IDEAS home Printed from https://ideas.repec.org/a/spr/cejnor/v30y2022i1d10.1007_s10100-021-00773-2.html
   My bibliography  Save this article

The benefit of an ambulant psychiatric rehabilitation program in Vienna, Austria: an uncontrolled repeated measures study

Author

Listed:
  • Alexandra Schosser

    (Medical University of Vienna
    BBRZ-Med
    Sigmund Freud University
    Arbeitsgemeinschaft für Verhaltensmodifikation)

  • Birgit Senft

    (BBRZ-Med)

  • Marion Rauner

    (University of Vienna)

Abstract

We investigated the benefit of a 6-week ambulant psychiatric rehabilitation program in an ambulant psychiatric rehabilitation clinic in Vienna, Austria, from January 2014 to December 2016 by an uncontrolled repeated measures study. The potential of this intervention program was assessed by effectiveness and cost measures using suitable statistical analyses. We compared the effectiveness and cost measures of this ambulant psychiatric rehabilitation program on patients for the period of up to 12 months after discharge to the period of 12 months before admission to the intervention program based on self-reported catamnesis questionnaires. For the program’s effectiveness measures, we accounted for both psychological indices for measuring depression severity, symptom burden, and functioning to document the health improvement of patients and economy-related indices such as the number of sick leave days for patients. For the program’s cost measures, both direct tangible treatment and medication costs and indirect tangible costs based on the productivity loss measured in non-working days of the patients were considered. The results significantly demonstrated that all psychological effectiveness measures for the patients highly improved by the 6-weeks rehabilitation program and remained rather stable 12 months after discharge. We found that costs for the 6-week ambulant psychiatric rehabilitation program could be easily covered within 12 months after discharge once a total societal cost perspective was considered. Even additional total cost savings of up to over 5000 Euro could be achieved which were highest for employed patients, followed by unemployed patients receiving rehabilitation allowance due to both their high direct medication and treatment costs as well as high indirect costs for productivity loss. The most important finding was that this treatment program was especially beneficial for rehabilitation patients in earlier stages of psychiatric diseases who were still employed, indicating the need for early intervention in mental disorder.

Suggested Citation

  • Alexandra Schosser & Birgit Senft & Marion Rauner, 2022. "The benefit of an ambulant psychiatric rehabilitation program in Vienna, Austria: an uncontrolled repeated measures study," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 30(1), pages 19-48, March.
    • Handle: RePEc:spr:cejnor:v:30:y:2022:i:1:d:10.1007_s10100-021-00773-2
    DOI: 10.1007/s10100-021-00773-2
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10100-021-00773-2
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10100-021-00773-2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Knapp, Martin & Wong, Gloria, 2020. "Economics and mental health: the current scenario," LSE Research Online Documents on Economics 102717, London School of Economics and Political Science, LSE Library.
    2. Alexander Konnopka & Hannah König, 2020. "Economic Burden of Anxiety Disorders: A Systematic Review and Meta-Analysis," PharmacoEconomics, Springer, vol. 38(1), pages 25-37, January.
    3. Alec Morton & Marion Rauner & Greg Zaric, 2016. "Introduction to the special issue," EURO Journal on Decision Processes, Springer;EURO - The Association of European Operational Research Societies, vol. 4(3), pages 157-159, November.
    4. Paul T E Cusack, 2020. "Anxiety Disorders," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 31(3), pages 24255-24260, October.
    5. Rauner, M. S. & Vissers, J. M. H., 2003. "OR applied to health services: Planning for the future with scarce resources," European Journal of Operational Research, Elsevier, vol. 150(1), pages 1-2, October.
    6. Brailsford, Sally & Harper, Paul, 2008. "OR in Health," European Journal of Operational Research, Elsevier, vol. 185(3), pages 901-904, March.
    7. Brailsford, Sally & Vissers, Jan, 2011. "OR in healthcare: A European perspective," European Journal of Operational Research, Elsevier, vol. 212(2), pages 223-234, July.
    8. Gerhard Weber & Jacek Blazewicz & Marion Rauner & Metin Türkay, 2014. "Recent advances in computational biology, bioinformatics, medicine, and healthcare by modern OR," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 22(3), pages 427-430, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Roberto Aringhieri & Patrick Hirsch & Marion S. Rauner & Melanie Reuter-Oppermanns & Margit Sommersguter-Reichmann, 2022. "Central European journal of operations research (CJOR) “operations research applied to health services (ORAHS) in Europe: general trends and ORAHS 2020 conference in Vienna, Austria”," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 30(1), pages 1-18, March.
    2. Alec Morton & Marion Rauner & Greg Zaric, 2016. "Introduction to the special issue," EURO Journal on Decision Processes, Springer;EURO - The Association of European Operational Research Societies, vol. 4(3), pages 157-159, November.
    3. Megumi Hazumi & Kentaro Usuda & Emi Okazaki & Mayumi Kataoka & Daisuke Nishi, 2022. "Differences in the Course of Depression and Anxiety after COVID-19 Infection between Recovered Patients with and without a Psychiatric History: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(18), pages 1-11, September.
    4. Ni, Ji & Chen, Bowei & Allinson, Nigel M. & Ye, Xujiong, 2020. "A hybrid model for predicting human physical activity status from lifelogging data," European Journal of Operational Research, Elsevier, vol. 281(3), pages 532-542.
    5. Marion Rauner & Michaela Schaffhauser-Linzatti & Johannes Bauerstaetter, 2015. "Decision support system for social occupational injury insurance institutions: cost analysis and targeted resource allocation," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 23(1), pages 1-29, March.
    6. Long Khanh-Dao Le & Sophy Shih & Scott Richards-Jones & Mary Lou Chatterton & Lidia Engel & Christopher Stevenson & David Lawrence & Genevieve Pepin & Cathrine Mihalopoulos, 2021. "The cost of Medicare-funded medical and pharmaceutical services for mental disorders in children and adolescents in Australia," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-16, April.
    7. Constanta Urzeala & Veronica Popescu & Daniel Courteix & Georgeta Mitrache & Mihaela Roco & Silvia Teodorescu, 2021. "Barriers and Facilitators for the Romanian Older Adults in Enjoying Physical Activity Health-Related Benefits," Sustainability, MDPI, vol. 13(22), pages 1-22, November.
    8. Ghazi I. Al Jowf & Ziyad T. Ahmed & Ning An & Rick A. Reijnders & Elena Ambrosino & Bart P. F. Rutten & Laurence de Nijs & Lars M. T. Eijssen, 2022. "A Public Health Perspective of Post-Traumatic Stress Disorder," IJERPH, MDPI, vol. 19(11), pages 1-17, May.
    9. Héctor Badellino & María Emilia Gobbo & Eduardo Torres & María Emilia Aschieri, 2021. "Early indicators and risk factors associated with mental health problems during COVID-19 quarantine: Is there a relationship with the number of confirmed cases and deaths?," International Journal of Social Psychiatry, , vol. 67(5), pages 567-575, August.
    10. Epting, Shane, 2021. "Vulnerable groups, virtual cities, and social isolation," Technology in Society, Elsevier, vol. 67(C).
    11. Ángela Carbonell & Sylvia Georgieva & José-Javier Navarro-Pérez & Mercedes Botija, 2023. "From Social Rejection to Welfare Oblivion: Health and Mental Health in Juvenile Justice in Brazil, Colombia and Spain," IJERPH, MDPI, vol. 20(11), pages 1-18, May.
    12. Gianina Chirugu, 2022. "Analysis of the influence of the coronavirus pandemic on elderly people," Technium Social Sciences Journal, Technium Science, vol. 28(1), pages 658-667, February.
    13. Barili, E. & Bertoli, P. & Grembi, V. & Rattini, V., 2021. "COVID Angels Fighting Daily Demons? Mental Health of Healthcare Workers and Religion," Health, Econometrics and Data Group (HEDG) Working Papers 21/05, HEDG, c/o Department of Economics, University of York.
    14. Byron D'Andra Orey & Najja Baptist & Valeria Sinclair‐Chapman, 2021. "Racial identity and emotional responses to confederate symbols," Social Science Quarterly, Southwestern Social Science Association, vol. 102(4), pages 1882-1893, July.
    15. Cleofas, Jerome Visperas, 2023. "Internet access as a moderator of mental health and satisfaction with life during the COVID-19 pandemic: Evidence from young Filipino undergraduates from income-poor households," Children and Youth Services Review, Elsevier, vol. 155(C).
    16. Gaia Sampogna & Maurizio Pompili & Andrea Fiorillo, 2022. "The Short-Term Consequences of COVID-19 on Mental Health: State of the Art from Available Studies," IJERPH, MDPI, vol. 19(23), pages 1-5, November.
    17. Valentina N. Burkova & Marina L. Butovskaya & Ashley K. Randall & Julija N. Fedenok & Khodabakhsh Ahmadi & Ahmad M. Alghraibeh & Fathil Bakir Mutsher Allami & Fadime Suata Alpaslan & Mohammad Ahmad Ab, 2021. "Predictors of Anxiety in the COVID-19 Pandemic from a Global Perspective: Data from 23 Countries," Sustainability, MDPI, vol. 13(7), pages 1-23, April.
    18. Bauer, Annette & Knapp, Martin & Alvi, Mohsin & Chaudhry, Nasim & Gregoire, Alain & Malik, Abid & Sikander, Siham & Tayyaba, Kiran & Wagas, Ahmed & Husain, Nusrat, 2024. "Economic costs of perinatal depression and anxiety in a lower-middle income country: Pakistan," LSE Research Online Documents on Economics 122650, London School of Economics and Political Science, LSE Library.
    19. Gréanne Leeftink & Erwin W. Hans, 2018. "Case mix classification and a benchmark set for surgery scheduling," Journal of Scheduling, Springer, vol. 21(1), pages 17-33, February.
    20. Mousazadeh, M. & Torabi, S. Ali & Pishvaee, M.S. & Abolhassani, F., 2018. "Accessible, stable, and equitable health service network redesign: A robust mixed possibilistic-flexible approach," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 111(C), pages 113-129.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:cejnor:v:30:y:2022:i:1:d:10.1007_s10100-021-00773-2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.