Literature Collection

3281

Easy-Access Services in Low-Threshold Opiate Agonist Maintenance

Type: Journal Article

Authors: Morten Hesse, Mads U. Pedersen

Year: 2008

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3282

eCHAT for lifestyle and mental health screening in primary care

Type: Journal Article

Authors: F. Goodyear-Smith, J. Warren, M. Bojic, A. Chong

Year: 2013

Publication Place: United States

Abstract: PURPOSE: Early detection and management of unhealthy behaviors and mental health issues in primary care has the potential to prevent or ameliorate many chronic diseases and increase patients' well-being. This study aimed to assess the feasibility and acceptability of the systematic use of a Web-based eCHAT (electronic Case-finding and Help Assessment Tool) screening patients for problematic drinking, smoking, and other drug use, gambling, exposure to abuse, anxiety, depression, anger control, and physical inactivity, and whether they want help with these issues. Patients self-administered eCHAT on an iPad in the waiting room and received summarized results, including relevant scores and interpretations, which could be by a family physician on the website and in the electronic health record (EHR) at the point of care. METHODS: We conducted a mixed method feasibility and acceptability study in 2 general practices in Auckland, New Zealand. Participants were consecutive adult patients attending the practice during a 2-week period, as well as all practice staff. Patients completed eCHAT, doctors accessed the summarized reports. Outcome measures were patients' responses to eCHAT, and patients' written and staff recorded interview feedback. RESULTS: Of the 233 invited patients, 196 (84%) completed eCHAT and received feedback. Domains where patients wanted immediate help were anxiety (9%), depression (7%), physical activity (6%), and smoking (5%), which was not overwhelming for physicians to address. Most patients found the iPad easy to use, and the questions easy to understand and appropriate; they did not object to questions. Feedback from 7 doctors, 2 practice managers, 4 nurses, and 5 receptionists was generally positive. Practices continue to use eCHAT regularly since the research was completed. CONCLUSIONS: eCHAT is an acceptable and feasible means of systemic screening patients for unhealthy behaviors and negative mood states and is easily integrated into the primary care electronic health record.

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3283

Ecological factors of telemental healthcare utilization among adolescents with increased substance use during the COVID-19 pandemic: The moderating effect of gender

Type: Journal Article

Authors: Youn Kyoung Kim, Eusebius Small, Rachel D. Pounders, Salimata Lala Fall, Wendy L. Wilson

Year: 2024

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3284

Ecological momentary assessment in alcohol, tobacco, cannabis and opiate dependence: a comparison of feasibility and validity

Type: Journal Article

Authors: F. Serre, M. Fatseas, R. Debrabant, J. M. Alexandre, M. Auriacombe, J. Swendsen

Year: 2012

Publication Place: Ireland

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3285

Econometric evaluation of implementing a behavioral health integration intervention in primary care settings

Type: Report

Authors: Z. Nagykaldi, B. Littenberg, L. Bonnell, R. Breshears, J. Clifton, A. Crocker, J. Hitt, R. Kessler, B. Mollis, R. E. S. Miyamoto, C. van Eeghen

Year: 2023

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3286

Economic barriers to better mental health practice and policy

Type: Journal Article

Authors: Martin Knapp, Michelle Funk, Claire Curran, Martin Prince, Margaret Grigg, David McDaid

Year: 2006

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3287

Economic costs of neuroticism: A population-based study

Type: Journal Article

Authors: P. Cuijpers, F. Smit, B. W. Penninx, R. de Graaf, ten Have, A. T. Beekman

Year: 2010

Publication Place: United States

Abstract: CONTEXT: The importance of neuroticism for mental health care use and public health is well established. However, most research has focused on the association between neuroticism and a single specific disorder or health outcome, and the overall effect of neuroticism on use of somatic and mental health care and on society is not clear. OBJECTIVE: To examine the economic costs of neuroticism to get an impression of the overall effect of neuroticism on mental health care and on society in general. DESIGN: Cross-sectional population-based study. SETTING: General population. PARTICIPANTS: A large representative sample (N = 5504) of the Dutch general population. MAIN OUTCOME MEASURES: The costs (health service uptake in primary and secondary mental health care, out-of-pocket costs, and production losses) associated with neuroticism. RESULTS: The total per capita excess costs were $12 362 per year for the reference year 2007 in the 5% highest scorers of neuroticism, $8243 in the 10% highest scorers, and $5572 in the 25% highest scorers. The per capita excess costs of neuroticism are considerably higher than those of mental disorders. The total excess costs of neuroticism per 1 million inhabitants resulting from the 25% highest scorers ($1.393 billion) were approximately 2.5 times as high as the excess costs of common mental disorders ($585 million). CONCLUSIONS: The economic costs of neuroticism are enormous and exceed those of common mental disorders. We should start thinking about interventions that focus not on each of the specific negative outcomes of neuroticism but rather on the starting point itself.

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3288

Economic evaluation of integrated new technologies for health and social care: Suggestions for policy makers, users and evaluators

Type: Journal Article

Authors: J. Wildman, P. McMeekin, E. Grieve, A. Briggs

Year: 2016

Publication Place: England

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3289

Economic Evaluation of New Models of Care: Does the Decision Change Between Cost-Utility Analysis and Multi-Criteria Decision Analysis?

Type: Journal Article

Authors: Esther H. A. van den Bogaart, Mariëlle E. A. L. Kroese PhD., Marieke D. Spreeuwenberg PhD., Dirk Ruwaard PhD., Apostolos Tsiachristas PhD.

Year: 2021

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3290

Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial

Type: Journal Article

Authors: S. A. Gerhards, L. E. de Graaf, L. E. Jacobs, J. L. Severens, M. J. Huibers, A. Arntz, H. Riper, G. Widdershoven, J. F. Metsemakers, S. M. Evers

Year: 2010

Publication Place: England

Abstract: BACKGROUND: Evidence about the cost-effectiveness and cost utility of computerised cognitive-behavioural therapy (CCBT) is still limited. Recently, we compared the clinical effectiveness of unsupported, online CCBT with treatment as usual (TAU) and a combination of CCBT and TAU (CCBT plus TAU) for depression. The study is registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236). AIMS: To assess the cost-effectiveness of CCBT compared with TAU and CCBT plus TAU. METHOD: Costs, depression severity and quality of life were measured for 12 months. Cost-effectiveness and cost-utility analyses were performed from a societal perspective. Uncertainty was dealt with by bootstrap replications and sensitivity analyses. RESULTS: Costs were lowest for the CCBT group. There are no significant group differences in effectiveness or quality of life. Cost-utility and cost-effectiveness analyses tend to be in favour of CCBT. CONCLUSIONS: On balance, CCBT constitutes the most efficient treatment strategy, although all treatments showed low adherence rates and modest improvements in depression and quality of life.

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3291

Economic evaluation of stepped care for the management of childhood anxiety disorders: Results from a randomised trial

Type: Journal Article

Authors: Mary Lou Chatterton, Ronald M. Rapee, Max Catchpool, Heidi J. Lyneham, Viviana Wuthrich, Jennifer L. Hudson, Maria Kangas, Cathrine Mihalopoulos

Year: 2019

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3292

Economic Evaluation: A Randomized Pragmatic Trial of a Primary Care-based Cognitive Behavioral Intervention for Adults Receiving Long-term Opioids for Chronic Pain

Type: Journal Article

Authors: D. H. Smith, M. O'Keeffe-Rosetti, M. C. Leo, M. Mayhew, L. Benes, A. Bonifay, R. A. Deyo, C. R. Elder, F. J. Keefe, C. McMullen, A. Owen-Smith, C. M. Trinacty, W. M. Vollmer, L. Debar

Year: 2022

Publication Place: United States

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3293

Economic Impact of Integrated Medical Behavioral Healthcare: Implications for Psychiatry

Type: Report

Authors: S. Melek, D. T. Norris, J. Paulus

Year: 2014

Publication Place: Denver, Colorado

Topic(s):

,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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3294

Economic Impact of Integrated Medical Behavioral Healthcare: Implications for Psychiatry - Report Summary

Type: Report

Authors: S. Melek, D. T. Norris, J. Paulus

Year: 2014

Publication Place: Denver, Colorado

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,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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3295

Economic impact of personality disorders in UK primary care attenders

Type: Journal Article

Authors: A. Rendu, P. Moran, A. Patel, M. Knapp, A. Mann

Year: 2002

Publication Place: England

Abstract: BACKGROUND: The economic impact of personality disorders on UK health services is unknown. AIMS: To test the hypothesis that people with personality disorders have higher mean health and non-health costs compared with those without personality disorders. METHOD: Prospective cohort study design. A total of 303 general practice attenders were followed-up I year after they had been assessed for the presence of personality disorders. Costs were estimated in pound sterling at 1999 price levels. RESULTS: The mean total cost for patients with personality disorders was pound sterling 3094 (s.d.=5324) compared with pound sterling 1633 (s.d.=3779) for those without personality disorders. Personality disorders were not independently associated with increased costs. Multivariate analyses identified the presence of a significant interaction between personality disorders and common mental disorders and increased total costs (coefficient=499, 95% CI 180.1-626.2, P=0.002). CONCLUSIONS: Personality disorders are not independently associated with increased costs. An interaction between personality disorders and common mental disorders significantly predicts increased total costs.

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3296

Economic implications of shared care arrangements. A primary care based study of patients in an inner city sample

Type: Journal Article

Authors: P. McCrone, N. K. Fitzpatrick, E. Mathieson, D. Chisholm, S. Nourmand

Year: 2004

Publication Place: Germany

Abstract: BACKGROUND: Providing care for people with serious and enduring mental health problems has been prioritised in a number of countries. It has been recognised that good liaison between primary and secondary care services is required for care to be effective. However, little is known about the resource implications of different levels of 'shared care'. The aim of this study is to compare service use and costs of different levels of shared care between primary and secondary care services. METHOD: Service use data were collected at baseline and one year later for participants with severe mental illness and costs were calculated. Levels of shared care were categorised into low, medium and high tertiles. Comparisons were made between the groups using multivariate analysis to control for participant characteristics. RESULTS: Participants receiving a low level of shared care used residential care less and were less likely to have contacts with a psychiatrist or social worker than those receiving medium or high levels of shared care. Mean costs for a low level of shared care were significantly lower than for a medium level (a difference of pound 2606, 90% CI pound 452 to pound 4923), but not significantly lower than for a high level of shared care (difference of pound 1867, 90% CI- pound 287 to pound 3903). CONCLUSION: Different levels of shared care are associated with different patterns of service use, with greater resource consumption associated with a medium level of shared care. Further work is required to investigate the causal links between integrated care and service use and costs.

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3297

Economic Opportunity and the Opioid Crisis: Geographic and Economic Trends

Type: Government Report

Authors: Robin Ghertner, Lincoln Groves

Year: 2018

Publication Place: Washington, DC

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3298

Economic Toll of Opioid Crisis in U.S. Exceeded $1 Trillion Since 2001

Type: Web Resource

Authors: Altarum

Year: 2018

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3299

Economics of collaborative care for management of depressive disorders: a community guide systematic review

Type: Journal Article

Authors: V. Jacob, S. K. Chattopadhyay, T. A. Sipe, A. B. Thota, G. J. Byard, D. P. Chapman, Community Preventive Services Task Force

Year: 2012

Publication Place: Netherlands

Abstract: CONTEXT: Major depressive disorders are frequently underdiagnosed and undertreated. Collaborative Care models developed from the Chronic Care Model during the past 20 years have improved the quality of depression management in the community, raising intervention cost incrementally above usual care. This paper assesses the economic efficiency of collaborative care for management of depressive disorders by comparing its economic costs and economic benefits to usual care, as informed by a systematic review of the literature. EVIDENCE ACQUISITION: The economic review of collaborative care for management of depressive disorders was conducted in tandem with a review of effectiveness, under the guidance of the Community Preventive Services Task Force, a nonfederal, independent group of public health leaders and experts. Economic review methods developed by the Guide to Community Preventive Services were used by two economists to screen, abstract, adjust, and summarize the economic evidence of collaborative care from societal and other perspectives. An earlier economic review that included eight RCTs was included as part of the evidence. The present economic review expanded the evidence with results from studies published from 1980 to 2009 and included both RCTs and other study designs. EVIDENCE SYNTHESIS: In addition to the eight RCTs included in the earlier review, 22 more studies of collaborative care that provided estimates for economic outcomes were identified, 20 of which were evaluations of actual interventions and two of which were based on models. Of seven studies that measured only economic benefits of collaborative care in terms of averted healthcare or productivity loss, four found positive economic benefits due to intervention and three found minimal or no incremental benefit. Of five studies that measured both benefits and costs, three found lower collaborative care cost because of reduced healthcare utilization or enhanced productivity, and one found the same for a subpopulation of the intervention group. One study found that willingness to pay for collaborative care exceeded program costs. Among six cost-utility studies, five found collaborative care was cost effective. In two modeled studies, one showed cost effectiveness based on comparison of $/disability-adjusted life-year to annual per capita income; the other demonstrated cost effectiveness based on the standard threshold of $50,000/quality-adjusted life year, unadjusted for inflation. Finally, six of eight studies in the earlier review reported that interventions were cost effective on the basis of the standard threshold. CONCLUSIONS: The evidence indicates that collaborative care for management of depressive disorders provides good economic value.

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3300

eConsult Mental Health: Electronic Referral and Consultation to Integrate Primary Care and Mental Health

Type: Journal Article

Authors: L. B. Leung, C. T. Benitez, H. F. Yee Jr.

Year: 2019

Publication Place: United States

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