Search results for ‘Subject term:"mental health problems"’ Sort:
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Economics, mental health and policy: an overview
- Authors:
- KNAPP Martin, et al
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2008
- Pagination:
- 41p., bibliog.
- Place of publication:
- London
This report summarises findings presented at Mental Health Economics European Network events in London and Brussels in September and December 2007. It highlights funding issues, assesses the merits of the case for investment in promotion and prevention, looks at how economic incentives might influence the balance of care, reflects on some implications of poor mental health for employment and productivity, focuses on further development of the European Service Mapping Schedule and, as an example, considers the challenges to be faced in two countries, Turkey and Hungary, currently undergoing rapid economic and social transition.
Mental health promotion and mental illness prevention: the economic case
- Editors:
- KNAPP Martin, MCDAID David, PARSONAGE Michael, (eds.)
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2011
- Pagination:
- 43p.
- Place of publication:
- London
Mental ill health is the largest single cause of disability in the UK, contributing almost 23% of the overall burden of disease compared to about 16% each for cancer and cardiovascular disease. The economic and social costs of mental health problems in England are estimated at around £105 billion each year. This report presents the key findings of a project on the economic case for mental health promotion and prevention, based on a detailed analysis of costs and benefits for fifteen different interventions. The interventions were: health visiting and reducing post-natal depression; parenting interventions for children with persistent conduct disorders; school-based social and emotional learning programmes to prevent conduct problems in childhood; school-based interventions to reduce bullying; early detection for psychosis; early intervention for psychosis; screening and brief intervention in primary care for alcohol misuse; workplace screening for depression and anxiety disorders; promoting well-being in the workplace; debt and mental health; population-level suicide awareness training and intervention; bridge safety measures for suicide prevention; collaborative care for depression in individuals with Type II diabetes; tackling medically unexplained symptoms; and befriending of older adults. The estimated economic pay-offs per £ of expenditure from each of these fifteen models is presented.
Costs of mental illness in England
- Authors:
- PATEL Anita, KNAPP Martin
- Journal article citation:
- Mental Health Research Review, 5, May 1998, pp.4-10.
- Publisher:
- Personal Social Services Research Unit
Discusses how each year, one in four adults will experience some form of mental health problem, and prevalence rate as high as this is likely to have enormous economic implications. In a small research study carried out at Centre for the Economics of Mental Health CEMH last year the authors tried to put some figures on the economic implications of mental illness. Describe the results and the methods that underpin them.
The economic case for increasing access to treatment for women with common mental health problems during the perinatal period
- Authors:
- BAUER Annette, TINELLI Michela, KNAPP Martin
- Publisher:
- London School of Economics and Political Science, Care Policy and Evaluation Centre
- Publication year:
- 2022
- Pagination:
- 45
- Place of publication:
- London
This report presents evidence on the costs and economic consequences of different service options for addressing the mental health needs of women with perinatal mental health problems. We measure the potential costs and economic consequences under what we call ‘estimated current provision’ and compare those against two options of service provision that are considered feasible to implement. The two options we simulate in our analyses are models of provision that reflect the scaling-up of evidence-based interventions that are suggested by previous research and were selected after consultation with a range of experts in this field: addressing unmet needs through integrated service provision (Option 1); addressing unmet needs through standard service provision (Option 2). Findings from the modelling suggest that investing in an integrated model of service provision (Option 1) is economically viable. In comparison with current provision, this option generates potential savings to the NHS of £52 million over a 10- year period. Additional health-related quality of life improvements are worth £437 million, so that total net benefit linked to this option is £490 million over 10 years. The report finds that there are clear economic benefits from training midwives and health visitors in perinatal mental health so that they can confidently and skilfully ask women about their mental health, assess their needs, and offer or arrange for psychological interventions. Scaling-up integrated provision across the UK is both desirable and viable from an economic perspective. (Edited publisher abstract)
Commissioning cost-effective services for promotion of mental health and wellbeing and prevention of mental ill-health
- Authors:
- PERSONAL SOCIAL SERVICES RESEARCH UNIT, MCDAID David, WILSON Emma, KNAPP Martin
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 105
- Place of publication:
- London
Building on earlier work carried out by the PSSRU in 2011, this report summarises the findings of modelling work to estimate cost effectiveness of a number of different interventions which can help reduce the risk mental health problems and promote good mental health and wellbeing. The interventions examined are: school based programmes to prevent bullying and initiatives to prevent depression in children and young people; workplace programmes to promote mental health; mental health support and interventions for people with long term physical health problems; group based social activities, including volunteering, to address loneliness as a way of promoting mental health; financial advice services for people with debt problems located in primary care; and initiatives to identify and support people who have self-harmed and are potentially suicidal. The report identifies which sectors are likely to pay for each of the eight interventions (eg health, education, employers), and the potential costs that can be avoided. It also notes the potential for achieving cashable savings or a freeing up resources for alternative uses. The report is one of a set of resources to support local commissioners in designing and implementing mental health and wellbeing support services. (Edited publisher abstract)
Youth mental health: new economic evidence
- Authors:
- KNAPP Martin, et al
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 117
- Place of publication:
- London
Examines the economic challenges of youth mental health problems in England, focusing on adolescents and young adults. The report summarise findings from a review of the international evidence on the economic impact of youth mental health services, an analysis of the economic implications of youth mental health problems – including the failure to recognise or treat them – and an evaluation of two models of youth mental health service provision in England. The report found that for young people aged 12–15 at baseline assessment (aged 15–18 by the end of the follow-up period), mental health-related average costs over the three-year follow-up period totalled £1,778 a year. In addition, the report shows that young people aged 16 to 25 with mental health issues at baseline are significantly more likely not to be in employment, education or training (NEET) than those without such issues. Among the group with mental health issues, those in contact with services are much more likely to be receiving benefits. A key theme emerging from the research is the substantial unmet need for services for young people with mental health problems - the treatment gap has been known for at least two decades and this study identifies treatment gaps dating from 1999. Tentative findings suggest that local specialist youth mental health services can generate significant improvements in mental health, employment, education and training outcomes. Contacts with services such as emergency and inpatient hospital care and the criminal justice system can also be reduced. (Edited publisher abstract)
Primary prevention of child mental health problems using primary health care professionals: cost comparisons
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.95-102.
- Publisher:
- Taylor and Francis
The importance of economic dimension in planning, delivery and evaluation of care and support for children and families is widely recognised. This paper reports a cost analysis of a primary prevention programme in 4 European centres using primary health care professionals trained to promote the psychosocial adaptation of children from birth. The cost of the intervention in training and supervision for each country was estimated, and the impact on service use and cost 2 months after the birth of the index child was measured. Total costs incurred by families at comparison sites where no such training was provided were also calculated and compared with total costs at intervention sites. Cost differences between countries were also explored. Differences in total costs between the groups were small and did not reach statistical significance. However, total costs varied substantially between countries. Training primary health care professionals in primary prevention of child mental health problems is found to be inexpensive and does not appear to affect total costs in the years immediately following. Given the outcome findings, the cost evaluation provides encouragement for wide establishment and examination of this preventative intervention. Part of a special issue on the European Early Promotion Project (EEPP).
Improving equity and efficiency in British community care
- Authors:
- DAVIES Bleddyn, KNAPP Martin
- Journal article citation:
- Social Policy and Administration, 28(3), September 1994, pp.263-285.
- Publisher:
- Wiley
The reform of community and long-term care has been an important theme of policy development around the world during the last decade. British community care is a particularly interesting and impressive example of changes which have parallels in other countries. They include: achieving greater flexibility in the response to the needs and wishes of users and carers; containing costs increases and achieving greater cost-effectiveness; consolidation of structures; competition, variety and choice in a mixed economy; care management and assessment; clarity in targeting; improvement of mechanisms for orchestrating the system. Reviews the evidence on equity and efficiency in British community care: resources, needs and outcomes, and, in particular, targeting and the production of welfare.
Residential care as an alternative to long-stay hospital: a cost-effectiveness evaluation of two pilot projects
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 9(4), 1994, pp.297-304.
- Publisher:
- Wiley
Reports on research carried out in two of the 28 DHSS Care in the Community Pilot Projects in the 1980s, with specific reference to cost-effectiveness of residential care as an alternative to long-stay hospital for elderly people with mental health problems.
The mixed economy of mental health care
- Authors:
- BEECHAM Jeni, FENYO Andrew, KNAPP Martin
- Journal article citation:
- PSSRU Bulletin, 8, October 1991, pp.8-9.
- Publisher:
- Personal Social Services Research Unit
Describes community services for people with mental health problems who have left hospital, costs of supporting them in the community, and the various sources of funding, based on an evaluation of care in a Regional Health Authority.