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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)
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 evaluation of early intervention (EI) services: phase IV report
- Authors:
- McCRONE Paul, PARK A-La, KNAPP Martin
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2010
- Pagination:
- 22p., bibliog.
- Place of publication:
- Canterbury
Using a 2006 model adapted during 3 previous research phases, Phase IV focuses on the economic impacts of early intervention services (EI) on vocational and employment outcomes of people with mental health problems, including psychoses, in the UK. The report also covers long-term outcomes of EI and the impact on costs associated with suicide and murder. Four findings are discussed. Firstly, EI reduced NHS health care, and wages costs of employment lost to mental health problems, with employment rates of 36% and 27% attributed to those in EI and standard care (SC), respectively. Costs of homicide are low, say these authors, with annual costs per person at £6 for those in EI compared with £80 for SC. Thirdly, suicide is estimated to occur in 1.3% EI and 4% SC patients, equating to annual savings of £957 per person. Finally, long-term outcomes associated with EI are dependent on readmission rates following EI discharge. They equate to costs savings of £36,632 over 8 years if rates remain constant. If rates gradually or immediately converge expected savings dip to £27,029 and £17,427, respectively. The increased work and decreased homicides and suicides recorded here reinforce earlier work that EI is beneficial to the UK’s mental health.