scholarly journals Cost of depression among adults in England in 2000

2003 ◽  
Vol 183 (06) ◽  
pp. 514-519 ◽  
Author(s):  
Christine M. Thomas ◽  
Stephen Morris
Keyword(s):  
Service Use ◽  
Working Life ◽  
Sickness Benefit ◽  
Community Based ◽  
Total Cost ◽  
Awareness Campaigns ◽  
Recorded Data ◽  
The Individual ◽  
The Uk ◽  
The Cost

BackgroundThe cost of depression in the UK was estimated at £33.5 billion almost: adecade ago. The shift to community-based management for depression alongside the availability of more accurate data have allowed these estimates to be revised.AimsTo calculate the total cost of depression in adults in England during 2000.MethodRecorded data on health service use by patients with depression were analysed and the cost of treating patients was calculated. The cost of working life lost was estimated from sickness benefit claims and the number of registered deaths of patients with depression.ResultsThe total cost of adult depression was estimated at over £9 billion, of which £370 million represents direct treatment costs. There were 109.7 million working days lost and 2615 deaths due to depression in 2000.ConclusionsDespite awareness campaigns and the availability of effective treatments, depression remains a considerable burden on both society and the individual, especially in terms of incapacity to work.

scholarly journals Cost of depression among adults in England in 2000

2003 ◽  
Vol 183 (6) ◽  
pp. 514-519 ◽  
Author(s):  
Christine M. Thomas ◽  
Stephen Morris
Keyword(s):  
Service Use ◽  
Working Life ◽  
Sickness Benefit ◽  
Community Based ◽  
Total Cost ◽  
Awareness Campaigns ◽  
Recorded Data ◽  
The Individual ◽  
The Uk ◽  
The Cost

BackgroundThe cost of depression in the UK was estimated at £33.5 billion almost: adecade ago. The shift to community-based management for depression alongside the availability of more accurate data have allowed these estimates to be revised.AimsTo calculate the total cost of depression in adults in England during 2000.MethodRecorded data on health service use by patients with depression were analysed and the cost of treating patients was calculated. The cost of working life lost was estimated from sickness benefit claims and the number of registered deaths of patients with depression.ResultsThe total cost of adult depression was estimated at over £9 billion, of which £370 million represents direct treatment costs. There were 109.7 million working days lost and 2615 deaths due to depression in 2000.ConclusionsDespite awareness campaigns and the availability of effective treatments, depression remains a considerable burden on both society and the individual, especially in terms of incapacity to work.

scholarly journals ‘Rising demand and decreasing resources’: Theorising the ‘cost of austerity’ as a barrier to social worker discretion

2021 ◽  
pp. 1-18
Author(s):  
CIARÁN MURPHY
Keyword(s):  
Social Worker ◽  
Child Protection ◽  
Child Protection Services ◽  
Radical Reform ◽  
Critical Realist ◽  
Documentary Analysis ◽  
Effective System ◽  
The Individual ◽  
The Uk ◽  
The Cost

Abstract The Munro Review of Child Protection asserted that the English child protection system had become overly ‘defensive’, ‘bureaucratised’ and ‘standardised’, meaning that social workers were not employing their discretion in the interests of the individual child. This paper reports on the results of an ethnographic case study of one of England’s statutory child protection teams. The research sought to explore the extent of social worker discretion relative to Munro’s call for ‘radical reform’ and a move towards a more ‘child-centred’ system. Employing an iterative mixed methods design – encompassing documentary analysis, observation, focus group, questionnaire, interview and ‘Critical Realist Grounded Theory’ – the study positioned the UK Government’s prolonged policy of ‘austerity’ as a barrier to social worker discretion. This was because the policy was seen to be contributing to an increased demand for child protection services; and a related sense amongst practitioners that they were afforded insufficient time with the child to garner the requisite knowledge, necessary for discretionary behaviour. Ultimately, despite evidence of progress relative to assertions that social worker discretion had been eroded, the paper concludes that there may still be ‘more to do’ if we are to achieve the ‘child-centred’ and ‘effective’ system that Munro advocated.

Gender perspectives on extended working life policies

2017 ◽  
Author(s):  
Áine Ní Léime ◽  
Wendy Loretto
Keyword(s):  
Working Life ◽  
Defined Contribution ◽  
Population Policies ◽  
Flexible Working ◽  
Working Set ◽  
The Individual ◽  
Pension Age ◽  
Pension Contribution ◽  
The Uk ◽  
State Pension

This chapter documents international policy developments and provides a gender critique of retirement, employment and pension policies in Australia, Ireland, Germany, Portugal, Sweden, the UK, and the US. It assesses the degree to which the individual country's extended working life policies have adopted the agenda (increasing pension age and introducing flexible working) set out by the OECD and the EU. Policies include raising state pension age, changes in the duration of pension contribution requirements, the move from defined benefits to defined contribution pensions, policies on caring for vulnerable members of the population, policies enabling flexible working and anti-age discrimination measures. An expanded framework is used to assess the degree to which gender and other intersecting issues such as health, caring, class, type of occupation and/or membership of minority communities have (or have not) been taken into account in designing and implementing policies extending working life.

Positive behavioural support for children and adolescents with learning disabilities and behaviour that challenges: an initial exploration of service use and costs

2016 ◽  
Vol 21 (4) ◽  
pp. 169-180 ◽  
Author(s):  
Valentina Iemmi ◽  
Martin Knapp ◽  
Caroline Reid ◽  
Catherine Sholl ◽  
Monique Ferdinand ◽  
...  
Keyword(s):  
Learning Disabilities ◽  
Children And Adolescents ◽  
Service Use ◽  
Potential Cost ◽  
Content Type ◽  
Total Cost ◽  
Behavioural Support ◽  
Delphi Exercise ◽  
The Cost

Purpose Positive behavioural support has been considered as a valuable alternative to residential care for children and adolescents with learning disabilities and behaviour that challenges. While recent evidence suggests it has a positive impact on behaviour and carer ability to cope, there is little evidence of its economic costs or benefits. The paper aims to discuss this issue. Design/methodology/approach An exploratory cross-sectional study was conducted to evaluate the cost of providing positive behavioural support to ten children and adolescents with learning disabilities and behaviour that challenges living in the community in Ealing, West London. Comparison was also made with the cost estimate of possible alternative support packages for children and adolescents with learning disabilities and behaviour that challenges in the UK, as obtained through a Delphi exercise. Findings Total cost of services per child was £1,454 per week for young people supported short-term, and £1,402 supported long-term. Children and adolescents were making use of a range of social care, education and health services. Over the full sample, half of the total cost was accounted for by education services. The Delphi exercise estimated the weekly cost of residential-based care as more expensive than the cost of community-based care for children and adolescents with learning disabilities and behaviour that challenges. At the end of the ITSBS, all ten children and adolescents initially at risk of imminent residential placement were living in the community with less service-intensive and less expensive support. This suggests that avoiding residential-based care could reduce costs in the long term. Originality/value Positive behavioural support has potential to support people with learning disabilities and behaviour that challenges in the community, leading to potential cost advantages. However, this is a small study and more robust research is needed.

Community Mental Health Care for Former Hospital In-Patients: Predicting Costs from Needs and Diagnoses

1995 ◽  
Vol 166 (S27) ◽  
pp. 10-18 ◽  
Author(s):  
Martin Knapp ◽  
Jennifer Beecham ◽  
Andrew Fenyo ◽  
Angela Hallam
Keyword(s):  
Service Use ◽  
Central Government ◽  
Personal Characteristics ◽  
Service Needs ◽  
Service Utilisation ◽  
Community Based ◽  
One Year ◽  
The Uk ◽  
Care Costs

Background. In the UK the replacement of long-term in-patient care with community-based support has been part of central government health policy for many years. One of the challenges of implementing such a policy is the prediction of support and service needs in the community and the associated costs.Method. Using research data from north London analyses were undertaken to examine the associations between service use and costs in the community and the characteristics of hospital in-patients.Results. Although clinical diagnosis was not a useful predictor of either service utilisation or costs, more than a third of the variation in community care costs could be explained by symptoms, behaviour and personal characteristics at least one year earlier.

scholarly journals The costs of community-based psychiatric care for first-ever patients. A case register study

1998 ◽  
Vol 28 (1) ◽  
pp. 173-183 ◽  
Author(s):  
F. AMADDEO ◽  
J. BEECHAM ◽  
P. BONIZZATO ◽  
A. FENYO ◽  
M. TANSELLA ◽  
...  
Keyword(s):  
Service Use ◽  
Multivariate Analyses ◽  
Community Based ◽  
Case Register ◽  
Psychiatric Case Register ◽  
Use Patterns ◽  
Cost Variation ◽  
Psychiatric Case ◽  
The Cost ◽  
First Contact

Background. Analysing costs measures in conjunction with psychiatric case register (PCR) data can provide important epidemiologically-based information on resource utilization. Costing the service use patterns of first-ever patients can indicate the shape and likely resource consequences for mental health services operating within a community-based system of care.Methods. Yearly costs were calculated for the 299 first-ever patients and 768 longer-term patients who contacted the South-Verona Psychiatric Case Register between 1 January 1992 and 31 December 1993. Bivariate and multivariate analyses were used to compare costs between these groups and to test the associations between costs and the sociodemographic and diagnostic data recorded on the PCR.Results. For all diagnostic groups identified, first-ever patients were found to be less costly to support than longer-term patients, even after adjustment for various factors, including whether patients were single consulters. When multivariate analyses were employed, between 20% and 69% of the cost variation for first-ever patients could be explained by patient and other characteristics, and the effect of the contact (first or subsequent) variable was reduced.Conclusion. This study considered only the costs to the specialist psychiatric services but the methodology allows the likely annual resource implications of supporting new patients to be predicted from data collected at first contact. Such information can help ensure that services are adequately funded and that the resources are deployed appropriately between client groups.

Economics and Schizophrenia: The Real Cost

1994 ◽  
Vol 165 (S25) ◽  
pp. 18-21 ◽  
Author(s):  
Linda M. Davies ◽  
Michael F. Drummond
Keyword(s):  
Health Care ◽  
Residential Care ◽  
Cost Effective ◽  
Direct Costs ◽  
Total Direct Cost ◽  
Conservative Estimate ◽  
Community Based ◽  
Total Cost ◽  
Real Cost ◽  
The Uk

The total direct cost of treating schizophrenia in the UK is £397 million, or 1.6% of the total health care budget. Hospital-based and community-based residential care accounts for nearly three-quarters of these costs, while drugs account for only 5%. A conservative estimate of the indirect annual costs of lost production is in the region of £1.7 billion. The heterogeneity of the disease and its outcome means that average treatment costs per person with schizophrenia should be treated with caution; 97% of direct costs are incurred by less than half the patients. Therefore, treatments which reduce the dependence and disability of those most severely affected by schizophrenia are likely to have a large effect on the total cost of the disease to society and may therefore be cost-effective, even though they appear expensive initially.

The Cost of Oil Spills from Tankers: An Analysis of IOPC Fund Incidents

1999 ◽  
Vol 1999 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Catherine J. Grey
Keyword(s):  
Oil Spill ◽  
Oil Spills ◽  
Oil Pollution ◽  
Geographical Location ◽  
Total Cost ◽  
Highly Effective ◽  
Using Data ◽  
The Individual ◽  
The Cost

ABSTRACT The 1971 and 1992 International Oil Pollution Compensation Funds (IOPC Funds) provide compensation to the victims of oil spills from tankers in countries which have ratified the 1971 and 1992 Fund Conventions. Since 1978, they have dealt with more than 100 incidents, paying compensation in 68 of these. Details of the individual incidents are given together with the total cost for each, expressed in US$. The numbers, sizes and costs of the incidents are analysed in detail and compared with the incidence of all tanker spills in Fund countries, using data from the International Tanker Owners Pollution Federation's (ITOPF) Oil Spill Database. This analysis reveals a number of trends relating to the size of tankers; the amount and type of oil spilled; and the geographical location. The 1971 IOPC Fund has undoubtedly proved highly effective, but recent incidents have tested the limits of compensation available. The 1992 Fund Convention entered into force in May 1996, providing both higher limits and a broader scope. However, the threshold at which it comes into effect is also higher, thereby excluding many of the less expensive spills which would previously have been covered by the 1971 Fund Convention. The significance of this for the numbers and costs of incidents likely to be dealt with by both the 1971 and the 1992 IOPC Funds is examined.

scholarly journals THE MUSIC OF THOMAS SIMAKU

Tempo ◽  
2019 ◽  
Vol 73 (290) ◽  
pp. 40-50
Author(s):  
Martin Scheuregger
Keyword(s):  
Working Life ◽  
Technical Aspects ◽  
The Individual ◽  
The Uk

AbstractThe music of British-Albanian composer Thomas Simaku (b. 1958) bears the hallmarks of both his formative training and working life in Albania, and the widening of musical palette that came with his move to the UK in 1991. In this article the music from the late 1990s to the present day is considered, with particular attention to more recent works. An overview of some stylistic and technical aspects of this music is offered through analytical observations centred on three dualities: simplicity and complexity, the individual and the group, and stasis and movement. This wide-ranging account aims to open the door for further scholarship around this rich and multifaceted music.

Exploration-Stage Implementation Variation

2014 ◽  
Vol 222 (1) ◽  
pp. 37-48 ◽  
Author(s):  
Stephanie Romney ◽  
Nathaniel Israel ◽  
Danijela Zlatevski
Keyword(s):  
Parent Training ◽  
Average Cost ◽  
Cost Savings ◽  
Training Group ◽  
Group Differences ◽  
Triple P ◽  
Community Based ◽  
Parent Training Program ◽  
A Site ◽  
The Cost

The present study examines the effect of agency-level implementation variation on the cost-effectiveness of an evidence-based parent training program (Positive Parenting Program: “Triple P”). Staff from six community-based agencies participated in a five-day training to prepare them to deliver a 12-week Triple P parent training group to caregivers. Prior to the training, administrators and staff from four of the agencies completed a site readiness process intended to prepare them for the implementation demands of successfully delivering the group, while the other two agencies did not complete the process. Following the delivery of each agency’s first Triple P group, the graduation rate and average cost per class graduate were calculated. The average cost-per-graduate was over seven times higher for the two agencies that had not completed the readiness process than for the four completing agencies ($7,811 vs. $1,052). The contrast in costs was due to high participant attrition in the Triple P groups delivered by the two agencies that did not complete the readiness process. The odds of Triple P participants graduating were 12.2 times greater for those in groups run by sites that had completed the readiness process. This differential attrition was not accounted for by between-group differences in participant characteristics at pretest. While the natural design of this study limits the ability to empirically test all alternative explanations, these findings indicate a striking cost savings for sites completing the readiness process and support the thoughtful application of readiness procedures in the early stages of an implementation initiative.

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