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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.
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).
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.