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Individual Health Budgets in Mental Health: Results of Its Implementation in the Friuli Venezia Giulia Region, Italy

Author

Listed:
  • Elisa Fontecedro

    (Department of Medicine (DAME), University of Udine, 33100 Udine, Italy)

  • Morena Furlan

    (Central Health Directorate, Friuli Venezia Giulia Region, 34100 Trieste, Italy)

  • Davide Tossut

    (Welfare Area, Friuli Venezia Giulia Region, 33057 Palmanova, Italy)

  • Elisabetta Pascolo-Fabrici

    (Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34149 Trieste, Italy
    Mental Health Department, WHO Collaborating Centre for Research and Training in Mental Health, Health University Agency of Trieste, 34100 Trieste, Italy)

  • Matteo Balestrieri

    (Department of Medicine (DAME), University of Udine, 33100 Udine, Italy)

  • Luis Salvador-Carulla

    (Centre for Mental Health Research, Research School of Population Health, ANU College of Health and Medicine, Australian National University, 2601 Canberra, Australia
    Menzies Centre for Health Policy, Faculty of Medicine and Health, University of Sydney, Charles Perkins Centre, The University of Sydney, 2006 Sydney, Australia)

  • Barbara D’Avanzo

    (Istituto di Ricerche Farmacologiche Mario Negri, IRCCS, 20156 Milano, Italy)

  • Giulio Castelpietra

    (Department of Medicine (DAME), University of Udine, 33100 Udine, Italy
    Central Health Directorate, Friuli Venezia Giulia Region, 34100 Trieste, Italy)

Abstract

Background: Individual Health Budget (IHB) is an intervention for recovery in mental health services, providing personalized care for subjects with severe disorders and complex needs. Little is known on its effectiveness and on the criteria for its delivery. Methods: A total of 67 IHB beneficiaries and 61 comparators were recruited among service users of the Mental Health Department of the Trieste Healthcare Agency, Italy. Data included sociodemographic and clinical variables, type of IHB, and Health of the Nation Outcome Scale (HoNOS) scores. Results: A comparison between groups showed significant differences in several socioeconomic and clinical characteristics. Multivariate logistic regression showed that IHB was positively associated to the 20–49 age group, single status, unemployment, low family support, cohabitation with relatives or friends, diagnosis of personality disorder, and a higher number of hospitalizations. The IHB group was at a higher risk of severe problems related to aggressive or agitated behaviors (OR = 1.4), hallucinations and delusions (OR = 1.5), and impairment in everyday life activities (OR = 2.1). Conclusions: IHB was used in patients with severe clinical and social problems. More resources, however, may be aimed at the working and social axes. More research is needed to better assess clinical and social outcomes of IHB and to adjust their intensity in a longitudinal perspective in order to enhance cost-effectiveness.

Suggested Citation

  • Elisa Fontecedro & Morena Furlan & Davide Tossut & Elisabetta Pascolo-Fabrici & Matteo Balestrieri & Luis Salvador-Carulla & Barbara D’Avanzo & Giulio Castelpietra, 2020. "Individual Health Budgets in Mental Health: Results of Its Implementation in the Friuli Venezia Giulia Region, Italy," IJERPH, MDPI, vol. 17(14), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:5017-:d:383658
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    References listed on IDEAS

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    1. Peter Kennedy, 2003. "A Guide to Econometrics, 5th Edition," MIT Press Books, The MIT Press, edition 5, volume 1, number 026261183x, December.
    2. Larry Davidson, 2011. "Recovery from psychosis: What’s love got to do with it?," Psychosis, Taylor & Francis Journals, vol. 3(2), pages 105-114.
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    Cited by:

    1. Marguerite Robinson & Marie Blaise & Germain Weber & Marc Suhrcke, 2022. "The Effects and Costs of Personalized Budgets for People with Disabilities: A Systematic Review," IJERPH, MDPI, vol. 19(23), pages 1-31, December.
    2. Emma Motrico & Jose A. Salinas-Perez & Maria Luisa Rodero-Cosano & Sonia Conejo-Cerón, 2021. "Editors’ Comments on the Special Issue “Social Determinants of Mental Health”," IJERPH, MDPI, vol. 18(8), pages 1-9, April.

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