Estimating the capital component of mental health care costs in the public sector

1994 ◽  
Vol 21 (6) ◽  
pp. 493-509 ◽  
Author(s):  
Robert Rosenheck ◽  
Linda Frisman ◽  
Michael Neale
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Public Sector ◽  
Mental Health Care ◽  
Health Care Costs ◽  
The Public ◽  
Care Costs

scholarly journals Direct Health Care Costs of Treating Seasonal Affective Disorder: A Comparison of Light Therapy and Fluoxetine

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Amy Cheung ◽  
Carolyn Dewa ◽  
Erin E. Michalak ◽  
Gina Browne ◽  
Anthony Levitt ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Affective Disorder ◽  
Health Care Costs ◽  
Seasonal Affective Disorder ◽  
Light Therapy ◽  
Major Depressive Episodes ◽  
Depressive Episodes ◽  
Care Costs

Objective.To compare the direct mental health care costs between individuals with Seasonal Affective Disorder randomized to either fluoxetine or light therapy.Methods.Data from the CANSAD study was used. CANSAD was an 8-week multicentre double-blind study that randomized participants to receive either light therapy plus placebo capsules or placebo light therapy plus fluoxetine. Participants were aged 18–65 who met criteria for major depressive episodes with a seasonal (winter) pattern. Mental health care service use was collected for each subject for 4 weeks prior to the start of treatment and for 4 weeks prior to the end of treatment. All direct mental health care services costs were analysed, including inpatient and outpatient services, investigations, and medications.Results.The difference in mental health costs was significantly higher after treatment for the light therapy group compared to the medication group—a difference of $111.25 (z=−3.77,P=0.000). However, when the amortized cost of the light box was taken into the account, the groups were switched with the fluoxetine group incurring greater direct care costs—a difference of $75.41 (z=−2.635,P=0.008).Conclusion.The results suggest that individuals treated with medication had significantly less mental health care cost after-treatment compared to those treated with light therapy.

Managed mental health care in the public sector

1993 ◽  
Vol 1993 (59) ◽  
pp. 67-80 ◽  
Author(s):  
David Dangerfield ◽  
Rod L. Betit
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Public Sector ◽  
Mental Health Care ◽  
The Public

scholarly journals Premorbid, psychosocial and clinical predictors of the costs of schizophrenia and other psychoses

2004 ◽  
Vol 184 (6) ◽  
pp. 517-525 ◽  
Author(s):  
Vaughan J. Carr ◽  
Terry J. Lewin ◽  
Amanda L. Neil ◽  
Sean A. Halpin ◽  
Scott Holmes
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Costs ◽  
Psychotic Disorders ◽  
Age At Onset ◽  
Indirect Costs ◽  
Structured Interview ◽  
Research Attention ◽  
Care Costs

BackgroundPredictors of the costs of psychosis have received insufficient research attention, particularly factors associated with indirect costs.AimsTo identify the predictors of direct mental health care costs and indirect or time-loss costs in psychotic disorders and to discuss their implications for future interventions.MethodStructured interview data from the Low Prevalence Disorders Study (n=980) were used to examine predictors of the costs of psychosis in Australia. Estimates of annual costs per patient were derived from the perspectives of government and society. Hierarchical regressions were used to assess the contributions to costs of premorbid, psychosocial and clinical factors.ResultsSchizophrenia involved greater costs than other psychotic disorders. Non-completion of high-school education and chronicity of illness course were predictive of higher costs across all categories, and some factors were linked primarily with mental health care costs (e.g. age at onset, current symptomatology) or indirect costs (e.g. male gender, overall disability).ConclusionsSeveral concurrent strategies were recommended, including early intervention programmes and assertive evidence-based rehabilitation and supported employment programmes aimed at reducing disability The cost-effectiveness of these approaches needs to be evaluated from the perspectives of both government and society.

scholarly journals PMH32 ANTIPSYCHOTIC THERAPY IN PATIENTS WITH BIPOLAR DISORDER: EFFECTS ON TOTAL AND MENTAL HEALTH CARE COSTS

2006 ◽  
Vol 9 (3) ◽  
pp. A74
Author(s):  
M Hassan ◽  
SS Madhavan ◽  
K Rajagopalan ◽  
ID Kalsekar ◽  
S Islam ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Bipolar Disorder ◽  
Mental Health Care ◽  
Health Care Costs ◽  
Antipsychotic Therapy ◽  
Disorder Effects ◽  
Care Costs

Mental Health Care Costs—Not The Whole Story

1998 ◽  
Vol 17 (4) ◽  
pp. 241-242 ◽  
Author(s):  
Michael S. Jellinek
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Costs ◽  
Care Costs
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