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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.
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)
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.
Prevention: wrestling with new economic realities
- Author:
- KNAPP Martin
- Journal article citation:
- Tizard Learning Disability Review, 18(4), 2013, pp.186-191.
- Publisher:
- Emerald
Purpose : The purpose of this paper is to discuss the economic pressures on long-term care systems, and describe how an economic case might be made for better care, support and preventive strategies. Design/methodology/approach: Discussion of recent developments and research responses, with illustrations from previous studies. Findings: Economics evidence is highly relevant to decision makers in health, social care, and related systems. When resources are especially tight, economics evidence can sometimes persuade uncertain commissioners and others to adopt courses of action that improve the wellbeing of individuals, families, and communities. Originality/value: The paper uses long-established approaches in economic evaluation to discuss preventive and other strategies in today's challenging context. (Publisher abstract)