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BMJ 2006;333 (7 October), doi:10.1136/bmj.333.7571.0-b
Joint crisis plans, a form of advance agreement for people with severe mental illness, may be more cost effective than standardised service information. Flood and colleagues (p 729) randomised 160 people with psychotic illness or non-psychotic bipolar disorder to a joint crisis plan or standardised service information (plus usual care) and found that crisis plans were associated with less service use and lower costs on average. The differences were not significant, but cost effectiveness acceptability curves suggested a greater than 78% probability that joint crisis plans are more cost effective.
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Credit: WILL & DENO MCINTYRE/SPL
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