In our study about engagement, we identified a positive correlation between the cost of psychiatric performance and psychopathological severity (measured with PANSS scores). No association instead emerged between ISOS/RSQ total scores (recovery stile) and costs. The sanitary expenditure appears to be linked to positive psychotic symptoms while lower performances are given for the treatment of patients with predominant negative symptoms. Why recovery style has not a direct influence on the quantity/quality of psychiatric services?