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Journal of Mental Health Policy and Economics

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https://www.readbyqxmd.com/read/29643266/changes-in-the-utilization-of-mental-health-care-services-and-mental-health-at-the-onset-of-medicare
#1
Jordan H Rhodes
BACKGROUND: The onset of Medicare eligibility at age 65 in the U.S. is accompanied by significant changes in health insurance coverage rates. This presents a unique opportunity to study the interaction among health insurance, health care utilization, and health outcomes. AIMS: This study examines if changes in mental health outcomes accompany the changes in health insurance coverage rates at age 65. METHODS: 2006-2013 data from the Sample Adult and Person File components of the National Health Insurance Survey are used to explore the link between the onset of Medicare and the utilization of mental health care services and mental health...
March 1, 2018: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/29643265/thirty-day-readmission-rates-and-associated-factors-a-multilevel-analysis-of-practice-variations-in-french-public-psychiatry
#2
Coralie Gandré, Jeanne Gervaix, Julien Thillard, Jean-Marc Macé, Jean-Luc Roelandt, Karine Chevreul
BACKGROUND: Inpatient psychiatric readmissions are often used as an indicator of the quality of care and their reduction is in line with international recommendations for mental health care. Research on variations in inpatient readmission rates among mental health care providers is therefore of key importance as these variations can impact equity, quality and efficiency of care when they do not result from differences in patients' needs. AIMS OF THE STUDY: Our objectives were first to describe variations in inpatient readmission rates between public mental health care providers in France on a nationwide scale, and second, to identify their association with patient, health care providers and environment characteristics...
March 1, 2018: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/29643264/how-does-economic-recession-affect-substance-use-a-reality-check-with-clients-of-drug-treatment-centres
#3
Pol Bruguera, Jillian Reynolds, Eilish Gilvarry, Fleur Braddick, Abdul Latheef Marath-Veettil, Peter Anderson, Zofia Mielecka-Kubien, Eileen Kaner, Antoni Gual
INTRODUCTION: The relationship between economic downturns and substance use has been studied in numerous economic crises occurring worldwide, but the precise relationship between the two remains unclear. AIMS: The aim of the present study was to undertake a survey on behaviour and perspectives related to the latest European economic crisis among illegal drug users attending substance treatment services. DESIGN AND METHODS: We conducted a questionnaire-based survey in drug dependence treatment settings, in three geographically different jurisdictions (England, Catalonia and Poland), including 180 drug users...
March 1, 2018: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/29643263/health-state-utilities-for-patient-s-current-health-from-bipolar-type-i-disorder
#4
Masoumeh Banihashemian, Arash Rashidian, Faeze Gholamian, Mahboubeh Parsaeian, Najmeh Moradi, Homayoun Amini
BACKGROUND: Bipolar Type I Disorder (BID) is a disabling mental disorder among young adults that places enormous psychological, social, and economic burdens on patients, their families, and health care systems and decreases quality of life (QOL). Few studies have investigated the quality-adjusted life-years (QALY), health state preferences, and utilities in patients with BID. AIM OF STUDY: The aim of this study was to elicit health state utilities for current health among a sample of individuals with BID irrespective of their clinical conditions at the time of evaluation...
March 1, 2018: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/29300704/cost-effectiveness-and-budget-impact-of-specialized-psychotherapy-for-borderline-personality-disorder-a-synthesis-of-the-evidence
#5
REVIEW
Pim Wetzelaer, Joran Lokkerbo, Arnoud Arntz, Thea van Aselt, Filip Smit, Silvia Evers
BACKGROUND: Specialized outpatient psychotherapy for patients with borderline personality disorder (BPD) is expected to reduce their use of other health care resources. It is currently unknown to what extent the costs of providing these interventions can be expected to be offset by a reduction in other health care costs in the Netherlands. To establish the cost-effectiveness and budget impact of specialized outpatient psychotherapy, the estimated incremental costs are synthesized with the estimated incremental effects...
December 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/29300703/do-high-fidelity-wraparound-services-for-youth-with-serious-emotional-disturbances-save-money-in-the-long-term
#6
Angela Snyder, James Marton, Susan McLaren, Bo Feng, Mei Zhou
BACKGROUND: Treating youth with serious emotional disturbances (SED) is expensive often requiring institutional care. A significant amount of recent federal and state funding has been dedicated to expanding home and community-based services for these youth as an alternative to institutional care. High Fidelity Wraparound (Wrap) is an evolving, evidence-informed practice to help sustain community-based placements for youth with an SED through the use of intensive, customized care coordination among parents, multiple child-serving agencies, and providers...
December 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/29300702/the-cost-effectiveness-of-the-online-mindspot-clinic-for-the-treatment-of-depression-and-anxiety-in-australia
#7
Yu-Chen Lee, Lan Gao, Blake F Dear, Nickolai Titov, Cathrine Mihalopoulos
BACKGROUND: The MindSpot Clinic (MindSpot) offers internet-delivered cognitive behavior therapy (iCBT) courses for people with anxiety and depressive disorders in Australia. The efficacy credentials of the courses offered at MindSpot are now well established but not the credentials of cost-effectiveness. The current study is aimed to evaluate the cost-effectiveness of the Wellbeing Course offered in MindSpot in comparison with the routine/usual care (defined as care in the absence of MindSpot) for people with symptoms of depression or/and anxiety from the perspective of Australian Department of Health...
December 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28869212/increased-mental-health-treatment-financing-community-based-organization-s-treatment-programs-and-latino-white-children-s-financing-disparities
#8
Lonnie R Snowden, Neal Wallace, Kate Cordell, Genevieve Graaf
BACKGROUND: Latino child populations are large and growing, and they present considerable unmet need for mental health treatment. Poverty, lack of health insurance, limited English proficiency, stigma, undocumented status, and inhospitable programming are among many factors that contribute to Latino-White mental health treatment disparities. Lower treatment expenditures serve as an important marker of Latino children's low rates of mental health treatment and limited participation once enrolled in services...
September 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28869211/clinicians-views-on-therapeutic-outcomes-of-systemic-interventions-and-on-the-ability-of-the-eq-5d-to-capture-these-outcomes
#9
Saskia J Schawo, Werner B F Brouwer, Leona Hakkaart
BACKGROUND: Systemic interventions focus on improvements of interactions between clients and their environments, and are increasingly used to treat adolescents with problems of substance use and delinquency. Clients' progress may include broad and non-medical effects. When performing economic evaluations of these interventions, the common outcome of costs per quality adjusted life year (cost/QALY) may not capture all of these effects. AIMS OF THE STUDY: The current study is an explorative study...
September 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28869210/the-affordable-care-act-s-dependent-care-coverage-expansion-and-behavioral-health-care
#10
Chandler B McClellan
BACKGROUND: In September 2010, the Affordable Care Act (ACA) extended dependent care coverage to individuals under the age of 26, allowing young adults to remain on their parent's private insurance. AIMS OF THE STUDY: This policy offers a natural experiment to examine the impact of expanded insurance coverage on mental health and substance use treatment utilization and payment composition. METHODS: Using National Survey on Drug Use and Health (NSDUH) and Medical Expenditure Panel Survey (MEPS) data between 2005 and 2014, this study employs a difference-in-differences approach with 23-25 year olds as the treatment group and 27-30 year olds as the control group to examine the impact of the expansion on insurance coverage, behavioral health treatment utilization, and treatment payment source...
September 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28869209/cost-effectiveness-analysis-of-an-aftercare-service-vs-treatment-as-usual-for-patients-with-severe-mental-disorders
#11
RANDOMIZED CONTROLLED TRIAL
Eshagh Barfar, Vandad Sharifi, Homayoun Amini, Yasaman Mottaghipour, Masud Yunesian, Mehdi Tehranidoost, Payam Sobhebidari, Arash Rashidian
BACKGROUND: There have been claims that community mental health principles leads to the maintenance of better health and functioning in patients and can be more economical for patients with severe and chronic mental disorders. Economic evaluation studies have been used to assess the cost-effectiveness of national health programs, or to propose efficient strategies for health care delivery. AIMS OF THE STUDY: The current study is intended to test the cost-effectiveness of an Aftercare Service when compared with Treatment-As-Usual for patients with severe mental disorders in Iran...
September 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/29543422/does-eating-out-make-elderly-people-depressed-empirical-evidence-from-national-health-and-nutrition-survey-in-taiwan
#12
Hung-Hao Chang, Kannika Saeliw
OBJECTIVES: This study investigates the association between eating out and depressive symptoms among elderly people. Potential mediators that may link to elderly eating out and depressive symptoms are also discussed. METHODS: A unique dataset of 1,184 individuals aged 65 and older was drawn from the National Health and Nutrition Survey in 2008 in Taiwan. A bivariate probit model and an instrumental variable probit model were estimated to account for correlated, unmeasured factors that may be associated with both the decision and frequency of eating out and depressive symptoms in the elderly...
June 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28604355/costs-and-performance-of-english-mental-health-providers
#13
Valerie Moran, Rowena Jacobs
BACKGROUND: Despite limited resources in mental health care, there is little research exploring variations in cost performance across mental health care providers. In England, a prospective payment system for mental health care based on patient needs has been introduced with the potential to incentivise providers to control costs. The units of payment under the new system are 21 care clusters. Patients are allocated to a cluster by clinicians, and each cluster has a maximum review period...
June 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28604354/mental-health-insurance-parity-and-provider-wages
#14
Ezra Golberstein, Susan H Busch
BACKGROUND: Policymakers frequently mandate that employers or insurers provide insurance benefits deemed to be critical to individuals' well-being. However, in the presence of private market imperfections, mandates that increase demand for a service can lead to price increases for that service, without necessarily affecting the quantity being supplied. We test this idea empirically by looking at mental health parity mandates. OBJECTIVE: This study evaluated whether implementation of parity laws was associated with changes in mental health provider wages...
June 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28604353/does-eating-out-make-elderly-people-depressed-empirical-evidence-from-national-health-and-nutrition-survey-in-taiwan
#15
Hung-Hao Chang, Kannika Saeliw
OBJECTIVES: This study investigates the association between eating out and depressive symptoms among elderly people. Potential mediators that may link to elderly eating out and depressive symptoms are also discussed. METHODS: A unique dataset of 1,184 individuals aged 65 and older was drawn from the National Health and Nutrition Survey in 2008 in Taiwan. A bivariate probit model and an instrumental variable probit model were estimated to account for correlated, unmeasured factors that may be associated with both the decision and frequency of eating out and depressive symptoms in the elderly...
June 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28418836/perspectives-accountability-for-mental-health-the-australian-experience
#16
REVIEW
Sebastian Rosenberg, Luis Salvador-Carulla
BACKGROUND: Australia was one of the first countries to develop a national policy for mental health. A persistent characteristic of all these policies has been their reference to the importance of accountability. What does this mean exactly and have we achieved it? Can Australia tell if anybody is getting better? AIMS OF THE STUDY: To review accountability for mental health in Australia and question whether two decades of Australian rhetoric around accountability for mental health has been fulfilled...
March 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28418835/costs-and-effectiveness-of-treating-homeless-persons-with-cocaine-addiction-with-alternative-contingency-management-strategies
#17
RANDOMIZED CONTROLLED TRIAL
Stephen T Mennemeyer, Joseph E Schumacher, Jesse B Milby, Dennis Wallace
BACKGROUND: Between 1990 and 2006 in Birmingham, Alabama USA, 4 separate randomized controlled studies, called "Homeless 1" through "Homeless 4", treated cocaine substance abuse among chronically homeless adults, largely black men, many with non-psychotic mental health problems. The 4 studies had 9 treatment arms that used various counseling methods plus, in some arms, the provision of housing and work therapy usually with a contingent requirement of urine-test verified abstinence from substances...
March 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28418834/reduction-in-costs-after-treating-comorbid-panic-disorder-with-agoraphobia-and-generalized-anxiety-disorder
#18
Vedrana Ikic, Claude Belanger, Stephane Bouchard, Patrick Gosselin, Frederic Langlois, Joane Labrecque, Michel J Dugas, Andre Marchand
BACKGROUND: Panic disorder with agoraphobia (PDA) and generalized anxiety disorder (GAD) are impairing and costly disorders that are often misdiagnosed and left untreated despite multiple consultations. These disorders frequently co-occur, but little is known about the costs associated with their comorbidity and the impact of cognitive-behavioral therapy (CBT) on cost reduction. AIMS OF THE STUDY: The first objective of this study was to assess the mental health-related costs associated with the specific concomitance of PDA and GAD...
March 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28418833/willingness-to-pay-in-caregivers-of-patients-affected-by-schizophrenia
#19
Claudiane Salles Daltio, Cecilia Attux, Marcos Bosi Ferraz
BACKGROUND: Schizophrenia is a debilitating disorder that often requires the affected individual to receive care from a caregiver. Willingness to Pay (WTP) technique allows a valuation of the health state preferences by assessing the impact of the disease and translating it into monetary terms. AIMS OF THE STUDY: The objective was to determine the WTP of schizophrenic patients' caregivers on a hypothetical recovery scenario and correlate it to socio-demographic and clinical characteristics, Knowledge of Disease, Quality of life and Burden of Disease...
March 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/27991419/cost-effectiveness-of-four-parenting-programs-and-bibliotherapy-for-parents-of-children-with-conduct-problems
#20
RANDOMIZED CONTROLLED TRIAL
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
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