scholarly journals Long term economic evaluation of interventions targeting multiple mental health conditions: protocol for a rapid review of methods

2016 ◽  
Author(s):  
Alastair G Canaway ◽  
Christopher J Sampson
Keyword(s):  
Mental Health ◽  
Economic Evaluation ◽  
Mental Health Problems ◽  
Health Problems ◽  
Trial Data ◽  
Health Conditions ◽  
Rapid Review ◽  
Mental Health Conditions ◽  
Term Trial

Background. Interventions and services for people with mental health problems can have broad remits: they are often designed to treat people with a variety of diagnoses. Furthermore, addressing mental health problems can have long term implications for economic, social and health outcomes. This represents a challenge for economic evaluation, where long term trial data can be lacking. In this review we will seek to identify how analysts have sought to tackle this problem. We will review the methods used to extrapolate costs and outcomes for the purpose of economic evaluation, where long term trial data are not available. Methods/design. We will carry out a review of the medical and economic literature evaluating long-term costs and outcomes for mental health interventions and services designed to treat or prevent more than two mental health conditions. We will search the key health economic databases, including: OVID Medline, Embase, Psycinfo, CINAHL, and EconLit. The two authors will independently screen the returned results. Any discrepancies will be resolved by deliberation between the two authors. Key information will be extracted from the papers which successfully pass through the screening process. The findings will be highlighted through a narrative analysis and tabulated data. Discussion. This review will shed light on the existing methods used to model into the future when multiple mental health conditions are considered. The review will discuss the strengths and weakness within current methodologies, highlight existing flaws, and provide guidance for future economic evaluations of interventions targeting multiple mental health conditions.

scholarly journals Long term economic evaluation of interventions targeting multiple mental health conditions: protocol for a rapid review of methods

2016 ◽  
Author(s):  
Alastair G Canaway ◽  
Christopher J Sampson
Keyword(s):  
Mental Health ◽  
Economic Evaluation ◽  
Mental Health Problems ◽  
Health Problems ◽  
Trial Data ◽  
Health Conditions ◽  
Rapid Review ◽  
Mental Health Conditions ◽  
Term Trial

Background. Interventions and services for people with mental health problems can have broad remits: they are often designed to treat people with a variety of diagnoses. Furthermore, addressing mental health problems can have long term implications for economic, social and health outcomes. This represents a challenge for economic evaluation, where long term trial data can be lacking. In this review we will seek to identify how analysts have sought to tackle this problem. We will review the methods used to extrapolate costs and outcomes for the purpose of economic evaluation, where long term trial data are not available. Methods/design. We will carry out a review of the medical and economic literature evaluating long-term costs and outcomes for mental health interventions and services designed to treat or prevent more than two mental health conditions. We will search the key health economic databases, including: OVID Medline, Embase, Psycinfo, CINAHL, and EconLit. The two authors will independently screen the returned results. Any discrepancies will be resolved by deliberation between the two authors. Key information will be extracted from the papers which successfully pass through the screening process. The findings will be highlighted through a narrative analysis and tabulated data. Discussion. This review will shed light on the existing methods used to model into the future when multiple mental health conditions are considered. The review will discuss the strengths and weakness within current methodologies, highlight existing flaws, and provide guidance for future economic evaluations of interventions targeting multiple mental health conditions.

PP71 Long-Term Evaluation Of Broad Mental Health Interventions: A Review

2018 ◽  
Vol 34 (S1) ◽  
pp. 95-96
Author(s):  
Alastair Canaway ◽  
Christopher Sampson ◽  
Rachel Meacock
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Outcome Measurement ◽  
Health Problems ◽  
Trial Data ◽  
Health Interventions ◽  
Data Availability ◽  
Term Trial ◽  
Mental Health Interventions

Introduction:Interventions and services for people with mental health problems can have broad remits: they are often designed to treat people with a variety of diagnoses. Furthermore, addressing mental health problems can have long-term implications for economic, social, and health outcomes. This represents a challenge for health technology assessment, for which long-term trial data can be lacking. In this review, we sought to identify how analysts have tackled this problem. We reviewed the methods used to extrapolate costs and outcomes for the purpose of economic evaluation where long-term trial data are not available.Methods:We conducted a systematic review of the medical and economic literature evaluating long-term costs and outcomes for mental health interventions and services designed to treat or prevent more than two mental health conditions. We searched key databases including MEDLINE, Embase, PsycINFO, CINAHL, and EconLit. Two authors independently screened citations. Articles were excluded if they reported within-trial analyses or employed a time horizon of less than 5 years.Results:The search identified 829 unique records. No papers could be included in the review.Conclusions:This review highlights the lack of research and understanding available to inform the appraisal of broad mental health interventions. In light of our findings, we consider the reasons for this lack of information and review relevant literature on the subject. Potential barriers to research in this context include: (i) challenges in understanding the value of broad mental health services, such as the mental and physical health nexus, intersectoral costs and benefits, and interpersonal impacts, (ii) methodological difficulties, such as data availability, patient heterogeneity, and the challenge of extrapolation, and (iii) parity of esteem. We make recommendations for resolving this problem with regard to funding, data collection, modelling methods, and outcome measurement.

scholarly journals What has changed in the experiences of people with mental health problems during the COVID-19 pandemic? Findings from follow-up interviews using a coproduced, participatory qualitative approach

2021 ◽  
Author(s):  
Prisha Shah ◽  
Jackie Hardy ◽  
Mary Birken ◽  
Una Foye ◽  
Rachel Rowan Olive ◽  
...  
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Mental Health Treatment ◽  
Service Use ◽  
Mental Health Problems ◽  
Online Advertising ◽  
Social Contact ◽  
Health Problems ◽  
Health Conditions ◽  
Mental Health Conditions

Purpose: We sought to understand how the experiences of people in the UK with pre-existing mental health conditions had developed during the course of the COVID-19 pandemic. Methods: In September-October 2020 we interviewed adults with mental health conditions pre-dating the pandemic whom we had previously interviewed three months earlier. Participants had been recruited through online advertising and voluntary sector community organisations. Interviews were conducted by telephone or video-conference by researchers with lived experience of mental health difficulties and explored changes over time in experiences of participants of the pandemic. Results: We interviewed 44 people, achieving diversity of demographic characteristics and a range of mental health conditions and service use among our sample. Three overarching themes were derived from interviews. The first theme Spectrum of adaptation: to difficulties in access to, or the quality of, statutory mental health services, through developing new personal coping strategies or identifying alternative sources of support. The second theme is Accumulating pressures: from pandemic-related anxieties and sustained disruption to social contact and support, and to mental health treatment. The third theme Feeling overlooked: A sense of people with pre-existing mental health conditions being overlooked during the pandemic by policy-makers at all levels. The latter was compounded for people from ethnic minority communities or with physical health problems. Conclusion: Our study highlights the need to support marginalised groups who are at risk of increased inequalities, and to maintain crucial mental and physical healthcare and social care for people with existing mental health conditions, notwithstanding challenges of the pandemic.

scholarly journals Effectiveness and impact of networked communication interventions in young people with mental health conditions: A rapid review

2018 ◽  
Vol 4 ◽  
pp. 205520761876220 ◽  
Author(s):  
Alice Verran ◽  
Ayesha Uddin ◽  
Rachel Court ◽  
Frances Taggart ◽  
Paul Sutcliffe ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Healthcare Providers ◽  
Evidence Base ◽  
Health Conditions ◽  
Rapid Review ◽  
Online Chat ◽  
Mental Health Conditions ◽  
Communication Interventions

Objective To describe the latest evidence of effectiveness and impact of networked communication interventions for young people with mental health conditions. Methods Searching five databases from 2009 onwards, we included studies of any design investigating two-way communication interventions for the treatment of young people (mean age 12–25) with a chronic mental health disorder. The data were synthesised using narrative summary. Results Six studies met the inclusion criteria, covering a range of mental health conditions (depression, psychosis, OCD). Interventions included an online chat room ( n = 2), videoconferencing ( n = 3) and telephone ( n = 1). Where studies compared two groups, equivalence or a statistically significant improvement in symptoms was observed compared to control. Views of patients and clinicians included impact on the patient-clinician interaction. Clinicians did not feel it hindered their diagnostic ability. Conclusion Networked communication technologies show promise in the treatment of young people with mental health problems but the current available evidence remains limited and the evidence base has not advanced much since the previous inception of this review in 2011. Practice implications Although the available research is generally positive, robust evidence relating to the provision of care for young persons via these technologies is lacking and healthcare providers should be mindful of this.

scholarly journals Experience Disclosing Mental Health Conditions Among College Students from Different Ethnic Backgrounds

2019 ◽  
Vol 3 (2) ◽  
pp. 66
Author(s):  
Shilpa R. Hampole ◽  
Steven H. S. Nguyen ◽  
Erin L. Woodhead
Keyword(s):  
Mental Health ◽  
College Students ◽  
Asian American ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Conditions ◽  
Mental Health Stigma ◽  
Mental Health Conditions ◽  
Asian American Students ◽  
Post Hoc

Aim: The current study compared disclosure of mental health problems to staff, faculty, and peers among college students from different ethnic backgrounds. Background: Although there are differences in mental health stigma between college students from different ethnic backgrounds, there is limited research on whether these differences are associated with negative experiences disclosing mental health conditions on campus. Methods: The sample (N = 66) was 71% female; average age was 19.03 years (SD = 1.14). Participants identified as Latino/a (35.4%), Asian American (33.8%), Caucasian (13.8%), or other/mixed ethnicity (16.9%). Results: For disclosure to staff, there was a main effect of ethnicity. Post-hoc analyses found that Latino/a students were significantly more comfortable disclosing mental health problems to staff than Asian American students. There were no significant effects for disclosure to faculty or peers. Conclusions: This preliminary study suggests that universities must optimize outreach and mental health services for different ethnic groups to improve campus experience around mental health conditions.

scholarly journals Social factors and health

2019 ◽  
pp. 215-233
Author(s):  
Ahmed Samei Huda
Keyword(s):  
Mental Health ◽  
Childhood Trauma ◽  
Social Factors ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Conditions ◽  
Medical Conditions ◽  
Physical And Mental Health ◽  
Mental Health Conditions ◽  
Medical Diagnostic

There is increased risk caused by social difficulties and/or childhood trauma for developing both general medical and mental health conditions, with overlap in similarity of magnitude of some increased risks, although intermediary mechanisms may differ. Social factors are the most important determinants of health status. Reducing social adversity and childhood trauma would improve the physical and mental health of the population. Life events and stresses/hassles are a more specific risk factor for mental health problems. Social factors are often inadequate to explain the nature and severity of people’s mental health problems without taking into account psychobiological factors. Given the greater effect of culture on how mental health conditions are expressed, there is some overlap between psychiatric and general medical diagnostic constructs rather than near total overlap. Mental health conditions do seem associated with greater stigma (some of this seems related to the categorical nature of diagnostic constructs) and also with greater use of coercion than for general medical conditions, but this also occurs for general medical conditions hence the conclusion of some overlap.

scholarly journals Mental Health Problems and Internet Access: Results From an Australian National Household Survey

10.2196/14825 ◽  
2020 ◽  
Vol 7 (5) ◽  
pp. e14825
Author(s):  
Lay San Too ◽  
Liana Leach ◽  
Peter Butterworth
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Problems ◽  
Internet Access ◽  
Health Problems ◽  
Health Conditions ◽  
The Internet ◽  
Mental Health Conditions ◽  
The Relationship ◽  
The Web

Background Mental health support and interventions are increasingly delivered on the web, and stepped care systems of mental health services are embracing the notion of a digital gateway through which individuals can have access to information, assessment, and services and can be connected with more intensive services if needed. Although concerns have been raised over whether people with mental health problems are disadvantaged in terms of their access to the internet, there is a lack of representative data on this topic. Objective This study aimed to examine the relationship between mental health and internet access, particularly lack of access because of affordability issues. Methods Data from wave 14 of the Household, Income, and Labour Dynamics in Australia survey were used (n=15,596) in the analyses. Sample weights available in the survey were used to calculate the proportion of those with or without internet access for those with and without mental health problems and more severe long-term mental health conditions. These proportions were also calculated for those with and without internet access due, specifically, to affordability issues. Multinomial logistic regression analyses assessed the relationship between mental health status and internet access/affordability issues, adjusting for a range of covariates. Results Access to the internet was poorer for those with mental health problems (87.8%) than those without mental health problems (92.2%), and the difference was greater when a measure of more severe mental health conditions was used (81.3% vs 92.2%). The regression models showed that even after adjusting for a broad range of covariates, people with mental ill health were significantly more likely to have no internet access because of unaffordability than those without mental ill health (mental health problems: relative risk ratio [RRR] 1.68; 95% CI 1.11-2.53 and severe mental health conditions: RRR 1.92; 95% CI 1.16-3.19). Conclusions As Australia and other nations increasingly deliver mental health services on the web, issues of equity and affordability need to be considered to ensure that those who most need support and assistance are not further disadvantaged.

scholarly journals The Gut Microbiome of Youth Who Have Behavioral and Mental Health Problems: A Scoping Review

2021 ◽  
Author(s):  
Cherry Y. Leung ◽  
Sandra J. Weiss
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Scoping Review ◽  
Gut Microbiome ◽  
Mental Health Problems ◽  
Age Groups ◽  
Health Problems ◽  
Adolescents And Young Adults ◽  
Health Conditions ◽  
Mental Health Conditions

AbstractBackgroundMental health conditions have increased over the past several decades. While there is growing evidence that the gut microbiome affects mental health, there are limited studies focused on children, adolescents, and young adults. This scoping review examined the existing literature and compared findings on the relationships between the gut microbiome with mental health across these younger age groups.MethodsA literature search using PubMed, PsycINFO, and CINAHL was performed, and bibliographies were manually searched. Eighteen articles met eligibility for our scoping review. Findings from each study were evaluated, focusing on bacterial composition and diversity among children/adolescents and young adults.ResultsThere were no studies specifically on the adolescent age group, so data was synthesized comparing the child/adolescent (2 to <18 years of age) and young adult (18-25 years of age) groups. Studies utilized several different methods for gut microbiome analysis and examined various mental health conditions. Findings for both age groups were mostly inconsistent. However, Bifidobacteria seems to be associated with better mental health. Alpha diversity was lower for children/adolescents with ADHD and high stress but higher for young adults with ADHD and Major Depressive Disorder.LimitationsThere were inconsistencies across studies, likely due to differences in mental health problems examined, populations assessed, and research designs or measurements used.ConclusionsFuture research should replicate studies to confirm findings, examine lower taxonomic levels, consider longitudinal designs to assess for directionality, and consider clinical trials to examine the effects of probiotics with the same strains to manage mental health symptoms.

Parents with Serious Mental Health Problems

2017 ◽  
pp. 206-215
Author(s):  
Rachel Calam ◽  
Anja Wittkowski
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Mental Health Problems ◽  
Empirical Work ◽  
Perinatal Period ◽  
Health Problems ◽  
Health Conditions ◽  
Parental Distress ◽  
Parenting Support ◽  
Mental Health Conditions

Parenthood can be more challenging when a parent experiences serious mental health problems, which can negatively affect family life and children’s emotional, social, and behavioral development. Parental distress and mental health problems increase the risk of mental health problems in children and adolescents. Data suggest that well over half of service users with psychosis or psychiatric disorder are also parents. This chapter focuses on research into mental health difficulties in the perinatal period and parenting with psychosis and with bipolar disorder. To date, promising outcomes have been found for initial trials investigating the delivery of parenting support to parents with serious mental health conditions, particularly bipolar disorder, but empirical work is limited. The chapter identifies priority areas for research to refine approaches to parenting support to best suit different mental health conditions and contexts.

scholarly journals Mental Health Problems and Internet Access: Results From an Australian National Household Survey (Preprint)

2019 ◽  
Author(s):  
Lay San Too ◽  
Liana Leach ◽  
Peter Butterworth
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Mental Health Problems ◽  
Internet Access ◽  
Health Problems ◽  
Health Conditions ◽  
The Internet ◽  
Mental Health Conditions ◽  
The Relationship ◽  
The Web

BACKGROUND Mental health support and interventions are increasingly delivered on the web, and stepped care systems of mental health services are embracing the notion of a digital gateway through which individuals can have access to information, assessment, and services and can be connected with more intensive services if needed. Although concerns have been raised over whether people with mental health problems are disadvantaged in terms of their access to the internet, there is a lack of representative data on this topic. OBJECTIVE This study aimed to examine the relationship between mental health and internet access, particularly lack of access because of affordability issues. METHODS Data from wave 14 of the <i>Household, Income, and Labour Dynamics in Australia</i> survey were used (n=15,596) in the analyses. Sample weights available in the survey were used to calculate the proportion of those with or without internet access for those with and without mental health problems and more severe long-term mental health conditions. These proportions were also calculated for those with and without internet access due, specifically, to affordability issues. Multinomial logistic regression analyses assessed the relationship between mental health status and internet access/affordability issues, adjusting for a range of covariates. RESULTS Access to the internet was poorer for those with mental health problems (87.8%) than those without mental health problems (92.2%), and the difference was greater when a measure of more severe mental health conditions was used (81.3% vs 92.2%). The regression models showed that even after adjusting for a broad range of covariates, people with mental ill health were significantly more likely to have no internet access because of unaffordability than those without mental ill health (mental health problems: relative risk ratio [RRR] 1.68; 95% CI 1.11-2.53 and severe mental health conditions: RRR 1.92; 95% CI 1.16-3.19). CONCLUSIONS As Australia and other nations increasingly deliver mental health services on the web, issues of equity and affordability need to be considered to ensure that those who most need support and assistance are not further disadvantaged.

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