Martin Knapp1, Tom Snell1, Andrew Healey2, Sacha Guglani3, Sara Evans-Lacko4, Jose-Luis Fernandez1, Howard Meltzer5, Tamsin Ford6. 1. Personal Social Services Research Unit, London School of Economics and Political Science, London, UK. 2. Centre for the Economics of Physical and Mental Health, Institute of Psychiatry, King's College London, London, UK. 3. Croydon Adolescent Mental Health Team, London, UK. 4. Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, UK. 5. Department of Health Sciences, University of Leicester, Leicester, UK. 6. Institute of Health Research, University of Exeter Medical School, Exeter, UK.
Abstract
BACKGROUND: Policy and practice guidelines emphasize that responses to children and young people with poor mental health should be tailored to needs, but little is known about the impact on costs. We investigated variations in service-related public sector costs for a nationally representative sample of children in Britain, focusing on the impact of mental health problems. METHODS: Analysis of service uses data and associated costs for 2461 children aged 5-15 from the British Child and Adolescent Mental Health Surveys. Multivariate statistical analyses, including two-part models, examined factors potentially associated with interindividual differences in service use related to emotional or behavioural problems and cost. We categorized service use into primary care, specialist mental health services, frontline education, special education and social care. RESULTS: Marked interindividual variations in utilization and costs were observed. Impairment, reading attainment, child age, gender and ethnicity, maternal age, parental anxiety and depression, social class, family size and functioning were significantly associated with utilization and/or costs. CONCLUSIONS: Unexplained variation in costs could indicate poor targeting, inequality and inefficiency in the way that mental health, education and social care systems respond to emotional and behavioural problems.
BACKGROUND: Policy and practice guidelines emphasize that responses to children and young people with poor mental health should be tailored to needs, but little is known about the impact on costs. We investigated variations in service-related public sector costs for a nationally representative sample of children in Britain, focusing on the impact of mental health problems. METHODS: Analysis of service uses data and associated costs for 2461 children aged 5-15 from the British Child and Adolescent Mental Health Surveys. Multivariate statistical analyses, including two-part models, examined factors potentially associated with interindividual differences in service use related to emotional or behavioural problems and cost. We categorized service use into primary care, specialist mental health services, frontline education, special education and social care. RESULTS: Marked interindividual variations in utilization and costs were observed. Impairment, reading attainment, child age, gender and ethnicity, maternal age, parental anxiety and depression, social class, family size and functioning were significantly associated with utilization and/or costs. CONCLUSIONS: Unexplained variation in costs could indicate poor targeting, inequality and inefficiency in the way that mental health, education and social care systems respond to emotional and behavioural problems.
Authors: Nathalie Oexle; Wagner Ribeiro; Helen L Fisher; Petra C Gronholm; Kristin R Laurens; Pedro Pan; Shanise Owens; Renee Romeo; Nicolas Rüsch; Sara Evans-Lacko Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2019-07-19 Impact factor: 4.328
Authors: Carolina Ziebold; Wagner Silva-Ribeiro; Derek King; David McDaid; Mauricio Scopel Hoffmann; Renee Romeo; Pedro Mario Pan; Eurípedes Constantino Miguel; Rodrigo Affonseca Bressan; Luis Augusto Rohde; Giovanni Abrahão Salum; Jair de Jesus Mari; Sara Evans-Lacko Journal: PLoS One Date: 2022-09-09 Impact factor: 3.752
Authors: Daniel N Racey; Jerry Fox; Vashti L Berry; Kelly V Blockley; Rachel A Longridge; Jennifer L Simmons; Astrid Janssens; Willem Kuyken; Tamsin J Ford Journal: Mindfulness (N Y) Date: 2017-10-27