Systematic review of the efficacy, effectiveness, and cost-effectiveness of stepped-care interventions for the prevention and treatment of problematic substance use

Morse, Ashleigh K.; Sercombe, Jayden; Askovic, Mina; Fisher, Alana; Marel, Christina; Chatterton, Mary-Lou; Kay‐Lambkin, Frances; Barrett, Emma; Sunderland, Matthew; Harvey, Logan; Peach, Natalie; Teesson, Maree; Mills, Katherine L.

doi:10.1016/j.jsat.2022.108928

Cited by 7 publications

(2 citation statements)

References 63 publications

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“…A second systematic review assessing the cost-effectiveness of workplace interventions for the prevention and treatment of substance abuse presented mixed evidence on the cost-effectiveness from two cost-utility analyses and one ROI study (Morse et al, 2023). See Table 5 for studies relating to drug use.…”

Section: Economic Evidence For Interventions Supporting Well-being To...mentioning

confidence: 99%

Wellness in work - supporting people in work and assisting people to return to the workforce: An economic evidence review

Edwards,

Spencer,

Anthony

et al. 2024

Preprint

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Rapid review methodology was used to identify updated economic evidence on programmes or interventions designed to enable employees to remain in and return to the workforce. In Wales, there are currently 1.48 million people in employment and 58,300 people who are unemployed. This equates to an unemployment rate of 3.8% in Wales.The evidence in this report builds on a previousWellness in Workreport (Edwards et al., 2019). This review has a broad focus to understand the economic impact of well-being within the workplace. The main section of the report is on the economic benefits of keeping the workforce well. Seventy-six papers were included from databases searched for literature published between 2017 and 2023.Economics studies were found relating to common mental health conditions; severe mental health conditions; influenza vaccination; illicit drug use; smoking and vaping; healthy eating and physical activity. A range of economic evidence of low, medium, and high quality relating to interventions targeting well-being in the workforce was identified. This included high quality evidence that interventions in the workforce for employees at risk of common mental health disorders can be cost saving for businesses and the health and social care sector. There is also high quality evidence on the cost-effectiveness of interventions focusing on healthy eating and physical activity in the workplace. Some evidence gaps were also identified.Policy and practice implications:There is a need to consider the evidence presented in this rapid review on cost-effective interventions to improve the wellness of the workforce in Wales. Updated policies and procedures to improve equal employment opportunities, regardless of age, gender, or disability status are needed.Economic considerations:Amongst the G7 nations, the United Kingdom (UK) is performing relatively poorly in relation to returning to pre-pandemic employment rates. This is in part caused by the long elective (planned) surgery waiting lists present in the National Health Service (NHS) right across the UK, highlighting the circular relationship between health and the economy.Funding statement:The Centre for Health Economics and Medicines Evaluation, the Bangor Institute for Medical and Health Research, and the Swansea Centre for Health Economics were funded for this work by the Health and Care Research Wales Evidence Centre, itself funded by Health and Care Research Wales on behalf of Welsh Government.

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Section: Economic Evidence For Interventions Supporting Well-being To...mentioning

confidence: 99%

Wellness in work - supporting people in work and assisting people to return to the workforce: An economic evidence review

Edwards,

Spencer,

Anthony

et al. 2024

Preprint

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“…Individuals may be 'stepped up' or 'stepped down' in the case of disorder enhancement or reduction. The stepped-care intervention has been implemented in many health domains, including depression and anxiety [34], Internet use disorders [36], and problematic substance use [37]. So far there is no established model of stepped care for AD.…”

Section: Coping Strategies and Correlationsmentioning

confidence: 99%

Strategies for coping with stress in mothers of children with atopic dermatitis – a cross-sectional study

Kobusiewicz¹,

Tarkowski²,

Kaszuba³

et al. 2023

pdia

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Introduction: Our previous study showed that the severity of atopic dermatitis (AD) in children significantly correlates with the quality of life and perceived stress in their mothers. Aim: To compare strategies for coping with stress in mothers of children with and without AD, as well as to investigate the relationship between coping strategies of mothers of affected children and AD variables, stress intensity, and quality of life. Material and methods: The study included 88 mothers of children with AD and 57 mothers of children without AD as controls. The severity of skin lesions in children with AD was assessed by the Scoring Atopic Dermatitis (SCORAD) index, and skin itch was evaluated by the Numerical Rating Scale (NRS). All mothers completed the sociodemographic questionnaire (SD), the Perceived Stress Scale (PSS), and the Coping Orientations to Problems Experienced (COPE) scale. Additionally, mothers of children with AD filled out the Family Dermatology Life Quality Index (FDLQI). Results: There were no statistically significant differences in coping strategies between the groups. However, there were significant correlations between the selected coping strategies and AD severity, perceived stress of mothers, and quality of life of the entire family of affected children. Conclusions: Although mothers of children with AD experience higher levels of stress compared with mothers of children without AD, the disease does not change coping strategies. Psychological support for mothers of children with AD should be oriented toward strengthening cognitive coping strategies.

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Umgang mit Suchtpatienten: Tipps für das praktische Arbeiten und eine wirkungsvolle Kommunikation

Kienast

2025

Suchtmedizin

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Systematic review of the efficacy, effectiveness, and cost-effectiveness of stepped-care interventions for the prevention and treatment of problematic substance use

Cited by 7 publications

References 63 publications

Wellness in work - supporting people in work and assisting people to return to the workforce: An economic evidence review

Wellness in work - supporting people in work and assisting people to return to the workforce: An economic evidence review

Strategies for coping with stress in mothers of children with atopic dermatitis – a cross-sectional study

Umgang mit Suchtpatienten: Tipps für das praktische Arbeiten und eine wirkungsvolle Kommunikation

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