Scaling-up a New Socio-Mental Health Service Model in Iran to Reduce Burden of Neuropsychiatric Disorders: An Economic Evaluation Study
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BACKGROUND: The integration of core packages of mental health care into routine primary health care has been introduced as an effective way to achieve universal health coverage in mental health care. Based on the transition of mental health care in Iran, from introducing basic mental health care in PHC to the experience of community-based mental health centers for urban areas, a new socio-mental health service model has been so far proposed. This study aimed to estimate the impact of scaling-up the new socio-mental health model at the national level as well as its associated costs. METHODS: This study was a cost-consequence analysis following One Health Tool methodology. The data required for the study were collected in the first quarter of the year 2020 with a time horizon from 2020 to 2030. The selected metric for summarizing health effects is healthy life years gained. Resources used in terms of drug and supply, staff salaries and outpatient visits were documented and associated costs were subsequently estimated in order to estimate the average cost of each intervention per case. RESULTS: The health impacts are calculated in terms of healthy life years gained for 2020-2030, after adjusting the prevalence and incidence rates for each disorder. In total, 1,702,755 healthy life years were expected to be gained. Considering total 1,363,581,654 US dollars cost in base case scenario, each healthy life years gained will cost around 801 US dollars. Based on the WHO criteria for cost-effectiveness threshold, all of the values ranged from 724 to 1119 US dollars obtained through eight different scenarios were considered as cost-effective given the GDP per capita of 5550 US dollars for Iran in 2018. CONCLUSIONS: Mental health budget in Iran equals to about three percent of total health expenditure while the mental health cost per capita is estimated to be 1.73 US dollar which are relatively low considering the share of the MNS disorders in the national burden of diseases. The results of current study showing the cost of 16.4 US dollar per capita for scaling up this comprehensive mental health service model can convince high-level policy-makers to increase the share of mental health budget accordingly. The present study demonstrated that the cost in this new socio-mental services model is not substantial compared with GDP per capita of Iran.
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One factor that may explain the predominance of Iranian studies is that the Iranian Ministry of Health supports national mental health programs and research in accordance with the WHO's Mental Health Gap Action Program.
“One of the factors that may explain this predominance is that the Iranian Ministry of Health supports national mental health programs and research in accordance with the WHO’s Mental Health Gap Action Program, which prioritizes the treatment of disorders such as depression, anxiety, and bipolar disorder [63].”
From Psychological Treatments for Alexithymia: A Systematic Review (2024) · cites this paper as [63]
The Research planning section says Iranian Ministry of Health planners selected depression, anxiety, and bipolar disorder for this program and that its interventions are recommended by WHO’s mhGAP. The Conclusion describes ministry collaboration on a national scale-up plan. Neither section establishes that the ministry supports mental health research in accordance with mhGAP or that such support explains the predominance of Iranian studies. (LLM, conf=0.84)
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Cites
The Lancet Commission on global mental health and sustainable development
Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., Chisholm, D., Collins, P. Y., Cooper, J. L., Eaton, J., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(18)31612-x · Cited by 3,692 · see citing works
Salomon, J. A., Vos, T., Hogan, D. R., Gagnon, M., Naghavi, M., Mokdad, A., Begum, N., Shah, R., Karyana, M., Kosen, S., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61680-8 · Cited by 1,322 · see citing works
Cost–effectiveness thresholds: pros and cons
Bertram, M., Lauer, J. A., de Joncheere, K., Edejer, T. T.-T., Hutubessy, R. C. W., Kiény, M.-P., & Hill, S. R. (2016) · Bulletin of the World Health Organization · doi:10.2471/blt.15.164418 · Cited by 789 · see citing works
A web-based tool for adjusting costs to a specific target currency and price year
Shemilt, I., James, T., & Marcello, M. (2010) · Evidence & Policy · doi:10.1332/174426410x482999 · Cited by 411 · see citing works
Sharifi, V., Amin‐Esmaeili, M., Hajebi, A., Motevalian, S. A., Radgoodarzi, R., Hefazi, M., & Rahimi‐Movaghar, A. (2015) · PubMed · Cited by 230 · see citing works
Self-citationMental Health Survey of the Iranian Adult Population in 2015.
Noorbala, A. A., Faghihzadeh, S., Kamali, K., Yazdi, S. A. B., Hajebi, A., Mousavi, M. T., Akhondzadeh, S., Faghihzadeh, E., & Nouri, B. (2017) · PubMed · Cited by 121 · see citing works
Self-citationCost-effectiveness of an essential mental health intervention package in Nigeria.
Gureje, O., Chisholm, D., Kola, L., Lasebikan, V. O., & Saxena, S. (2007) · PubMed Central · Cited by 99 · see citing works
Chisholm, D., Docrat, S., Abdulmalik, J. O., Alem, A., Gureje, O., Gurung, D., Hanlon, C., Jordans, M. J. D., Kangere, S., Kigozi, F. N., et al. (2019) · BJPsych Open · doi:10.1192/bjo.2019.24 · Cited by 84 · see citing works
Chisholm, D., Heslin, M., Docrat, S., Nanda, S., Shidhaye, R., Upadhaya, N., Jordans, M., Abdulmalik, J., Olayiwola, S., Gureje, O., et al. (2017) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796016000408 · Cited by 65 · see citing works
Chisholm, D., Burman-Roy, S., Fekadu, A., Kathree, T., Kizza, D., Luitel, N. P., Petersen, I., Shidhaye, R. R., Silva, M. J. D., & Lund, C. (2015) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.114.153866 · Cited by 63 · see citing works
Chisholm, D., Docrat, S., Abdulmalik, J. O., Alem, A., Gureje, O., Gurung, D., Hanlon, C., Jordans, M. J. D., Kangere, S., Kigozi, F. N., et al. (2021) · BJPsych Open · doi:10.1192/bjo.2021.948 · Cited by 43 · see citing works
Scaling-up essential neuropsychiatric services in Ethiopia: a cost-effectiveness analysis
Strand, K. B., Chisholm, D., Fekadu, A., & Johansson, K. A. (2016) · Health Policy and Planning · doi:10.1093/heapol/czv093 · Cited by 39 · see citing works
de Menil, V., Knapp, M., McDaid, D., Raja, S., Kingori, J., Waruguru, M., Wood, S. K., Mannarath, S., & Lund, C. (2015) · Psychological Medicine · doi:10.1017/s0033291715000719 · Cited by 36 · see citing works
Duevel, J. A., Hasemann, L., Peña-Longobardo, L. M., Rodríguez-Sánchez, B., Aranda-Reneo, I., Oliva-Moreno, J., López-Bastida, J., & Greiner, W. (2020) · Health Economics Review · doi:10.1186/s13561-020-00288-7 · Cited by 34 · see citing works
Transition of Mental Health to a More Responsible Service in Iran.
Damari, B., Alikhani, S., Riazi-Isfahani, S., et al. (2017) · PubMed · Cited by 17 · see citing works
Self-citationSpecialized Outpatient: Community Mental Health Centers (CMHCs)
Sharifi, V., Hajebi, A., Damari, B., et al. (2021) · Iranian Journal of Psychiatry · doi:10.18502/ijps.v16i1.5383 · Cited by 9 · see citing works
Self-citationDamari, B., & Mafimoradi, S. (2019) · International Journal of Preventive Medicine · doi:10.4103/ijpvm.ijpvm_406_17 · Cited by 5 · see citing works
Self-citationDamari, B., Sharifi, V., Asgardoon, M. H., & Hajebi, A. (2021) · Iranian Journal of Psychiatry · doi:10.18502/ijps.v16i1.5382 · Cited by 4 · see citing works
Self-citationDamari, B., Hajebi, A., Abolhallaje, M., et al. (2021) · Iranian Journal of Psychiatry · doi:10.18502/ijps.v16i2.5816 · Cited by 2 · see citing works
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Research works printed but not linked: 1
- [13]World Health Organization mhGAP: mental health gap action programme: scaling up care for mental, neurological and substance use disorders 2008 Geneva World Health Organization 26290926
Cited by
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Psychological Treatments for Alexithymia: A Systematic Review
Tsubaki, K., & Shimizu, E. (2024) · Behavioral Sciences · doi:10.3390/bs14121173 · Cited by 24 · see citing works
- Authors
- Hosseini Jebeli, S. S., Rezapour, A., Hajebi, A., Moradi-Lakeh, M., & Damari, B.
- Affiliations
- Iran University of Medical Sciences (IR)
- Tehran University of Medical Sciences (IR)
- Corresponding author
- Rezapour, Aziz
- Venue
- International Journal of Mental Health Systems
- Published
- 2021-05-20
- Volume
- 15
- Issue
- 1
- Pages
- 47-47
- ISSN
- 1752-4458 (ISSN-L)
- PMC
- PMC8139035
- OpenAlex
- W3121415434
- Cited by
- 10
- References
- 19
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 2
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Journal of Mental Health Systems (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Newcastle University ePrints (Newcastle Univesity) (cc-by)
- Funders
- Iran University of Medical Sciences (IUMS/SHMIS/1397-2-37-12423.)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- scaling up mental health services, neuropsychiatric disorders, cost-effectiveness, primary care integration, mental health funding, Iran
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