scholarly journals Economic analyses of interventions for student mental health and wellbeing: protocol for a systematic review

2021 ◽  
Author(s):  
Eleanor Bell ◽  
Jia Pan ◽  
Christopher James Sampson ◽  
Priscila Radu
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Economic Evaluation ◽  
Mental Health Problems ◽  
Adult Population ◽  
Treatment Options ◽  
Health Problems ◽  
Economic Evaluations ◽  
Student Mental Health ◽  
Relevant Evidence

Background: Students in higher education often face mental health problems with inadequate treatment options. With COVID-19 only exacerbating the already high levels of mental health problems in the younger adult population, it is imperative policy makers have the relevant evidence to inform resource allocation and investment into student mental health services. Aim: We aim to identify and summarise economic evaluations of interventions that both prevent and treat student mental health within the UK. Method: We will conduct a review of all published economic evaluation literature relating to both students in higher education and interventions designed to prevent or treat student mental health. We will conduct a search in the following databases: PubMed, MEDLINE, Embase, Web of Science, EconLit, PsycINFO and the National Health Service Economic Evaluation Databases (NHS EED). The review will be conducted in accordance with the PRISMA statement guidelines 2019. A database of the literature compiled as part of this systematic literature review will be made available for transparency.

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).

New Dimensions in the OCD Spectrum: Autism, Pathologic Gambling, and Compulsive Buying

CNS Spectrums ◽  
1996 ◽  
Vol 1 (2) ◽  
pp. 44-53
Author(s):  
Cheryl M. Wong ◽  
Eric Hollander
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Treatment Options ◽  
Compulsive Buying ◽  
Health Problems ◽  
Obsessive Compulsive ◽  
Compulsive Shopping ◽  
Neurologic Disorders ◽  
Pathologic Gambling

AbstractThe obsessive-compulsive spectrum can be divided into two subclusters: disorders of impulsivity and neurologic disorders (Figure 1). This article examines autism (from the neurologic cluster) and pathologic gambling and compulsive shopping (from the impulse side of the spectrum). These three disorders are major mental health problems, impacting on society, the affected individuals, and their families. In addition, these three disorders are underrecognized and underdiagnosed. In this article, we outline and review the phenomenology, psychopathology, and treatment options of these three disorders.

Student mental health and the general practitioner

1975 ◽  
Vol 13 (25) ◽  
pp. 99-100
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
General Practitioner ◽  
Health Service ◽  
Health Services ◽  
Mental Health Problems ◽  
Health Problems ◽  
Student Health ◽  
Student Health Services ◽  
The University

Although most universities run a health service, students with important mental health problems are often seen by their general practitioner. There are a number of reasons for this; first, health services in the colleges of higher education outside universities are still patchy and incomplete. Second, students are on vacation for up to 24 weeks a year. Third, a student may choose to consult anyone, and may prefer someone unconnected with the university. Last, many students live at home and continue to see their general practitioner. This underlines the need for close liason between the general practitioner and student health services.

scholarly journals @Home eTherapy Service for People with Common Mental Health Problems: an Evaluation

2017 ◽  
Vol 46 (1) ◽  
pp. 115-120 ◽  
Author(s):  
Judith Gellatly ◽  
Leanne Chisnall ◽  
Nic Seccombe ◽  
Kathryn Ragan ◽  
Nicola Lidbetter ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Treatment Options ◽  
Third Sector ◽  
Health Problems ◽  
Initial Assessment ◽  
Successful Implementation ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Common Mental Health Problems

Background: Ensuring rapid access to psychological interventions is a priority of mental health services. The involvement of peer workers to support the delivery of more accessible treatment options such as computerized cognitive behaviour therapy (CCBT) is recognized. Aims: To evaluate the implementation of a third sector remote CCBT @Home eTherapy service for people experiencing common mental health problems supported by individuals with lived experience. Method: Supported CCBT packages with telephone support were delivered over a 30-month period. Self-complete measures identifying levels of depression, anxiety and functioning were administered at each treatment appointment. Results: Over 2000 people were referred to the @Home eTherapy service; two-thirds attended an initial assessment and 53.4% of referrals assigned to CCBT completed treatment. Statistically significant improvements in anxiety, depression and functioning were found, with 61.6% of treated clients meeting recovery criteria. Conclusions: The service meets Improving Access to Psychological Therapies (IAPT) key performance targets, and is comparable to other IAPT services using CCBT. Evidence for the successful implementation of such a service by a third sector organization is provided.

Students, mental health and citizenship

Legal Studies ◽  
2004 ◽  
Vol 24 (3) ◽  
pp. 349-385 ◽  
Author(s):  
Neville Harris
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Public Policy ◽  
Mental Health Problems ◽  
Health Problems ◽  
Student Population ◽  
Government Policies ◽  
Legal Relationship ◽  
Legal Position ◽  
The Relationship

This paper examines the developing and complex legal relationship between universities and students, or would-be students, who have mental health problems. Discussion takes account of the wider social and policy contexts, including the extent of mental ill-health among the student population, the market for higher education, and government policies towards universities. It contends that the legal position of students with mental health problems demonstrates that there is a need for the relationship between students and universities to be conceptualised with reference to the citizenship ideal rather than the consumer paradigm with which it has tended to become associated in public policy terms.

scholarly journals Instruments to assess quality of life in people with mental health problems: a systematic review and dimension analysis of generic, domain- and disease-specific instruments

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
F. C. W. van Krugten ◽  
K. Feskens ◽  
J. J. V. Busschbach ◽  
L. Hakkaart-van Roijen ◽  
W. B. F. Brouwer
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Systematic Review ◽  
Content Validity ◽  
Mental Health Problems ◽  
Health Problems ◽  
Evaluation Framework ◽  
Economic Evaluations ◽  
Quality Of Life Instruments

Abstract Objectives The importance of economic evaluations of mental healthcare interventions is increasingly recognized. Despite the multitude of available quality of life instruments, concerns have been raised regarding the content validity of these instruments, and hence suitability for use in mental health. The aim of this paper, therefore, was to assess the content validity and the suitability of existing quality of life instruments for use in economic evaluations in mental health problems. Methods In order to identify available quality of life instruments used in people with mental health problems, a systematic review was performed using the Embase, Medline and PsycINFO databases (time period January 2012 to January 2018). Two reviewers independently assessed study eligibility and executed data extraction. The evaluation framework of Connell and colleagues was used to assess whether the identified quality of life instruments cover the dimensions valued highly by people with mental health problems. Two reviewers independently mapped the content of each identified instrument onto the evaluation framework and indicated the extent to which the instrument covered each of the dimensions of the evaluation framework. Results Searches of databases yielded a total of 5727 references. Following duplicate removal and double-independent screening, 949 studies were included in the qualitative synthesis. A total of 44 unique quality of life instruments were identified, of which 12 were adapted versions of original instruments. The best coverage of the dimensions of the evaluation framework of Connell and colleagues was by the WHOQOL-100, S-QoL, SQLS, EDQoL, QLI and the IMHQOL, but none fully covered all dimensions of the evaluation framework. Conclusions The results of this study highlight the multitude of available quality of life instruments used in people with mental health problems and indicate that none of the available quality of life instruments fully cover the dimensions previously found to be important in people with mental health problems. Future research should explore the possibilities of refining or expanding existing instruments as well as the development and testing of new quality of life instruments to ensure that all relevant quality of life dimensions for people with mental health problems are covered in evaluations.

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