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Mind how you go: issues in the analysis of cost-effectiveness in mental health care
- Author:
- CHISHOLM Daniel
- Journal article citation:
- Mental Health Research Review, 7, May 2000, pp.33-38.
- Publisher:
- Personal Social Services Research Unit
The number of economic studies relating to mental health care has grown considerably over the past decade. As the volume of completed studies has risen, so in general has the standard of data analysis and presentation. Increasingly sophisticated statistical and econometric methods are now being employed by researchers in a bid to overcome some of the difficulties associated with the analysis of cost and cost-effectiveness data. This article highlights some recurring features and problems of these types of data, and offers discussion on alternative ways in which these problems may be managed.
Characterising mental health: implications for health economics research
- Author:
- CHISHOLM Daniel
- Journal article citation:
- Mental Health Research Review, 3,, April 1996, pp.6-9.
- Publisher:
- Personal Social Services Research Unit
Economic analysis has only been explicitly directed towards health care in the last twenty-five years or so, but has now established itself as having an important role in the planning, management and evaluation of health care. A CEMH/PSSRU workshop was held to stimulate discussion on two questions. What is distinctive about mental health or mental health care? What are the implications of any distinctive characteristics for health economics research? The paper is the product of this brainstorming session which enabled them to develop an agenda for mental health economics research that focuses on the particular attributes of mental illness and mental health care.
The mental health residential care study: classification of facilities and description of residents
- Authors:
- LELLIOTT Paul, AUDINI Bernard, KNAPP Martin, CHISHOLM Daniel
- Journal article citation:
- British Journal of Psychiatry, 169, August 1996, pp.139-147.
- Publisher:
- Cambridge University Press
The NHS is no longer a virtual monopoly provider of mental health residential care. This makes it difficult to assess the volume, range and adequacy of provision. In this study facilities providing residential care in eight districts were compared on levels of staffing, staff qualifications, and the characteristics of their residents. Results found that there was great variation between districts in the number of places available per unit of the population, especially in those with 24-hour waking cover. It is suggested that one consequence of the diversification in provision of mental health residential accommodation has been a relative reduction in the proportion of provision available to the most severely disabled, particularly those who pose a risk of acting violently.
Mental health residential care in the 1990s: beds and balances
- Authors:
- LELLIOTT Paul, KNAPP Martin, AUDINI Bernard, CHISHOLM Daniel
- Journal article citation:
- Mental Health Research Review, 3,, April 1996, pp.24-31.
- Publisher:
- Personal Social Services Research Unit
A study of mental health residential facilities in eight areas of England and Wales was completed by the Royal College of Psychiatrists' Research Unit and the Centre for the Economics of Mental Health. The work brings together detailed descriptions of the full range of residential care available to mentally ill people in each area - from hospital admission beds to group homes, the characteristics of their residents and the costs, both of providing the facilities and services used by residents. The information provides a base on which to build more rational commissioning strategies.