Reviewhybrid2011

Investing in mental health and well-being: findings from the DataPrev project

111 citations0/0 files storedHealth Promotion International

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Health Systems, Economic Evaluations, Quality of Life Mental Health Treatment and Access Workplace Health and Well-being

Abstract

A systematic review was conducted to determine the extent to which an economic case has been made in high-income countries for investment in interventions to promote mental health and well-being. We focused on areas of interest to the DataPrev project: early years and parenting interventions, actions set in schools and workplaces and measures targeted at older people. Economic evaluations had to have some focus on promotion of mental health and well-being and/or primary prevention of poor mental health through health-related means. Studies preventing exacerbations in existing mental health problems were excluded, with the exception of support for parents with mental health problems, which might indirectly affect the mental health of their children. Overall 47 studies were identified. There was considerable variability in their quality, with a variety of outcome measures and different perspectives: societal, public purse, employer or health system used, making policy comparisons difficult. Caution must therefore be exercised in interpreting results, but the case for investment in parenting and health visitor-related programmes appears most strong, especially when impacts beyond the health sector are taken into account. In the workplace an economic return on investment in a number of comprehensive workplace health promotion programmes and stress management projects (largely in the USA) was reported, while group-based exercise and psychosocial interventions are of potential benefit to older people. Many gaps remain; a key first step would be to make more use of the existence evidence base on effectiveness and model mid- to long-term costs and benefits of action in different contexts and settings.

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References

2005Methods for the Economic Evaluation of Health Care Programmes 2007The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation 1996Guidelines for authors and peer reviewers of economic submissions to the BMJ 2005Cost of disorders of the brain in Europe 2005Show me the child at seven: the consequences of conduct problems in childhood for psychosocial functioning in adulthood 2001Financial cost of social exclusion: follow up study of antisocial children into adulthood 2005Criteria list for assessment of methodological quality of economic evaluations: Consensus on Health Economic Criteria 1998Investing in Our Children: What We Know and Don't Know About the Costs and Benefits of Early Childhood Interventions

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2013Prevention of common mental disorders: What can we learn from those who have gone before and where do we go next?

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