Economic Evaluation of Mental Health Interventions: A Guide to Costing Approaches

Shearer, James; McCrone, Paul; Romeo, Renée

doi:10.1007/s40273-016-0390-3

Cited by 27 publications

(19 citation statements)

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“…The authors concluded that the inclusion of informal care can have a considerable impact on cost-effectiveness outcomes [ 53 ]. Moreover, Shearer et al [ 54 ] recommend that the methods employed to measure and value informal care should be explicitly stated. In addition, sensitivity analyses should be employed to show the variability of the results using alternative methods [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

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Health economic evaluations of non-pharmacological interventions for persons with dementia and their informal caregivers: a systematic review

2018

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BackgroundThis systematic review aims to review the literature on trial-based economic evaluations of non-pharmacological interventions directly targeted at persons with dementia as well as persons with mild cognitive impairment and their respective caregivers.MethodsA systematic literature research was conducted for the timeframe from 2010 to 2016 in the following databases: Centre for Reviews and Dissemination, EconLit, Embase, Cochrane Library, PsycINFO and PubMed. Study quality was assessed according to the Drummond criteria.ResultsIn total sixteen publications were identified. Health economic evaluations indicated the cost-effectiveness of physical exercise interventions and occupational therapy. There was also evidence to suggest that psychological and behavioral therapies are cost-effective. Health economic studies investigating psychosocial interventions mainly targeted towards informal caregivers showed inconsistent results.ConclusionsDue to the increasing prevalence of dementia non-pharmacological interventions and their health economic impact are of increasing importance for health care decision-makers and HTA agencies.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0751-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, Shearer et al [ 54 ] recommend that the methods employed to measure and value informal care should be explicitly stated. In addition, sensitivity analyses should be employed to show the variability of the results using alternative methods [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Health economic evaluations of non-pharmacological interventions for persons with dementia and their informal caregivers: a systematic review

2018

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“…Considering the broad societal impacts and the multidisciplinary nature of many complex public health interventions affecting mental health, the model will calculate lifetime cost and sector-specific outcomes for each of the four key sectors (social care, informal care, production losses, crime and education), 48 for the NIM intervention in comparison to CM including resource use; patient management and pathways; the cross-sectoral impact and implications of early intervention; quality of life; mortality and adverse events.…”

Section: Methods and Analysismentioning

confidence: 99%

Protocol for the economic evaluation of a complex intervention to improve the mental health of maltreated infants and children in foster care in the UK (The BeST? services trial)

et al. 2018

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IntroductionChildren who have experienced abuse and neglect are at increased risk of mental and physical health problems throughout life. This places an enormous burden on individuals, families and society in terms of health services, education, social care and judiciary sectors. Evidence suggests that early intervention can mitigate the negative consequences of child maltreatment, exerting long-term positive effects on the health of maltreated children entering foster care. However, evidence on cost-effectiveness of such complex interventions is limited. This protocol describes the first economic evaluation of its kind in the UK.Methods and analysisAn economic evaluation alongside the Best Services Trial (BeST?) has been prospectively designed to identify, measure and value key resource and outcome impacts arising from the New Orleans intervention model (NIM) (an infant mental health service) compared with case management (CM) (enhanced social work services as usual). A within-trial economic evaluation and long-term model from a National Health Service/Personal Social Service and a broader societal perspective will be undertaken alongside the National Institute for Health Research (NIHR)–Public Health Research Unit (PHRU)-funded randomised multicentre BeST?. BeST? aims to evaluate NIM compared with CM for maltreated children entering foster care in a UK context. Collection of Paediatric Quality of Life Inventory (PedsQL) and the recent mapping of PedsQL to EuroQol-5-Dimensions (EQ-5D) will facilitate the estimation of quality-adjusted life years specific to the infant population for a cost–utility analysis. Other effectiveness outcomes will be incorporated into a cost-effectiveness analysis (CEA) and cost-consequences analysis (CCA). A long-term economic model and multiple economic evaluation frameworks will provide decision-makers with a comprehensive, multiperspective guide regarding cost-effectiveness of NIM. The long-term population health economic model will be developed to synthesise trial data with routine linked data and key government sector parameters informed by literature. Methods guidance for population health economic evaluation will be adopted (lifetime horizon, 1.5% discount rate for costs and benefits, CCA framework, multisector perspective).Ethics and disseminationEthics approval was obtained by the West of Scotland Ethics Committee. Results of the main trial and economic evaluation will be submitted for publication in a peer-reviewed journal as well as published in the peer-reviewed NIHR journals library (Public Health Research Programme).Trial registration numberNCT02653716; Pre-results.

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“…The search was conducted in PubMed; the search strategy is available on request to the corresponding author. Based on the number of hits (13,137) and the scope of the PECUNIA project, the search was not extended to additional databases and was further limited to the articles pertaining to depression, PTSD, and schizophrenia. To complement the search with potentially relevant national sources and to increase the transferability of the results, grey literature sources (e.g.…”

Section: Identificationmentioning

confidence: 99%

Exploring the identification, validation, and categorization of costs and benefits of education in mental health: The PECUNIA project

Pokhilenko

Janssen

Evers

et al. 2020

Int J Technol Assess Health Care

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Background Mental health problems can lead to costs and benefits in other sectors (e.g. in the education sector) in addition to the healthcare sector. These related costs and benefits are known as intersectoral costs and benefits (ICBs). Although some ICBs within the education sector have been identified previously, little is known about their extensiveness and transferability, which is crucial for their inclusion in health economics research. Objectives The aim of this study was to identify ICBs in the education sector, to validate the list of ICBs in a broader European context, and to categorize the ICBs using mental health as a case study. Methods Previously identified ICBs in the education sector were used as a basis for this study. Additional ICBs were extracted from peer-reviewed literature in PubMed and grey literature from six European countries. A comprehensive list of unique items was developed based on the identified ICBs. The list was validated by surveying an international group of educational experts. The survey results were used to finalize the list, which was categorized according to the care atom. Results Additional ICBs in the education sector were retrieved from ninety-six sources. Fourteen experts from six European countries assessed the list for completeness, clarity, and relevance. The final list contained twenty-four ICBs categorized into input, throughput, and output. Conclusion By providing a comprehensive list of ICBs in the education sector, this study laid further foundations for the inclusion of important societal costs in health economics research in the broader European context.

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Economic Evaluation of Mental Health Interventions: A Guide to Costing Approaches

Cited by 27 publications

References 64 publications

Health economic evaluations of non-pharmacological interventions for persons with dementia and their informal caregivers: a systematic review

Health economic evaluations of non-pharmacological interventions for persons with dementia and their informal caregivers: a systematic review

Protocol for the economic evaluation of a complex intervention to improve the mental health of maltreated infants and children in foster care in the UK (The BeST? services trial)

Exploring the identification, validation, and categorization of costs and benefits of education in mental health: The PECUNIA project

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