). Education and psychosocial function (GAF) were both negatively correlated with costs for the social services (education, r=-0.207, p < 0.014; GAF, r=-0.258, p < 0.001). CGI was correlated with costs for physical and psychiatric healthcare (r = 0.161, p < 0.027), social services support (r = 0.245, p = 0.002) and total cost (r = 0.198, p = 0.007). BMI correlated with costs for psychiatric and physical health settings interventions (r = 0.155, p < 0.019) and for somatic and psychiatric medicines (r = 0.154, p < 0.019). CONCLUSION: The RUMI scale was acceptable and enabled estimation of resource utilization in a comparable manner across different care settings. Such comparable data have potential to provide a basis for budgeting and resource allocation. FAU - Stenmark, Richard AU - Stenmark R AUID- ORCID: 0000-0002-1828-7770 AD - Department of Clinical Sciences Lund, Severe Mental Illness Research Unit, Lund University, Psychiatry Research Center, Region Skane, Lund, Sweden. FAU - Eberhard, Jonas AU - Eberhard J AUID- ORCID: 0000-0003-0364-2626 AD - Department of Clinical Sciences Lund, Severe Mental Illness Research Unit, Lund University, Psychiatry Research Center, Region Skane, Lund, Sweden. AD - Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. FAU - Edman, Gunnar AU - Edman G AD - Department of Clinical Sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden. AD - Research and Development, Norrtalje Hospital, Tiohundra AB, Norrtalje, Sweden. FAU - Gaughran, Fiona AU - Gaughran F AUID- ORCID: 0000-0001-7414-5569 AD - Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. AD - South London and Maudsley NHS Foundation Trust, London, UK. FAU - Jedenius, Erik AU - Jedenius E AD - Department of Clinical Sciences Lund, Severe Mental Illness Research Unit, Lund University, Psychiatry Research Center, Region Skane, Lund, Sweden. LA - eng PT - Journal Article DEP - 20220601 PL - England TA - Nord J Psychiatry JT - Nordic journal of psychiatry JID - 100927567 SB - IM MH - Humans MH - *Quality of Life MH - *Mental Disorders/therapy MH - Outpatients MH - Sweden OTO - NOTNLM OT - Health economics OT - mental health OT - psychiatric care OT - psychosis EDAT- 2022/06/02 06:00 MHDA- 2023/02/14 06:00 CRDT- 2022/06/01 18:53 PHST- 2022/06/02 06:00 [pubmed] PHST- 2023/02/14 06:00 [medline] PHST- 2022/06/01 18:53 [entrez] AID - 10.1080/08039488.2022.2077434 [doi] PST - ppublish SO - Nord J Psychiatry. 2023 Feb;77(2):172-178. doi: 10.1080/08039488.2022.2077434. Epub 2022 Jun 1.