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dc.contributor.authorHeslin, M
dc.contributor.authorCallaghan, LE
dc.contributor.authorPackwood, M
dc.contributor.authorBadu, V
dc.contributor.authorByford, S
dc.date.accessioned2016-07-14T09:52:53Z
dc.date.available2016-07-14T09:52:53Z
dc.date.issued2016-02-12
dc.identifier.issn2044-6055
dc.identifier.issn2044-6055
dc.identifier.otherARTN e009670
dc.identifier.urihttp://hdl.handle.net/10026.1/5057
dc.description.abstract

Objectives To determine if street triage is effective at reducing the total number of people with mental health needs detained under section 136, and is associated with cost savings compared to usual police response. Design Routine data from a 6-month period in the year before and after the implementation of a street triage scheme were used to explore detentions under section 136, and to populate a decision analytic model to explore the impact of street triage on the cost to the NHS and the criminal justice sector of supporting people with a mental health need. Setting A predefined area of Sussex, South East England, UK. Participants All people who were detained under section 136 within the predefined area or had contact with the street triage team. Interventions The street triage model used here was based on a psychiatric nurse attending incidents with a police constable. Primary and secondary outcome measures The primary outcome was change in the total number of detentions under section 136 between the before and after periods assessed. Secondary analysis focused on whether the additional costs of street triage were offset by cost savings as a result of changes in detentions under section 136. Results Detentions under section 136 in the street triage period were significantly lower than in the usual response period (118 vs 194 incidents, respectively; χ2 (1df) 18.542, p<0.001). Total NHS and criminal justice costs were estimated to be £1043 in the street triage period compared to £1077 in the usual response period. Conclusions Investment in street triage was offset by savings as a result of reduced detentions under section 136, particularly detentions in custody. Data available did not include assessment of patient outcomes, so a full economic evaluation was not possible.

dc.format.extente009670-e009670
dc.format.mediumElectronic
dc.languageen
dc.language.isoen
dc.publisherBMJ
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH SERVICES ADMINISTRATION & MANAGEMENT
dc.subjectMENTAL HEALTH
dc.subjectCost-Benefit Analysis
dc.subjectDecision Support Techniques
dc.subjectHumans
dc.subjectPatient Care Team
dc.subjectPolice
dc.subjectPsychiatric Nursing
dc.subjectTriage
dc.subjectUnited Kingdom
dc.titleDecision analytic model exploring the cost and cost-offset implications of street triage
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/26868943
plymouth.issue2
plymouth.volume6
plymouth.publisher-urlhttp://dx.doi.org/10.1136/bmjopen-2015-009670
plymouth.publication-statusPublished
plymouth.journalBritish Medical Journal Open
dc.identifier.doi10.1136/bmjopen-2015-009670
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA20 Social Work and Social Policy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2015-12-08
dc.identifier.eissn2044-6055
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1136/bmjopen-2015-009670
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review


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