Identifying attributes of care that may improve cost‐effectiveness in the youth mental health service system
Open accessAbstract
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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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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The Lancet Psychiatry Commission on youth mental health
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Self-citationEconomics and mental health: the current scenario
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Implementing youth peer support in an early psychosis program
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Vartiainen, A., Kuvaja-Köllner, V., Rantsi, M., Rissanen, E., Luntamo, T., Kurki, M., Sourander, A., & Kankaanpää, E. (2021) · Child and Adolescent Mental Health · doi:10.1111/camh.12505 · Cited by 9 · see citing works
de Lacy, N., Ramshaw, M. J., & Lam, W. Y. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1487894 · Cited by 7 · see citing works
Wittevrongel, E., Kessels, R., Everaert, G., Vrijens, M., Danckaerts, M., & van Winkel, R. (2024) · Early Intervention in Psychiatry · doi:10.1111/eip.13584 · Cited by 6 · see citing works
Simmons, M. B., Nicholas, J., Chinnery, G. L., O’Sullivan, S., D’Alfonso, S., Bendall, S., Cagliarini, D., Hamilton, M. P., Gleeson, J., Killackey, E. J., et al. (2021) · Early Intervention in Psychiatry · doi:10.1111/eip.13100 · Cited by 6 · see citing works
Self-citationModels of Service Delivery and Funding of Mental Health Services
Rosenberg, S. P., & Roberts, R. J. (2020) · Springer eBooks · doi:10.1007/978-981-10-5012-1_8-1 · Cited by 6 · see citing works
Hamilton, M. P., Hetrick, S. E., Mihalopoulos, C., Baker, D. G., Browne, V., Chanen, A. M., Pennell, K., Purcell, R., Stavely, H., & McGorry, P. D. (2017) · The Medical Journal of Australia · doi:10.5694/mja17.00692 · Cited by 5 · see citing works
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Ji, M., Xie, W., Huang, R., & Qian, X. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910048 · Cited by 3 · see citing works
Hamilton, M. P., Gao, C. X., Filia, K., Menssink, J. M., Sharmin, S., Telford, N. R., Herrman, H., Hickie, I. B., Mihalopoulos, C., Rickwood, D., et al. (2021) · medRxiv · doi:10.1101/2021.07.07.21260129 · Cited by 3 · see citing works
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Models of Service Delivery and Funding of Mental Health Services
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Self-citationApproaches to Addressing the Structural Trauma of the Mental Health Care System
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Lee, Y. Y., Betts, J. K., Lardner, E., Jackson, H. J., Cotton, S., Gleeson, J., Davey, C. G., Perera, S., Rayner, V., McCutcheon, L., et al. (2026) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-026-02994-9
Self-citation
- 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
- ORCID
- 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
- green
- figshare.com
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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