Cited by 30Health Systems, Economic Evaluations, Quality of LifeMental Health Treatment and AccessPsychiatric care and mental health services

Identifying attributes of care that may improve cost‐effectiveness in the youth mental health service system

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Hamilton, Matthew P, Hetrick, Sarah E, Mihalopoulos, Cathrine, Baker, David, Browne, Vivienne, Chanen, Andrew M, Pennell, Kerryn, Purcell, Rosemary +2 more·2017·Medical Journal of Australia

Abstract

Objective To identify attributes of youth mental health care for which there is evidence of potential cost-effectiveness. Study design We performed a literature review of economic evaluations that examined both costs and outcomes for attributes of youth mental health care other than pharmacological or individual psychological therapies for full-threshold disorders. Data sources We searched the United Kingdom National Health Service Economic Evaluations Database for evaluations published to the end of 2014; and MEDLINE, Google Scholar and the citation lists of relevant publications for peer-reviewed studies published in English since 1997. Data synthesis Forty economic evaluations met inclusion criteria. Psychosis was the mental disorder with the most developed economic evidence base, with good evidence of cost-effectiveness for first-episode psychosis services. There was a developing cost-effectiveness evidence base for other disorders. The most common attributes of the interventions examined in the included studies were the location of services, engagement and support of families, assessment, prevention, early intervention, group delivery format and information provision. We used our findings to formulate a list of attributes of youth mental health care that may be acceptable to young people and potentially cost-effective. Conclusion There is at least suggestive cost-effectiveness evidence for a range of attributes of youth mental health care. Further economic research is ne…

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Crossref · 10.5694/mja17.00972

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  • Evidence consistently shows cost-effectiveness of early interventions in psychosis across different health systems.

    “Evidence consistently shows cost-effectiveness of early interventions in psychosis across different health systems.”

    From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [418]

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Authors
Hamilton, M. P., Hetrick, S. E., Mihalopoulos, C., Baker, D., Browne, V., Chanen, A. M., Pennell, K., Purcell, R., Stavely, H., & McGorry, P. D.
Affiliations
  • Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC
  • The University of Melbourne (AU)
  • Deakin University (AU)
Corresponding author
Hamilton, Matthew P
Venue
Medical Journal of Australia
Publisher
Wiley
Published
2017-11
Volume
207
Issue
S10
Pages
S27-S37
ISSN
  • 0025-729X (ISSN-L)
  • 1326-5377
OpenAlex
W2770221156
Cited by
30
References
150
Citations by year
2026: 2 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 10 · 2020: 4 · 2019: 2 · 2017: 1
FWCI
0.65
Type
journal article
Language
en
Open access
Locations
  • The Medical Journal of Australia (publishedVersion)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
  • ResearchSpace (University of Auckland) (submittedVersion)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
child and adolescent mental health services, cost-effectiveness, economic evaluation, psychosis, family involvement, early intervention, prevention, information provision, service location
MeSH terms
Adolescent, Mental Disorders, Cost-Benefit Analysis, Family, Humans, Mental Health Services, Patient Education as Topic, Patient Participation, Psychotic Disorders, Young Adult, Early Medical Intervention

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