Making an economic case for better mental health services

Knapp, Martín

doi:10.1002/9781118337981.ch13

Cited by 8 publications

(5 citation statements)

References 26 publications

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“…It is difficult to know what to include in multivariate regressions of 15 A supporting economic argument for increased resources for mental health has been recently made by Knapp and Lemmi (2014).…”

Section: Discussionmentioning

confidence: 99%

Zukunftsangst! Fear of (and Hope for) the Future and its Impact on Life Satisfaction.

Piper

2014

SSRN Journal

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Abstract:The thoughts that an individual has about the future contribute substantially to their life satisfaction in a positive or negative direction. This is a result found via five different methods, some of which control for personality and disposition and the potential endogeneity of thoughts and life satisfaction. The reduction in life satisfaction experienced by individuals who report being pessimistic is greater than that for well-known objective statuses like unemployment. Including individuals' thoughts about the future substantially increases the explanatory power of standard life satisfaction models. Life satisfaction is made up of objective and subjective factors and methods exist to account for their potential endogeneity to enhance our understanding of well-being. This investigation is an example of such an analysis combining a subjective factor, thoughts about the future (treated as endogenous), with more standard objective factors to aid understanding regarding well-being.

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Section: Discussionmentioning

confidence: 99%

Zukunftsangst! Fear of (and Hope for) the Future and its Impact on Life Satisfaction.

Piper

2014

SSRN Journal

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“…Our focus was first on meeting the needs of practicing clinicians to better communicate with their patients and assess the impact of their care. Other stakeholders, such as administrators and economists, may have preferred metrics that are used across diseases for utility measurement (e.g., EQ-5D) [ 57 ]. For clinicians, utility-based instruments are insufficiently sensitive to change and unrelated to the disease construct, making interpretability and actionability in the clinical context more difficult.…”

Section: Discussionmentioning

confidence: 99%

Standardization of health outcomes assessment for depression and anxiety: recommendations from the ICHOM Depression and Anxiety Working Group

Obbarius

Maasakkers²,

Baer

et al. 2017

Qual Life Res

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PurposeNational initiatives, such as the UK Improving Access to Psychological Therapies program (IAPT), demonstrate the feasibility of conducting empirical mental health assessments on a large scale, and similar initiatives exist in other countries. However, there is a lack of international consensus on which outcome domains are most salient to monitor treatment progress and how they should be measured. The aim of this project was to propose (1) an essential set of outcome domains relevant across countries and cultures, (2) a set of easily accessible patient-reported instruments, and (3) a psychometric approach to make scores from different instruments comparable.MethodsTwenty-four experts, including ten health outcomes researchers, ten clinical experts from all continents, two patient advocates, and two ICHOM coordinators worked for seven months in a consensus building exercise to develop recommendations based on existing evidence using a structured consensus-driven modified Delphi technique.ResultsThe group proposes to combine an assessment of potential outcome predictors at baseline (47 items: demographics, functional, clinical status, etc.), with repeated assessments of disease-specific symptoms during the treatment process (19 items: symptoms, side effects, etc.), and a comprehensive annual assessment of broader treatment outcomes (45 items: remission, absenteeism, etc.). Further, it is suggested reporting disease-specific symptoms for depression and anxiety on a standardized metric to increase comparability with other legacy instruments. All recommended instruments are provided online (www.ichom.org).ConclusionAn international standard of health outcomes assessment has the potential to improve clinical decision making, enhance health care for the benefit of patients, and facilitate scientific knowledge.Electronic supplementary materialThe online version of this article (doi:10.1007/s11136-017-1659-5) contains supplementary material, which is available to authorized users.

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“…These are all associated with extra costs to a range of public services, including within the NHS -for example in A&E attendances. And the economic and social cost of a single loss of life through suicide is estimated at £1.6 million 47 .…”

Section: Let`s Use Limited Resources To the Best Effectmentioning

confidence: 99%

References

2022

Personality Disorder

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Consensus statement: People with complex mental health difficulties who are diagnosed with a Personality Disorder Shining lights in dark corners of people`s lives "I have come across countless individuals and families, in my work as a minister and as an MP, who have been let down by mental health services. There has been some encouraging progress over the last few years, with mental health gradually brought out of the shadows and more people accessing treatment. But I am still horrified at the scandalous neglect and exclusion of those given a diagnosis of 'personality disorder' . "The disadvantages they face -not just in the NHS, but in wider society -are clear. Lower life expectancy, inadequate access to treatment, barriers to employment, and a lack of awareness in society. This is especially unjust when we know what approaches are effective in supporting people to live more fulfilling lives. "This consensus statement is a call to action to stop the appalling treatment which people given a diagnosis of Personality Disorder too often experience. It is intolerable that the services we offer do not meet the needs of this group of people, when small changes could make such a difference. This report offers some important suggestions which offer hope to these people. It is vital that government and the NHS grasps the urgency of this."

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Making an economic case for better mental health services

Cited by 8 publications

References 26 publications

Zukunftsangst! Fear of (and Hope for) the Future and its Impact on Life Satisfaction.

Zukunftsangst! Fear of (and Hope for) the Future and its Impact on Life Satisfaction.

Standardization of health outcomes assessment for depression and anxiety: recommendations from the ICHOM Depression and Anxiety Working Group

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