Making the Case for Investing in Child and Adolescent Mental Health: How can Economics Help?

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

doi:10.1080/14623730.2010.9721824

Cited by 15 publications

(19 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In recent years, administrators and policymakers have shown increased interest in the economic impact of mental health services for children and adolescents (see McDaid, Park, Knapp, Losert, & Kilian, 2010; Ord, 2013). Indeed, such findings have important implications for the ability of mental health service organizations to sustainably provide EBIs in community settings.…”

Section: Discussionmentioning

confidence: 99%

Community-based implementation of trauma-focused interventions for youth: Economic impact of the learning collaborative model.

Dopp

Hanson

Saunders

et al. 2017

Psychological Services

View full text Add to dashboard Cite

This study investigated the economics of the learning collaborative (LC) model in the implementation of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), an evidence-based intervention for traumatic stress in youth. We evaluated the cost-effectiveness of the LC model based on data from 13 LCs completed in the southeastern United States. Specifically, we calculated cost-effectiveness ratios (CERs) for two key service outcomes: (1) clinician TF-CBT competence, based on pre- and post-LC self-ratings (n = 574); and (2) trauma-related mental health symptoms (i.e., traumatic stress and depression), self- and caregiver-reported, for youth who received TF-CBT (n = 1,410). CERs represented the cost of achieving one standard unit of change on a measure (i.e., d = 1.0). The results indicated that (1) costs of $18,679 per clinician were associated with each unit increase in TF-CBT competency and (2) costs from $5,318 to $6,548 per youth were associated with each unit decrease in mental health symptoms. Thus, although the impact of LC participation on clinician competence did not produce a favorable CER, subsequent reductions in youth psychopathology demonstrated high cost-effectiveness. Clinicians and administrators in community provider agencies should consider these findings in their decisions about implementation of evidence-based interventions for youth with traumatic stress disorders.

show abstract

Section: Discussionmentioning

confidence: 99%

Community-based implementation of trauma-focused interventions for youth: Economic impact of the learning collaborative model.

Dopp

Hanson

Saunders

et al. 2017

Psychological Services

View full text Add to dashboard Cite

show abstract

“…This differs from a conventional ROI ratio, which comprises net discounted cost savings (ie, total discounted cost savings minus total discounted costs) divided by total discounted costs. Our presentation of the benefit-cost ratio as a type of ROI ratio in this study is an approach used in previous ROI studies published by Australia’s National Mental Health Commission and Public Health England . Interventions with ROI ratios greater than 1 are deemed cost-effective.…”

Section: Methodsmentioning

confidence: 99%

Cost-effectiveness of Installing Barriers at Bridge and Cliff Sites for Suicide Prevention in Australia

et al. 2022

View full text Add to dashboard Cite

IMPORTANCEInstallation of barriers has been shown to reduce suicides. To our knowledge, no studies have evaluated the cost-effectiveness of installing barriers at multiple bridge and cliff sites where suicides are known to occur. OBJECTIVE To examine the cost-effectiveness of installing barriers at bridge and cliff sites throughout Australia. DESIGN, SETTING, AND PARTICIPANTSThis economic evaluation used an economic model to examine the costs, costs saved, and reductions in suicides if barriers were installed across identified bridge and cliff sites over 5 and 10 years. Specific and accessible bridge and cliff sites across Australia that reported 2 or more suicides over a 5-year period were identified for analysis. A partial societal perspective (including intervention costs and monetary value associated with preventing suicide deaths) was adopted in the development of the model. INTERVENTIONS Barriers installed at bridge and cliff sites. MAIN OUTCOMES AND MEASURES Primary outcome was return on investment (ROI) comparingcost savings with intervention costs. Secondary outcomes included incremental cost-effectiveness ratio (ICER), comprising the difference in costs between installation of barriers and no installation of barriers divided by the difference in reduction of suicide cases. Uncertainty and sensitivity analyses were undertaken to examine the association of changes in suicide rates with barrier installation, adjustments to the value of statistical life, and changes in maintenance costs of barriers.

show abstract

“…10 A conservative estimate of the total costs of mental health in the UK in 2019 was £117.9 billion (approximately 5% of GDP), with 56% and 27% for people aged 15–49 and 50–69, respectively. 11 …”

Section: Introductionmentioning

confidence: 99%

“…Mental health has a devasting impact on individuals, their families and society, with depression and anxiety disorders affecting 16% of the UK population at any one time 10. A conservative estimate of the total costs of mental health in the UK in 2019 was £117.9 billion (approximately 5% of GDP), with 56% and 27% for people aged 15–49 and 50–69, respectively 11…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and active ingredients of social prescribing interventions targeting mental health: a systematic review

et al. 2022

View full text Add to dashboard Cite

ObjectiveThis study aims to establish the effectiveness and active ingredients of UK-based social prescribing interventions targeting mental health and well-being outcomes.DesignSystematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analysies guidelines and a published protocol.Data sourcesNine databases were systematically searched up to March 2022.Eligibility criteriaSocial prescribing interventions in the UK involving adults aged ≥18 years, which reported on mental health outcomes.Data extraction and synthesisTwo reviewers extracted data on study characteristics; outcomes; referral pathways; treatment fidelity strategies; person-centredness; intervention development processes and theory-linked behaviour change techniques (BCTs). Data were narratively synthesised.Results52 074 records were retrieved by the search, 13 interventions reported across 17 studies were included in this review (N=5036 participants at post-intervention). Fifteen studies were uncontrolled before-and-after designs, one a randomised controlled trial and one a matched groups design. The most frequently reported referral pathway was the link worker model (n=12), followed by direct referrals from community services (n=3). Participants were predominantly working age adults, and were referred for anxiety, depression, social isolation and loneliness. 16 out of 17 studies reported statistically significant improvements in outcomes (mental health, mental well-being, general health, or quality of life). Strategies to enhance treatment fidelity were suboptimal across studies. Only two studies used a specific theoretical framework. A few studies reported engaging service users in codesign (n=2) or usability and/or feasibility testing (n=4). Overall, 22 BCTs were coded across 13 interventions. The most frequently coded BCTs were social support-unspecified (n=11), credible source (n=7) and social support-practical (n=6).ConclusionsRobust conclusions on the effectiveness of social prescribing for mental health-related outcomes cannot be made. Future research would benefit from comprehensive intervention developmental processes, with reference to appropriate theory, alongside long-term follow-up outcome assessment, using treatment fidelity strategies and a focus on principle of person-centred care.PROSPERO registration numberCRD42020167887.

show abstract

Making the Case for Investing in Child and Adolescent Mental Health: How can Economics Help?

Cited by 15 publications

References 22 publications

Community-based implementation of trauma-focused interventions for youth: Economic impact of the learning collaborative model.

Community-based implementation of trauma-focused interventions for youth: Economic impact of the learning collaborative model.

Cost-effectiveness of Installing Barriers at Bridge and Cliff Sites for Suicide Prevention in Australia

Effectiveness and active ingredients of social prescribing interventions targeting mental health: a systematic review

Contact Info

Product

Resources

About