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Aust Health Rev. 2012 Feb;36(1):1-7. doi: 10.1071/AH11008.

Controlled clinical trial of a self-management program for people with mental illness in an adult mental health service - the Optimal Health Program (OHP).

Author information

1
Healthmaps, Fitzroy, Vic. 3065, Australia. monicagilbert@healthmaps.com.au

Abstract

OBJECTIVE:

The objective of this study was to evaluate the effect and cost-effectiveness of a self-management intervention, delivered as part of routine care in an adult mental health service.

METHOD:

In a community mental health setting, routine care was compared with routine care plus a nine-session intervention (the Optimal Health Program) using a non-randomised controlled design. Adult (18-65 years) consumers of mental health services in the Australian Capital Territory were eligible for participation.

RESULTS:

The Optimal Health Program was associated with significant improvements in health and social functioning as measured by the Health of the Nation Outcome Scale (average change relative to control: -3.17; 95% CI -4.49 to -1.84; P<0.001). In addition, there was a reduction in hospital admissions in the treatment group (percentage of time in hospital reduced from 3.20 to 0.82; P=0.07). This translated into a net cost saving of over AU$6000 per participant per year (uncertainty range AU$744 to AU$12656).

CONCLUSIONS:

This study shows promising results for incorporating a self-management program into routine care to improve the health and social functioning of mental health consumers in a cost-effective manner.

PMID:
22513012
DOI:
10.1071/AH11008
[Indexed for MEDLINE]

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