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The Mental Health Economics European Network
- Authors:
- KNAPP Martin, MCDAID David
- Journal article citation:
- Journal of Mental Health, 16(2), April 2007, pp.157-165.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The authors provide an overview of the Mental Health Economics European Network Phase I, outlining its history, aims and future plans.
Financing mental health care in Europe
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- Journal of Mental Health, 16(2), April 2007, pp.167-180.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Some of the most heated discussions about health policy concern financing and the funding base for services. How have west European countries approached the financing of their mental health systems? The aim was to describe the financing arrangements for mental health care in 17 European countries, and to identify the consequences for system efficiency, access and development. A structured questionnaire was completed by partners in the Mental Health Economics European Network (MHEEN) to describe funding levels and financing arrangements in their countries. Responses were interpreted in the context of the wider literature on health care financing. All participating countries are committed to collective pre-payment modes of financing of health care in general, and mental health care in particular. However, there is growing reliance on voluntary (private) health insurance, at the margins at least, with implications for targeting and equity. The movement of some support responsibilities into social care and housing sectors could further shift funding burdens onto individuals and families. Europe's long-term commitment to social solidarity and mutuality must not be threatened by changes to funding arrangements that could undermine recent efficiency and equity achievements in mental health systems. Efforts to contain health care expenditure may have adverse consequences for mental health care access and utilization.
Money talks: nine things to remember about mental health financing
- Author:
- KNAPP Martin
- Journal article citation:
- Journal of Mental Health, 14(2), April 2005, pp.89-93.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Reforms are now being introduced or discussed in many mental health systems across the world. All are presumably expected to improve the lives of people with mental health problems and their families. This paper discusses the economic considerations to be borne in mind.
Mental health promotion and prevention: the economic case
- Authors:
- KNAPP Martin, MCDAID David, PARSONAGE Michael, (eds.)
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2011
- Pagination:
- 43p.
- Place of publication:
- London
Health care systems are designed to improve health and health-related well-being, but are always constrained by the resources available to them. They also need to be aware of the resources available in adjacent systems which can have such an impact on health, such as housing, employment and education. Careful choices therefore have to be made about how to utilise what is available. One immediate consequence is to ask whether investment in the prevention of mental health needs and the promotion of mental wellbeing might represent a good use of available resources. This report identifies and analyses the costs and economic pay-offs of a range of interventions in the area of mental health promotion, prevention and early intervention, and to present this information in a way that would most helpfully support NHS and other commissioners in assessing the case for investment.
Economic cost of severe antisocial behaviour in children – and who pays it
- Authors:
- ROMEO Renee, KNAPP Martin, SCOTT Stephen
- Journal article citation:
- British Journal of Psychiatry, 188(6), June 2006, pp.547-553.
- Publisher:
- Cambridge University Press
Persistent antisocial behaviour is the most common mental health problem in childhood and has widespread effects, yet little is known about what it costs. The aim was to identify the costs incurred by children with antisocial behaviour in the UK, and who pays these costs. Eighty children aged 3–8 years referred to mental health services were studied using the Client Service Receipt Inventory for Childhood. The mean annual total cost was £5960 (median 4597, range 48–19 940). The services used were mainly the National Health Service, education and voluntary agencies, but the greatest cost burden, £4637, was borne by the family. Higher cost was predicted by more severe behaviour and being male. The annual cost of severe antisocial behaviour in childhood in the UK is substantial and widespread, involving several agencies, but the burden falls most heavily on the family. Wider uptake of evidence-based interventions is likely to lead to considerable economic benefits in the short term, and probably even more in the long term.
Mental health policy and practice across Europe
- Editors:
- KNAPP Martin, et al, (eds.)
- Publisher:
- Open University Press
- Publication year:
- 2007
- Pagination:
- 452p.
- Place of publication:
- Maidenhead
In much of Europe, it remains taboo to discuss the challenges that poor mental health raises for governments, societies and particularly for people with mental health problems themselves. This book maps the current state of policy, service provision and funding for mental health care across Europe, taking into account the differing historical contexts that have shaped both the development and delivery of services. A holistic approach is adopted that aims to assess the influence on mental health of environmental factors such as housing, poverty, employment, social justice and displacement. This title examines the legal rights of people with mental health problems; addresses the impact of stigma, social exclusion and discrimination; reviews the role of users and their families in the development of mental health services and policy; reflects on approaches to reform and on the future development of services; evaluates opportunities for the rehabilitation of people with mental health problems; discusses the financing and organisation of mental health systems; and, reflects on approaches to reform and the future development of services.