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

2020 ◽  
Vol 36 (4) ◽  
pp. 325-331 ◽  
Author(s):  
Irina Pokhilenko ◽  
Luca M.M. Janssen ◽  
Silvia M.A.A. Evers ◽  
Ruben M.W.A. Drost ◽  
Judit Simon ◽  
...  

BackgroundMental 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.ObjectivesThe 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.MethodsPreviously 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.ResultsAdditional 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.ConclusionBy 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.

2020 ◽  
Vol 36 (4) ◽  
pp. 418-425
Author(s):  
Luca M. M. Janssen ◽  
Irina Pokhilenko ◽  
Silvia M. A. A. Evers ◽  
Aggie T. G. Paulus ◽  
Judit Simon ◽  
...  

BackgroundMental health disorders and their treatments produce significant costs and benefits in both healthcare and non-healthcare sectors. The latter are often referred to as intersectoral costs and benefits (ICBs). Little is known about healthcare-related ICBs in the criminal justice sector and how to include these in health economics research.ObjectivesThe triple aim of this study is (i) to identify healthcare-related ICBs in the criminal justice sector, (ii) to validate the list of healthcare-related ICBs in the criminal justice sector on a European level by sector-specific experts, and (iii) to classify the identified ICBs.MethodsA scientific literature search in PubMed and an additional grey literature search, carried out in six European countries, were used to retrieve ICBs. In order to validate the international applicability of the ICBs, a survey was conducted with an international group of experts from the criminal justice sector. The list of criminal justice ICBs was categorized according to the PECUNIA conceptual framework.ResultsThe full-text analysis of forty-five peer-reviewed journal articles and eleven grey literature sources resulted in a draft list of items. Input from the expert survey resulted in a final list of fourteen unique criminal justice ICBs, categorized according to the care atom.ConclusionThis study laid further foundations for the inclusion of important societal costs of mental health-related interventions within the criminal justice sector. More research is needed to facilitate the further and increased inclusion of ICBs in health economics research.


1997 ◽  
Vol 21 (11) ◽  
pp. 687-691
Author(s):  
Neil Craig ◽  
Cameron Stark

This paper is the second in a series explaining key concepts and techniques used in health economics in the context of mental health care. The paper describes the different types of economic analysis and the circumstances in which they should be used. It explains key aspects of the methods used in economic evaluation to measure costs and benefits. The purpose of the paper is not to enable clinicians to undertake economic analysis, but to familiarise them with the methods used in economic evaluation and to enable them to assess the rigour and results of published studies.


Author(s):  
Luca Janssen ◽  
Irina Pokhilenko ◽  
Ruben Drost ◽  
Aggie Paulus ◽  
Silvia Evers

IntroductionMental health disorders and their treatments produce costs and benefits in both healthcare and non-healthcare sectors. The latter one is often referred to as inter-sectoral costs and benefits (ICBs). Limited research is available on the inclusion of these inter-sectoral costs and benefits (ICBs) in economic evaluations. In this study, we focus on the identification and classification of ICBs of mental health-related interventions within the criminal justice sector in a broader European context. This study was conducted as part of the PECUNIA-project, which aims to develop new standardized, harmonized and validated methods and tools for the assessment of costs and outcomes in European healthcare systems. The aim of the study is to further conceptualize an internationally applicable list of ICBs of mental health-related interventions in the criminal justice sector. Additionally, we aim to facilitate the inclusion of ICBs in economic evaluations across EU by prioritizing important ICBs.MethodsData was collected via a systematic literature search on PubMed and PsychINFO. Additionally, a grey literature search was carried out in six European countries. In order to validate the international applicability of the list and prioritize the ICBs, a survey was conducted with an international group of experts from the criminal justice sector.ResultsThe literature search identified ICBs and resulted in a comprehensive list of items. A multi-dimensional list was constructed, distinguishing between costs as consequence of crime, and costs in response to crime. Based on the expert survey, the international applicability of the list was validated and the most important ICBs from the economic perspective were identified.ConclusionsThis study laid further foundations for the inclusion of important societal costs of mental health-related interventions within the criminal justice sector. More research is needed to facilitate the greater use of ICBs in economic evaluations.


1997 ◽  
Vol 171 (2) ◽  
pp. 191-193 ◽  
Author(s):  
Paul McCrone ◽  
Graham Thornicroft

Health economists are multiplying. An increasing number of academic units focus on research and teaching in this area. Notable examples in Britain are the Centre for Health Economics (University of York), the Health Economics Research Unit (University of Aberdeen) and the Health Economics Research Group (Brunei University). Health economists can also be found within departments which have a broader health focus, such as the Department of Public Health and Policy at the London School of Hygiene and Tropical Medicine. However, the impact of health economics on psychiatry has not been widespread. In the 1996 addition of HEART (the directory of health economists) only 26 (8%) of 331 economists cite psychiatry, mental illness, mental health, addiction, alcohol, community care, case management, schizophrenia, or depression as a key interest. Even so, there are specialised units such as the Centre for the Economics of Mental Health (Institute of Psychiatry), and interest in health economics is also growing among psychiatrists (Wilkinson & Pelosi, 1988; Goldberg, 1991).


2020 ◽  
Author(s):  
Anthony D Mancini

In this commentary, I argue that the mental health impact of COVID-19 will show substantial variation across individuals, contexts, and time. Further, one key contributor to this variation will be the proximal and long-term impact of COVID-19 on the social environment. In addition to the mental health costs of the pandemic, it is likely that a subset of people will experience improved social and mental health functioning.


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