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Review

The effectiveness of personal budgets for people with mental health problems: a systematic review

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Pages 146-155 | Received 27 Aug 2013, Accepted 04 Feb 2014, Published online: 06 May 2014
 

Abstract

Background: Personal budgets are a key policy priority in adult social care in England and are expected to become increasingly important in the care of adults with mental health problems.

Aims: This article systematically reviews evidence for the effectiveness of personal budgets for people with mental health problems across diverse outcomes.

Methods: The review, conducted in 2013, used the EPPI-Centre methodology for conducting a systematic review informed by Social Care Institute for Excellence guidelines. Data were extracted from studies and combined using meta-synthesis.

Results: Fifteen studies were included in the review which found mostly positive outcomes in terms of choice and control, quality of life, service use and cost-effectiveness. However, methodological limitations make these findings rather unreliable and insufficient to inform personal budgets policy and practice for mental health service users.

Conclusions: Further high quality studies are required to inform policy and practice for mental health service users, which lags behind other adult social care groups in the use of personal budgets.

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