Cited by 560Health Systems, Economic Evaluations, Quality of LifeMental Health Treatment and AccessPsychiatric care and mental health services

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Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders

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Andrews, Gavin, Issakidis, Cathy, Sanderson, Kristy, Corry, Justine, Lapsley, Helen·2004·British Journal of Psychiatry

DOI 10.1192/bjp.184.6.526

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Abstract

Background: Mental health survey data are now being used proactively to decide how the burden of disease might best be reduced. Aims: To study the cost-effectiveness of current and optimal treatments for mental disorders and the proportion of burden avertable by each. Method: Data for three affective, four anxiety and two alcohol use disorders and for schizophrenia were compared in terms of cost, burden averted and efficiency of current and optimal treatment. We then calculated the burden unavertable given current knowledge. The unit of health gain was a reduction in the years lived with disability (YLDs). Results: Summing across all disorders, current treatment averted 13% of the burden, at an average cost of AUS$30 000 per YLD gained. Optimal treatment at current coverage could avert 20% of the burden, at an average cost of AUS$18 000 per YLD gained. Optimal treatment at optimal coverage could avert 28% of the burden, at AUS$16 000 per YLD gained. Sixty per cent of the burden of mental disorders was deemed to be unavertable. Conclusions: The efficiency of treatment varied more than tenfold across disorders. Although coverage of some of the more efficient treatments should be extended, other factors justify continued use of less-efficient treatments for some disorders.

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Additional file 2 of Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)
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Additional file 4 of Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)
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Additional file 6 of Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)
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Additional file 5 of Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)
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Additional file 1 of Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)
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Additional file 3 of Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)
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Background

Authors: Andrews, G., Issakidis, C., Sanderson, K., Corry, J., & Lapsley, H.
Affiliations: UNSW Sydney (AU)
Queensland University of Technology (AU)
The University of Queensland (AU)
Corresponding author: Andrews, Gavin
ORCID: Andrews, Gavin
Sanderson, Kristy
Lapsley, Helen
Venue: British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2004-06
Volume: 184
Issue: 6
Pages: 526-533
ISSN: 0007-1250 (ISSN-L)
1472-1465
DOI: 10.1192/bjp.184.6.526
OpenAlex: W94943583
Cited by: 560
References: 29
Citations by year: 2026: 10 · 2025: 22 · 2024: 13 · 2023: 42 · 2022: 16 · 2021: 36 · 2020: 38 · 2019: 24 · 2018: 24 · 2017: 35 · 2016: 21 · 2015: 34 · 2014: 29 · 2013: 31 · 2012: 24
FWCI: 48.85
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 4963 d)
Locations: The British Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
eCite Digital Repository (University of Tasmania) (submittedVersion)
Figshare (submittedVersion, cc-by)
UEA Digital Repository (University of East Anglia) (submittedVersion)
Centre for Health Research; Faculty of Health; Institute of Health and Biomedical Innovation
Funders: Medical Research Council
National Health and Medical Research Council
Topics: Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: mental illness, cost-effectiveness, psychotherapy, disease burden, years lived with disability, mood disorders, anxiety disorders, alcoholism, schizophrenia, treatment coverage, public policy
MeSH terms: Anxiety Disorders, Australia, Mental Disorders, Bipolar Disorder, Cost-Benefit Analysis, Health Policy, Health Surveys, Humans, Mental Health Services, Psychoses, Alcoholic, Schizophrenia, Time Factors, Cost of Illness, Evidence-Based Medicine, Mood Disorders

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Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders

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