Evidence map›Paper›PMID 32668599›Full record

ArticleInternational journal of environmental research and public health2020

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

Elisa Fontecedro, Morena Furlan, Davide Tossut, Elisabetta Pascolo-Fabrici, Matteo Balestrieri, Luis Salvador-Carulla, Barbara D'Avanzo, Giulio Castelpietra

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. The Effects and Costs of Personalized Budgets for People with Disabilities: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Editors' Comments on the Special Issue "Social Determinants of Mental Health".International journal of environmental research and public health · 2021
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Elisa FontecedroDepartment of Medicine (DAME), University of Udine, 33100 Udine, Italy.
Morena FurlanCentral Health Directorate, Friuli Venezia Giulia Region, 34100 Trieste, Italy.
Davide TossutWelfare Area, Friuli Venezia Giulia Region, 33057 Palmanova, Italy.
Elisabetta Pascolo-FabriciClinical Department of Medical, Surgical and Health Sciences, University of Trieste, 34149 Trieste, Italy.
Matteo BalestrieriDepartment of Medicine (DAME), University of Udine, 33100 Udine, Italy.
Luis Salvador-CarullaCentre for Mental Health Research, Research School of Population Health, ANU College of Health and Medicine, Australian National University, 2601 Canberra, Australia.ORCID 0000-0002-5742-9866
Barbara D'AvanzoIstituto di Ricerche Farmacologiche Mario Negri, IRCCS, 20156 Milano, Italy.
Giulio CastelpietraDepartment of Medicine (DAME), University of Udine, 33100 Udine, Italy.ORCID 0000-0002-0309-1345
University of Udine · ITRegione Autonoma Friuli Venezia Giulia · ITAustralian National University · AUMario Negri Institute for Pharmacological Research · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividual 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.

methodsA 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.

resultsA 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).

conclusionsIHB 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.

Indexed as

Mental DisordersMental HealthMental Health ServicesAdultAgedBudgetsFemaleHumansItalyMaleMiddle AgedYoung AdultIndividual Health Budgetmental disordersmental health servicespersonal budgetpersonalized carerecovery

Identifiers

PMID32668599
PMCPMC7400620
OpenAlexW3042004430

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.