The economic impact of initiatives to reduce stigma: demonstration of a modelling approach

2010 ◽  
Vol 19 (2) ◽  
pp. 131-139 ◽  
Author(s):  
Paul McCrone ◽  
Martin Knapp ◽  
Mary Henri ◽  
David McDaid
Keyword(s):  
Mental Health ◽  
Economic Impact ◽  
Decision Model ◽  
Mental Health Problems ◽  
Health Problems ◽  
Economic Benefits ◽  
The Public ◽  
Scottish Population ◽  
Use Of Services ◽  
The Cost

SummaryAims– This paper seeks to provide a methodology to assess the cost-effectiveness of anti-stigma campaigns for people with mental health problems.Methods– The costs of running a national campaign in Scotland were obtained and combined with the number of adults in the Scottish population and the estimated number of people with improved attitudes towards people with mental health problems. A decision model was constructed to estimate the economic impact of a campaign in terms of increased use of services by people with depression and increased work time.Results– If the campaign caused 10% of changed attitudes then it was estimated to cost £35 per one less person who felt that people with mental health problems were dangerous and £186 per one less person who felt the public needs protection from people with mental health problems. The decision model suggested extra economic benefits (employment gains minus service costs) as a result of an anti-stigma campaign compared to the absence of a campaign.Conclusions– Data on the economic impact of anti-stigma campaigns are scarce and evaluation is intrinsically difficult. We have demonstrated a method to conduct such analyses. The model proposed here should be tested further as data become available.

Promoting and Protecting Mental Health: A Delphi Consensus Study for Actionable Public Mental Health Messages

2021 ◽  
pp. 089011712199853
Author(s):  
Josefien J. F. Breedvelt ◽  
Jade Yap ◽  
Dorien D. Eising ◽  
David D. Ebert ◽  
Filip Smit ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Data Collection ◽  
Delphi Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Campaigns ◽  
Healthy Behaviors ◽  
The Public ◽  
Management Actions

Purpose: Public health campaigns are still relatively rare in mental health. This paper aims to find consensus on the preventive self-management actions (i.e. “healthy behaviors”) for common mental health problems (e.g. depression and anxiety) that should be recommended in mental health campaigns directed at the general public. Approach: A 3-round Delphi study Participants: 23 international experts in mental health and 1447 members of the public, most of whom had lived experience of mental health problems. Method: The modified Delphi study combined quantitative and qualitative data collection: 1) online qualitative survey data collection thematically analyzed, 2) recommendations rated for consensus, 3) consensus items rated by public panel on a Likert scale. Results: Expert consensus was reached on 15 behaviors that individuals can engage in to sustain mental health. Eight were rated as appropriate by more than half (50%) of the public panel, including: avoiding illicit drugs (80%, n = 1154), reducing debt (72%, n = 1043), improving sleep (69%, n = 1000), regulating mood (65%, n = 941), having things to look forward to (60%, n = 869). Conclusions: A series of healthy behaviors for the promotion and protection of mental health received expert and public consensus. To our knowledge, this is the first study to offer a set of actions for public health messaging for the prevention of poor mental health. Future research should focus on evaluating effectiveness of these actions in a universal primary prevention context.

scholarly journals Sickness absences among young employees in private and public sectors

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
J Narusyte ◽  
P Svedberg
Keyword(s):  
Mental Health ◽  
Private Sector ◽  
Sickness Absence ◽  
Mental Health Problems ◽  
Public Health Problem ◽  
Health Problems ◽  
Depression And Anxiety ◽  
Public And Private ◽  
Familial Factors ◽  
The Public

Abstract Background Mental health problems among young adults is a public health problem as well as increasing work incapacity in terms of sickness absence (SA) due to mental diagnoses in Sweden. SA levels among those working in the public sector tend to exceed those working in the private sector. Knowledge is however lacking on whether experiencing mental health problems in young years can contribute to the association. The aim was to examine the association between type of employment and sickness absence among women and men, also adjusting for previously experienced depression and anxiety as well as for familial factors. Methods The study included data on 25,496 twins born in Sweden 1959-1990. Information on depression and anxiety as well as on type of employment was obtained from a web-based survey conducted in 2005. Twins were followed prospectively until 2013 through national register data on SA. Logistic regression analyses were run with adjustment for familial factors, such as common genetics and environmental factors related to the family. Odds ratios (OR) with 95% Confidence Intervals (CI) are presented. Results Higher rates of SA in the public (59%) as compared to the private (50%) sector were observed among women. There were 29% and 30% of men in public and private sectors, respectively, that have had at least one SA spell during the follow-up. Preliminary results showed that working in the private sector was associated with a higher risk for future SA among women (OR 1.63, 95% CI 1.14-2.33) but not among men (OR 0.66, 95% CI 0.41-1.07). The results changed only slightly after adjusting for previous depression or anxiety as well as for familial factors. Conclusions Higher rates of SA among women working in the public as compared to the private sector were not explained by previously experienced depression or anxiety disorders. Key messages Higher rates of SA were observed among women working in public as compared to private sector. Previously experienced depression and anxiety were of similar importance for future SA in both public and private sectors.

scholarly journals Biofeedback Intervention for Stress, Anxiety, and Depression among Graduate Students in Public Health Nursing

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Paul Ratanasiripong ◽  
Orawan Kaewboonchoo ◽  
Nop Ratanasiripong ◽  
Suda Hanklang ◽  
Pornlert Chumchai
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Graduate Students ◽  
Mental Health Problems ◽  
Health Problems ◽  
Public Health Nursing ◽  
Anxiety And Depression ◽  
Control Group ◽  
The Public ◽  
Health Nursing

Globally, graduate students have been found to have high prevalence of mental health problems. With increasing severity of mental health problems on university campuses and limited resources for mental health treatment, alternative interventions are needed. This study investigated the use of biofeedback training to help reduce symptoms of stress, anxiety, and depression. A sample of 60 graduate students in public health nursing was randomly assigned to either the biofeedback intervention or the control group. Results indicated that biofeedback intervention was effective in significantly reducing the levels of stress, anxiety, and depression over the 4-week period, while the control group had increases in symptoms of anxiety and depression over the same timeframe. As future leaders in the public health nursing arena, the more psychologically healthy the graduate students in public health nursing are, the better the public health nursing professionals they will be as they go forth to serve the community after graduation.

Reducing the cost of mental health problems at work – what can companies do?

2016 ◽  
Vol 24 (4) ◽  
pp. 1-4
Author(s):  
Piers Bishop
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Working Environment ◽  
Scientific Management ◽  
Annual Review ◽  
Content Type ◽  
Human Needs ◽  
The Cost ◽  
Practical Implications

Purpose The number of companies reporting mental health problems among staff is increasing. The author argues that initiatives to help staff cope with these difficulties are too late and that it is the duty of organizations to develop a workplace culture and environment where people can be motivated but calm and that other benefits will also flow from this. Design/methodology/approach The paper reports findings from the CIPD, HSE and NHS as background to a discussion of how auditing unmet human needs might be expected to improve mental health at work. Findings The paper suggests that a relatively simple and inexpensive approach could change the landscape of human emotion at work and that the process would embed a new culture of understanding and coaching in management. Research limitations/implications The conclusions would not necessarily extend to repetitive manufacturing processes and implementation would be difficult in organizations wedded to early twentieth century “scientific” management principles. Practical implications The paper has implications for organizations operating in the “knowledge” economy where the management has an interest in developing and retaining a happy and energized staff. Social implications The paper has implications for people whose lives are affected by stress generated by the working environment and culture. Originality/value This paper fits two identified needs: to suggest better ways of supporting staff who might develop mental health problems at work and to suggest a framework that will fill the gap left by the approaching demise of the annual review or appraisal process.

scholarly journals Economic evaluation of a complex intervention (Engager) for prisoners with common mental health problems, near to and after release: a cost-utility and cost-consequences analysis

2021 ◽  
Author(s):  
Rachael Maree Hunter ◽  
Rob Anderson ◽  
Tim Kirkpatrick ◽  
Charlotte Lennox ◽  
Fiona Warren ◽  
...  
Keyword(s):  
Mental Health ◽  
Economic Evaluation ◽  
Usual Care ◽  
Mental Health Problems ◽  
Health Problems ◽  
Cost Utility ◽  
Economic Evaluations ◽  
Wide Range ◽  
Common Mental Health Problems ◽  
The Cost

Abstract Background People in prison experience a range of physical and mental health problems. Evaluating the effectiveness and efficiency of prison-based interventions presents a number of methodological challenges. We present a case study of an economic evaluation of a prison-based intervention (“Engager”) to address common mental health problems. Methods Two hundred and eighty people were recruited from prisons in England and randomised to Engager plus usual care or usual care. Participants were followed up for 12 months following release from prison. The primary analysis is the cost per quality-adjusted life year (QALY) gained of Engager compared to usual care from a National Health Service (NHS) perspective with QALYs calculated using the CORE 6 Dimension. A cost-consequences analysis evaluated cross-sectoral costs and a range of outcomes. Results From an NHS perspective, Engager cost an additional £2737 per participant (95% of iterations between £1029 and £4718) with a mean QALY difference of − 0.014 (95% of iterations between − 0.045 and 0.017). For the cost-consequences, there was evidence of improved access to substance misuse services 12 months post-release (odds ratio 2.244, 95% confidence Interval 1.304–3.861). Conclusion Engager provides a rare example of a cost-utility analysis conducted in prisons and the community using patient-completed measures. Although the results from this trial show no evidence that Engager is cost-effective, the results of the cost-consequences analysis suggest that follow-up beyond 12 months post-release using routine data may provide additional insights into the effectiveness of the intervention and the importance of including a wide range of costs and outcomes in prison-based economic evaluations. Trial registration (ISRCTN11707331).

The needs of older people with mental health problems in a Portuguese psychiatric setting

2017 ◽  
Vol 29 (5) ◽  
pp. 845-853 ◽  
Author(s):  
Joaquim Passos ◽  
Aníbal Fonte ◽  
Cláudia Camila Dias ◽  
Lia Fernandes
Keyword(s):  
Mental Health ◽  
Elderly Patients ◽  
Unmet Needs ◽  
Mental Health Problems ◽  
The Elderly ◽  
Health Problems ◽  
Diagnosis Of Dementia ◽  
Use Of Services ◽  
Icd 10 ◽  
Inpatient Settings

ABSTRACTBackground:This study aims to identify met and unmet needs, according to the patient, the carer and the staff, and their relationship with socio-demographic and clinical characteristics in elderly people with mental health problems.Methods:A sample of 306 elderly patients ≥65 years, of both sexes, diagnosed with mental illness (ICD-10 criteria), was recruited from inpatient/outpatient settings in a Department of Psychiatry and Mental Health, in northern Portugal. Patients were assessed with the Camberwell Assessment of Need for the Elderly/CANE.Results:The majority of diagnoses were depression (33.7%), dementia (24.5%), and schizophrenia (12.7%). The patients’ main unmet needs found were psychological distress (15.0%), daytime activities (10.5%), and benefits (6.5%). Patients reported significantly lower unmet and global needs than carers and staff (Z = −8.58, p < 0.001; Z = −11.07, p < 0.001, respectively). A larger number of global needs (met and unmet) were associated with the diagnosis of dementia, followed by schizophrenia, bipolar, and depressive disorder (p < 0.001), with inpatients reporting more needs than outpatients.Conclusions:Mental disorders were associated with a greater number of needs in elderly patients, which makes this assessment important as it includes the patients’ perspective, when they are the focus of intervention, in order to decrease distress and make more beneficial use of services, especially in inpatient settings. These different perspectives are crucial when assessing and planning psychiatric and mental health services.

scholarly journals Measuring use of services for mental health problems in epidemiological surveys

2011 ◽  
Vol 20 (3) ◽  
pp. 182-191 ◽  
Author(s):  
Christine Sevilla-Dedieu ◽  
Viviane Kovess-Masfety ◽  
Matthias Angermeyer ◽  
Ronny Bruffaerts ◽  
Anna Fernandez ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Epidemiological Surveys ◽  
Use Of Services
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