Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo

BACKGROUND: Psychosocial care centers for alcohol and drug users (CAPS-ad) are reference services for treatment of drug users within the Brazilian National Health System. Knowledge of their total costs with- in the evidence-based decision-making process for public-resource allocation is essential. T...

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Detalhes bibliográficos
Autores: Becker, Paula, Razzouk, Denise
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:Brasil
Recursos:Associação Paulista de Medicina
Repositorio:São Paulo medical journal (Online)
Idioma:inglés
OAI Identifier:oai:ojs.diagnosticoetratamento.emnuvens.com.br:article/670
Acesso em linha:https://periodicosapm.emnuvens.com.br/spmj/article/view/670
Access Level:acceso abierto
Palavra-chave:Substance-related disorders
Community mental health services
Costs and cost analysis
Direct service costs
Substance abuse treatment centers
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spelling Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São PauloSubstance-related disordersCommunity mental health servicesCosts and cost analysisDirect service costsSubstance abuse treatment centersBACKGROUND: Psychosocial care centers for alcohol and drug users (CAPS-ad) are reference services for treatment of drug users within the Brazilian National Health System. Knowledge of their total costs with- in the evidence-based decision-making process for public-resource allocation is essential. The aims here were to estimate the total costs of a CAPS-ad and the costs of packages of care (according to intensity of care); to ascertain the ratio between total CAPS-ad costs and the federal funding allocated; and to describe the methods for estimating unit costs for each CAPS-ad cost component. DESIGN AND SETTING: Retrospective study conducted in a public community mental health service. METHODS: This was a retrospective cost description study on a CAPS-ad located in a city in the state of São Paulo, using a public healthcare provider perspective and a top-down approach, conducted over a 180-day period from March 1 to August 30, 2015. RESULTS: The total mean monthly costs of the CAPS-ad were BRL 64,017.54. Healthcare staff accounted for 56.5% of total costs. The mean costs per capita and per month for intensive and non-intensive care packages were, respectively, BRL 668.34 and BRL 37.12. CONCLUSIONS: The federal budget allocation covered 62.1% of the CAPS-ad costs and the remaining 37.9% end up funded by the municipal government. The cost of the intensive package of care was 18 times greater than the non-intensive package. Developing criteria for using services and different packag- es of care based on patients’ needs, and optimizing human resources according to specific actions, may improve people’s mental health and avoid wasted resources.São Paulo Medical JournalSão Paulo Medical Journal2018-10-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicosapm.emnuvens.com.br/spmj/article/view/670São Paulo Medical Journal; Vol. 136 No. 5 (2018); 433-441São Paulo Medical Journal; v. 136 n. 5 (2018); 433-4411806-9460reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APMenghttps://periodicosapm.emnuvens.com.br/spmj/article/view/670/613https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBecker, PaulaRazzouk, Denise2023-08-31T21:41:59Zoai:ojs.diagnosticoetratamento.emnuvens.com.br:article/670Revistahttp://www.scielo.br/spmjPUBhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2023-08-31T21:41:59São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo
title Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo
spellingShingle Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo
Becker, Paula
Substance-related disorders
Community mental health services
Costs and cost analysis
Direct service costs
Substance abuse treatment centers
title_short Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo
title_full Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo
title_fullStr Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo
title_full_unstemmed Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo
title_sort Cost of a community mental health service: a retrospective study on a psychosocial care center for alcohol and drug users in São Paulo
dc.creator.none.fl_str_mv Becker, Paula
Razzouk, Denise
author Becker, Paula
author_facet Becker, Paula
Razzouk, Denise
author_role author
author2 Razzouk, Denise
author2_role author
dc.subject.por.fl_str_mv Substance-related disorders
Community mental health services
Costs and cost analysis
Direct service costs
Substance abuse treatment centers
topic Substance-related disorders
Community mental health services
Costs and cost analysis
Direct service costs
Substance abuse treatment centers
description BACKGROUND: Psychosocial care centers for alcohol and drug users (CAPS-ad) are reference services for treatment of drug users within the Brazilian National Health System. Knowledge of their total costs with- in the evidence-based decision-making process for public-resource allocation is essential. The aims here were to estimate the total costs of a CAPS-ad and the costs of packages of care (according to intensity of care); to ascertain the ratio between total CAPS-ad costs and the federal funding allocated; and to describe the methods for estimating unit costs for each CAPS-ad cost component. DESIGN AND SETTING: Retrospective study conducted in a public community mental health service. METHODS: This was a retrospective cost description study on a CAPS-ad located in a city in the state of São Paulo, using a public healthcare provider perspective and a top-down approach, conducted over a 180-day period from March 1 to August 30, 2015. RESULTS: The total mean monthly costs of the CAPS-ad were BRL 64,017.54. Healthcare staff accounted for 56.5% of total costs. The mean costs per capita and per month for intensive and non-intensive care packages were, respectively, BRL 668.34 and BRL 37.12. CONCLUSIONS: The federal budget allocation covered 62.1% of the CAPS-ad costs and the remaining 37.9% end up funded by the municipal government. The cost of the intensive package of care was 18 times greater than the non-intensive package. Developing criteria for using services and different packag- es of care based on patients’ needs, and optimizing human resources according to specific actions, may improve people’s mental health and avoid wasted resources.
publishDate 2018
dc.date.none.fl_str_mv 2018-10-04
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/670
url https://periodicosapm.emnuvens.com.br/spmj/article/view/670
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/670/613
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
dc.source.none.fl_str_mv São Paulo Medical Journal; Vol. 136 No. 5 (2018); 433-441
São Paulo Medical Journal; v. 136 n. 5 (2018); 433-441
1806-9460
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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