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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).
Economic evaluations of child and adolescent mental health interventions: a systematic review
- Authors:
- ROMEO Renee, BYFORD Sarah, KNAPP Martin
- Journal article citation:
- Journal of Child Psychology and Psychiatry, 46(9), 2005, pp.919-930.
- Publisher:
- Wiley
It is increasingly recognised that economic information on the impacts of child and adolescent mental health problems, and the cost-effectiveness of interventions is needed. This review identifies 14 full economic evaluations (covering both costs and clinical outcomes) and seven cost-offset studies (examining only costs) of a variety of mental health problems and intervention approaches. Behavioural disorders have been given relatively greater attention in economic evaluations, and tentatively suggest child behavioural gains and parent satisfaction from parent and child training programmes. However, the cost-effectiveness of the location of delivery for behavioural therapies is less clear. In general, the quality of evaluations was limited by small sample sizes, constrained measurement of costs, narrow perspectives and over-simple statistical and econometric methods.