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Journal of Mental Health Policy and Economics

Filipa Sampaio, Pia Enebrink, Cathrine Mihalopoulos, Inna Feldman
BACKGROUND: Parenting programs and self-help parenting interventions employing written materials are effective in reducing child conduct problems (CP) in the short-term compared to control groups, however evidence on the cost-effectiveness of such interventions is insufficient. Few studies have looked at the differences in effects between interventions in the same study design. AIM: This study aimed to determine the cost-effectiveness of four parenting programs: Comet, Incredible Years (IY), Cope and Connect, and bibliotherapy, compared to a waitlist control (WC), with a time horizon of 4 months, targeting CP in children aged 3-12 years...
December 1, 2016: Journal of Mental Health Policy and Economics
Chiachi Bonnie Lee, Chung-Yi Li, Chih-Ming Lin
BACKGROUND: The length of stay in Taiwan's psychiatric facilities is unusually long compared with that of other countries. AIMS OF THE STUDY: To identify factors associated with the high length of stay in the acute and chronic psychiatric wards of a public psychiatric hospital. METHODS: The present study consisted of 912 inpatients discharged from a public psychiatric hospital in Northern Taiwan in 2005. Demographic characteristics, discharge diagnoses, and medical resource utilization were retrieved from the inpatient claim data of the National Health Insurance Database...
December 1, 2016: Journal of Mental Health Policy and Economics
Claire de Oliveira, Joyce Cheng, Juergen Rehm, Paul Kurdyak
BACKGROUND: Chronic psychotic disorders are severe and disabling mental disorders associated with poor psychiatric and medical outcomes. These disorders are considered one of the most costly mental disorders due young age at onset and the need for intensive health care over the life course. AIMS OF THE STUDY: The purpose of this study was to estimate the direct health care costs of chronic psychotic disorders in Ontario in 2012 from the perspective of the third-party payer (i...
December 1, 2016: Journal of Mental Health Policy and Economics
Isabelle C Beulaygue, Michael T French
BACKGROUND: Although marijuana use is commonly associated with increased appetite and the likelihood of weight gain, research findings in this area are mixed. Most studies, however, report cross-sectional associations and rarely control for such important predictors as physical activity, socioeconomic status, and alcohol and other drug use. METHODS: Using data from Waves III (N = 13,038) and IV (N = 13,972) of the National Longitudinal Survey of Adolescent Health, we estimate fixed-effects models to more rigorously study the relationships between marijuana use and body mass index over time...
September 2016: Journal of Mental Health Policy and Economics
Lonnie R Snowden, Neal Wallace, Kate Cordell, Genevieve Graaf
OBJECTIVE: We investigated whether a new funding opportunity to finance mental health treatment, provided to autonomous county-level mental health systems without customary cost sharing requirements, equalized African American and White children's outpatient and emergency treatment expenditure inequalities. Using Whites as a benchmark, we considered expenditure patterns favoring Whites over African Americans ("disparities") and favoring African Americans over Whites ("reverse disparities")...
September 2016: Journal of Mental Health Policy and Economics
Muhammad Ashar Malik, Murad Moosa Khan
BACKGROUND: The economic consequences of mental illnesses are much more than health consequences. In Low and Middle Income Countries (LMIC) the economic impact of mental illnesses is rarely analyzed. This paper attempts to fill the gap in research on economics of mental health in LMIC. We provide economic burden of mental illness in Pakistan that can serve as an argument for reorienting health policy, resource allocation and priority settings. AIM: To estimate economic burden of mental illnesses in Pakistan...
September 2016: Journal of Mental Health Policy and Economics
Griffin Edwards
BACKGROUND: As part of the expansive overhaul of the mental health system that occurred in the latter half of the 20th Century, many states passed laws that allow, under certain conditions, voluntary and involuntarily committed patients to refuse medication. While some predicted the consequences of these laws would be dire, the effect on violent behavior remains untested. AIMS OF THE STUDY: The aim is to decipher any differences state right to refuse medication laws may have on violence...
September 2016: Journal of Mental Health Policy and Economics
Julie M Donohue, Sharon-Lise T Normand, Marcela Horvitz-Lennon, Aiju Men, Ernst R Berndt, Haiden A Huskamp
BACKGROUND: Regional variation in US Medicare prescription drug spending is driven by higher prescribing of costly brand-name drugs in some regions. This variation likely arises from differences in the speed of diffusion of newly-approved medications. Second-generation antipsychotics were widely adopted for treatment of severe mental illness and for several off-label uses. Rapid diffusion of new psychiatric drugs likely increases drug spending but its relationship to non-drug spending is unclear...
June 2016: Journal of Mental Health Policy and Economics
Ingrid Zechmeister-Koss, Roman Winkler, Corinna Fritz, Leonhard Thun-Hohenstein, Heinz Tuechler
BACKGROUND: Although 20% of children and adolescents in Europe suffer from overt mental health problems, their illness-related service utilisation is often unknown. If at all, existing research has only addressed the health care sector while services requirements in mental health care go far beyond the health care system, including the social, the educational and the criminal justice system. AIMS OF STUDY: This paper aims at describing the service contact patterns of children and adolescents within and outside the health care sector before they are admitted to a child and adolescent mental health hospital...
June 2016: Journal of Mental Health Policy and Economics
Lisa Wellander, Michael B Wells, Inna Feldman
BACKGROUND: In Sweden, the local government is responsible for funding schools in their district. One funding initiative is for schools to provide students with mental health problems with additional support via extra teachers, personal assistants, and special education classes. There are evidence-based preventive interventions delivered in schools, which have been shown to decrease the levels of students' mental health problems. However, little is known about how much the local government currently spends on students' mental health support and if evidence-based interventions could be financially beneficial...
June 2016: Journal of Mental Health Policy and Economics
Thomas Grochtdreis, Christian Brettschneider, Andr Hajek, Katharina Schierz, Juergen Hoyer, Hans-Helmut Koenig
BACKGROUND: For cost-utility analyses, data on health state utilities, as provided by the EQ-5D-3L, is needed but not always available. This study specified mapping algorithms from the Beck Depression Inventory (BDI) index to the EQ-5D-3L index adjusted for specific socio-demographic variables for patients with depressive disorders. AIMS OF THE STUDY: The objective of this study was to specify mapping algorithms from the BDI index to the preference-based EQ-5D index for patients with depressive disorders, adjusting for specific socio-demographic variables...
June 2016: Journal of Mental Health Policy and Economics
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No abstract text is available yet for this article.
March 2016: Journal of Mental Health Policy and Economics
Yan Tang, Chung-Chou H Chang, Judith R Lave, Walid F Gellad, Haiden A Huskamp, Julie M Donohue
BACKGROUND: Physicians face the choice of multiple ingredients when prescribing drugs in many therapeutic categories. For conditions with considerable patient heterogeneity in treatment response, customizing treatment to individual patient needs and preferences may improve outcomes. AIMS OF THE STUDY: To assess variation in the diversity of antipsychotic prescribing for mental health conditions, a necessary although not sufficient condition for personalizing treatment...
March 2016: Journal of Mental Health Policy and Economics
Irene Mosca, Alan Barrett
BACKGROUND: The few studies that have attempted to identify the causal effects of retirement on mental health and well-being have provided conflicting evidence. Hence, whether retirement affects mental health positively or negatively is still unclear. AIMS OF THE STUDY: Our primary objective is to investigate the impact of retirement on mental health as measured by the 20-item Center for Epidemiological Studies Depression Scale (CES-D). METHODS: We use data from the first two waves of The Irish Longitudinal Study on Ageing (TILDA)...
March 2016: Journal of Mental Health Policy and Economics
Travis Minor, Mir M Ali, John A Rizzo
BACKGROUND: Suicide is the third leading cause of death among adolescents and recent data indicate that the suicide rate, particularly for young girls, is increasing. Excess body weight among adolescents has also been documented widely over the last two decades and is considered one of the most pressing public health concerns today. Previous literature has examined the relationship between actual body weight and suicidal behavior, but there is little evidence on self-perception of weight and suicidal behaviors...
March 2016: Journal of Mental Health Policy and Economics
Marguerite E Burns, Barbara L Wolfe
BACKGROUND: In September 2010, the Affordable Care Act increased the availability of private health insurance for young adult dependents in the United States and prohibited coverage exclusions for their pre-existing conditions. The coverage expansion improved young adults' financial protection from medical expenses and increased their mental health care use. These short-term effects signal the possibility of accompanying changes in mental health through one or more mechanisms: treatment-induced symptom relief or improved function; improved well-being and/or reduced anxiety as financial security increases; or declines in self-reported mental health if treatment results in the discovery of illnesses...
March 2016: Journal of Mental Health Policy and Economics
(no author information available yet)
No abstract text is available yet for this article.
December 2015: Journal of Mental Health Policy and Economics
Denise Meuldijk, Ingrid V E Carlier, Irene M van Vliet, Albert M van Hemert, Frans G Zitman, M Elske van den Akker-van Marle
BACKGROUND: Depressive and anxiety disorders cause great suffering and disability and are associated with high health care costs. In a previous conducted pragmatic randomised controlled trial, we have shown that a concise format of cognitive behavioural- and/or pharmacotherapy is as effective as standard care in reducing depressive and anxiety symptoms and in improving subdomains of general health and quality of life in secondary care psychiatric outpatients. AIMS OF THE STUDY: In this economic evaluation, we examined whether a favourable cost-utility of concise care compared to standard care was attained...
December 2015: Journal of Mental Health Policy and Economics
Dominic Hodgkin, Constance M Horgan, Timothy B Creedon, Elizabeth L Merrick, Maureen T Stewart
BACKGROUND: Private health insurance plays a large role in the U.S. health system, including for many individuals with depression. Private insurers have been actively trying to influence pharmaceutical utilization and costs, particularly for newer and costlier medications. The approaches that insurers use may have important effects on patients' access to antidepressant medications. AIMS OF THE STUDY: To report which approaches (e.g., tiered copayments, prior authorization, and step therapy) commercial health plans are employing to manage newer antidepressant medications, and how the use of these approaches has changed since 2003...
December 2015: Journal of Mental Health Policy and Economics
Michael Tempest, Christophe Sapin, Maud Beillat, Paul Robinson, Maarten Treur
BACKGROUND: Schizophrenia is a severe and debilitating psychiatric disorder. Pharmacological interventions aim to ameliorate symptoms and reduce the risk of relapse and costly hospitalisation. Despite the established efficacy of antipsychotic medication, compliance to treatment is poor, particularly with oral formulation. The emergence of long acting injectable (LAI) antipsychotic formulations in recent years has aimed to counteract the poor compliance rates observed and optimise long term patient outcomes...
December 2015: Journal of Mental Health Policy and Economics
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