Cost-Effectiveness Analysis in Child and Adolescent Mental Health Problems: An Updated Review of Literature

Kilian, Reinhold; Losert, Carolin; Park, A‐La; McDaid, David; Knapp, Martín

doi:10.1080/14623730.2010.9721825

Cited by 33 publications

(18 citation statements)

References 31 publications

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“…The challenge with such a finding, however, is judging whether this well-being improvement represents value for money, as it uses a clinical outcome measure which cannot be compared with other uses of resources within the health-care system. Both cost–utility analyses where outcomes are measured in a common metric, such as the Quality Adjusted Life Year (QALY) where a maximum cost per QALY deemed to be cost effective can be determined in different contexts, or cost–benefit analyses where both outcomes and costs are measured in monetary terms can be used to overcome this problem, although neither approach is without its own limitations ( Kilian et al , 2010 ).…”

Section: Resultsmentioning

confidence: 99%

Investing in mental health and well-being: findings from the DataPrev project

McDaid

Park

2011

Health Promotion International

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A systematic review was conducted to determine the extent to which an economic case has been made in high-income countries for investment in interventions to promote mental health and well-being. We focused on areas of interest to the DataPrev project: early years and parenting interventions, actions set in schools and workplaces and measures targeted at older people. Economic evaluations had to have some focus on promotion of mental health and well-being and/or primary prevention of poor mental health through health-related means. Studies preventing exacerbations in existing mental health problems were excluded, with the exception of support for parents with mental health problems, which might indirectly affect the mental health of their children. Overall 47 studies were identified. There was considerable variability in their quality, with a variety of outcome measures and different perspectives: societal, public purse, employer or health system used, making policy comparisons difficult. Caution must therefore be exercised in interpreting results, but the case for investment in parenting and health visitor-related programmes appears most strong, especially when impacts beyond the health sector are taken into account. In the workplace an economic return on investment in a number of comprehensive workplace health promotion programmes and stress management projects (largely in the USA) was reported, while group-based exercise and psychosocial interventions are of potential benefit to older people. Many gaps remain; a key first step would be to make more use of the existence evidence base on effectiveness and model mid- to long-term costs and benefits of action in different contexts and settings.

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Section: Resultsmentioning

confidence: 99%

Investing in mental health and well-being: findings from the DataPrev project

McDaid

Park

2011

Health Promotion International

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“…The shortages of child mental health services is a priority in the world mental health agenda, [1] – [4] . The consequences of lack of treatment involve societal costs over a lifetime due to negative outcomes that are preventable by early intervention, as well as personal consequences, such as having a worse quality of life and lack of opportunities to achieve full developmental potential [2] , [5] , [6] .…”

Section: Introductionmentioning

confidence: 99%

The Mental Health Care Gap among Children and Adolescents: Data from an Epidemiological Survey from Four Brazilian Regions

et al. 2014

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IntroductionWorldwide, a minority of disordered children/adolescents receives mental health assistance. In order to improve service access, it is important to investigate factors that influence the process leading to receiving care. Data on frequency and barriers for mental health service use (MHSU) among Brazilian children/adolescents are extremely scarce and are needed to guide public policy.ObjectivesTo establish the frequency of MHSU among 6-to-16-year-old with psychiatric disorders from four Brazilian regions; and to identify structural/psychosocial/demographic barriers associated with child/adolescent MHSU.MethodsMulticenter cross-sectional-study involving four towns from four out of five Brazilian regions. In each town, a representative sample of elementary public school students was randomly selected (sample: 1,721). Child/adolescent MHSU was defined as being seen by a psychologist/psychiatrist/neurologist in the previous 12 months. Standardized instruments measured: (1) children/adolescent characteristics [(1.1) Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS-PL)-psychiatric disorders; (1.2) Ten Questions Screen-neurodevelopment problems; (1.3) two subtests of WISC-III-estimated IQ; (1.4) Academic Performance Test-school performance)], (2) factors related to mothers/main caregivers (Self-Reporting Questionnaire-anxiety/depression), (3) family (Brazilian Research-Companies-Association's Questionnaire-SES).ResultsOnly 19.8% of children/adolescents with psychiatric disorder have used mental health services in the previous 12 months. Multiple logistic regression modeling identified five factors associated with lower rates of MHSU (female gender, adequate school performance, mother/main caregiver living with a partner, lower SES, residing in deprived Brazilian regions) regardless of the presence of any psychiatric disorders/neurodevelopmental problems.ConclusionsOnly a small proportion of children/adolescents with psychiatric disorders had been seen by a mental health specialist in the previous 12 months. Structural/psychosocial/demographic factors were associated with uneven access to service for certain groups of children/adolescents. These results call attention to the urgent need to implement programs to help reduce this large unmet mental health need; inequalities must be considered by policy makers when planning strategies to address barriers for care.

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“…use, [76][77][78][79][80][81][82][83][84][85][86][87][88][89] did not include a comparator, 90,91 were not explicitly focused on mental health outcomes, 92,93 pre-dated 1997, [94][95][96][97] examined individual treatments for full-threshold disorders, [98][99][100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115] were evidence reviews, [116][117][118][119][120][121][122][123][124][125]…”

Section: Resultsmentioning

confidence: 99%

Identifying attributes of care that may improve cost‐effectiveness in the youth mental health service system

Hamilton

Hetrick

Mihalopoulos

et al. 2017

Medical Journal of Australia

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There is at least suggestive cost-effectiveness evidence for a range of attributes of youth mental health care. Further economic research is needed to substantiate most cost-effectiveness findings and to improve targeting of care among young people. Future economic evaluations should examine costs from both societal and health care perspectives and incorporate evidence regarding young people's preferences.

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Cost-Effectiveness Analysis in Child and Adolescent Mental Health Problems: An Updated Review of Literature

Cited by 33 publications

References 31 publications

Investing in mental health and well-being: findings from the DataPrev project

Investing in mental health and well-being: findings from the DataPrev project

The Mental Health Care Gap among Children and Adolescents: Data from an Epidemiological Survey from Four Brazilian Regions

Identifying attributes of care that may improve cost‐effectiveness in the youth mental health service system

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