THE COST OF DIALECTIC BEHAVIOUR THERAPY (DBT) FOR PEOPLE DIAGNOSED WITH BORDERLINE PERSONALITY DISORDER (BPD)- A REVIEW OF THE LITERATURE
Author(s)
O'Sullivan M1, Murphy A2, Bourke J1
1University College cork, Cork, Ireland, 2University College Cork, Cork, Ireland
OBJECTIVES: To produce a systematic literature review on the cost of dialectic behaviour therapy (DBT) for people diagnosed with Borderline Personality Disorder (BPD). People with BPD require extensive healthcare resources and services. This review evaluates existing literature to determine the cost of providing DBT treatment for persons with BPD. METHODS: Using the PICOS framework, cost studies of DBT for a population of persons diagnosed with BPD were included for review. The evidence was combined and summarised using a narrative synthesis. The methodological quality of the economic studies was evaluated using appropriate checklists. RESULTS: Providing BPD patients with DBT treatment has shown to have a positive effect on reducing health care utilization and related health care costs. Across the included studies, the mean average cost per patient was shown to be reduced by 21 – 35% from pre-DBT-treatment to post-DBT treatment. A reduction in inpatient hospital days, shorter inpatient stays and reduced emergency room visits were reported as the most significant savings in terms of costs for BPD patient care and health care services. CONCLUSIONS: Provision of DBT for patients with BPD is shown to incur reduced healthcare costs, particularly regarding inpatient hospital days and emergency room visits. This result was consistent in the studies included for review when comparing costs incurred in the pre-DBT-treatment year and post-DBT-treatment year.
Conference/Value in Health Info
2017-11, ISPOR Europe 2017, Glasgow, Scotland
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PMH31
Topic
Economic Evaluation
Topic Subcategory
Cost-comparison, Effectiveness, Utility, Benefit Analysis
Disease
Mental Health