Search results for ‘Subject term:"mental health problems"’ Sort:
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Cost-effectiveness of an improving access to psychological therapies service
- Author:
- MUKURIA Clara
- Journal article citation:
- British Journal of Psychiatry, 202(3), 2013, pp.220-227.
- Publisher:
- Cambridge University Press
To determine the cost-effectiveness of Improving Access to Psychological Therapies (IAPT) at the Doncaster demonstration site (2007–2009) an economic evaluation to compare costs and health outcomes for patients at the IAPT demonstration site with those for comparator sites was conducted. The IAPT site had higher service costs and was associated with small additional gains in quality-adjusted life-years (QALYs) compared with its comparator sites, resulting in a cost per QALY gained of £29 500 using the Short Form (SF-6D). Sensitivity analysis using predicted EQ-5D scores lowered this to £16 857. Costs per reliable and clinically significant (RCS) improvement were £9440 per participant. Improving Access to Psychological Therapies provided a service that was probably cost-effective within the usual National Institute for Health and Clinical Excellence (NICE) threshold range of £20 000–30 000, but there was considerable uncertainty surrounding the costs and outcome differences. (Edited publisher abstract)
What works with children, adolescents, and adults?: a review of research on the effectiveness if psychotherapy
- Author:
- CARR Alan
- Publisher:
- Routledge
- Publication year:
- 2009
- Pagination:
- 400p.
- Place of publication:
- London
With a focus on outcomes with psychodynamic, humanistic, cognitive behavioural and systemic psychotherapies, this book provides a review of research on the effectiveness of psychotherapy and psychological interventions with children, adolescents and adults. It looks at the overall effectiveness and cost-effectiveness of psychotherapy, the contribution of common factors to the outcome of successful psychotherapy, the effectiveness of psychotherapy and psychological interventions with specific problems in children, adults, and people with intellectual disabilities and pervasive developmental disorders, and the effectiveness of psychotherapy and psychological interventions with specific problems in adulthood and later life. The author concludes from the research available that psychotherapy is effective for both adults and children, and provides an analysis of this with respect to a wide range of mental health conditions.
A great deal
- Authors:
- SEATON Steve, EVANS David, WELLINGS Joyce
- Journal article citation:
- Therapy Today, 19(4), May 2008, pp.19-23.
- Publisher:
- British Association for Counselling and Psychotherapy
In a bid to strengthen the case for sustained investment in preventive services, a partnership of Hertfordshire-based agencies set out to calculate the extent of savings to the public purse which counselling might effect using a new evaluation tool SESI (Socio-Economic Spreadsheet Instrument). This article reports on the findings of their action research project
Comprehensive services for complex needs: a summary of the evidence
- Authors:
- REVOLVING DOORS AGENCY, CENTRE FOR MENTAL HEALTH
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2015
- Pagination:
- 11
- Place of publication:
- London
Summarises evidence for three ways of working with people with multiple and complex needs: Multisystemic Therapy; wraparound; and the link worker model. The needs of this group often includes mental health problems, offending, homelessness and substance misuse. These models seek to address repeated failures to help people facing multiple needs and address interrelated outcomes such as reducing reoffending, improving mental health and preventing further exclusion. Section one introduces the models and highlights common features developed for work with people with multiple and complex needs. Section two summarises the evidence for all three models, focusing on outcomes relevant to commissioners' responsibilities. Section three outlines the financial case for the models, which focus on preventing costly outcomes such as offending and homelessness. Section four raises some key considerations and recommendations for commissioners and for further research. (Edited publisher abstract)
Community psychiatry in action: analysis and prospects
- Editors:
- TYRER Peter, CREED Francis
- Publisher:
- Cambridge University Press
- Publication year:
- 1995
- Pagination:
- 167p.,tables,bibliogs.
- Place of publication:
- Cambridge
Contains papers on: essential issues in community psychiatry; evaluation of community treatments for acute psychiatric illness; synopsis of the daily living programme for people with severe mental health problems - a controlled comparison of home and hospital based care; evaluation of a complete community based service; early intervention study of psychiatric emergencies; evaluation of psychiatric services - the merits of regular review; a home based assessment study; home treatment as an alternative to acute psychiatric inpatient admission; the toxicity of community care; and community mental health services and cost effectiveness.