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The main objective of this work is to provide a book with high quality content that becomes a reference and support for graduate course (Mental Health, Public Health and Epidemiology) and for research in the domain of health economics applied to mental health. Also this book might be useful for policymakers on formulating mental health policies. Key messages of this book are based on: a) mental illness represent a huge cost for society and for health care; b) health economics applied to mental health could help in the optimization of resource allocation for mental health care and for better decision making in terms of balancing costs and benefits; c) interventions and treatment should be also chosen in general medical practice and in public decision-policy according to cost-effectiveness, burden of disease and equity principles; d) quality of care is related with better outcomes, higher quality of life for clients, and with lower costs for society and health system (best value for money); e) it is possible to decrease the burden of mental disorders with cost-effective treatments. The book is divided in four main topics: 1. Introduction to Health Economics applied to Mental Health – this section is an overview of basic principles, concepts and methods used in Economics and Health Economics to enable students to make critical appraisal of Health Economics texts and also to design research studies in this topic. 2. Health Economics applied to the evaluation of quality and costs of Mental Health Services – this section presents results of Brazilian studies on the costs of mental health care (hospital, outpatient care, residential care, informal care), methods on the measurement of costs and it discusses issues related with public policies decisions and quality of mental health car in the low and middle income countries context. There is also an overview of quality indicators of mental health care and instruments to evaluate mental health services and costs.3. Health Economics applied to evaluate treatment of mental disorders - This section presents a review of cost-effectiveness of pharmacological treatments and other interventions applied for treating the most burdensome mental disorders such as depressive and anxiety disorders, bipolar disorders, psychosis, alcohol and drug disorders, dementia, and hyper attention deficit disorders. 4. Health Economics, burden and indirect costs of mental disorders - This section highlights the social and economic burden caused by mental illness under societal perspective focusing on stigma, unemployment, indirect costs in the workplace (absenteeism and presenteeism), the relationship between poverty and mental disorders, global health and social determinants of mental health and on the costs of mental disorders (depression, anxiety, psychosis, alcohol and drug disorders). We present some instruments to measure indirect costs of mental disorders.
This international survey defines mental health as a basic human right, and tracks the emergence of mental health prevention and promotion as a global priority. Locating mental illness within a cycle of negative causes and effects affecting human quality of life, the editors identify modern policy barriers to promotion/prevention initiatives, particularly the favoring of the biomedical health model by major stakeholders. The book’s selection of successful programs from diverse countries displays a lifespan approach, emphasizing the centrality of interdisciplinary educational settings in providing primary and secondary prevention and promotion interventions, and the ongoing fight against missing financial investigations, discrimination and stigma. Together, these papers make a forceful argument for rights- based responses to worldwide mental health needs as part of the commitment toward global human rights and long-term development goals. Included in the coverage: · Mental health priorities around the world. · Social determinants of mental health. · Mental health and stigma: aspects of anti-stigma interventions. · Promoting social and emotional wellbeing and responding to mental health problems in schools. · The promotion and delivery of mental health services in primary care settings. · Economic evaluation of mental health promotion and mental illness prevention. Bringing to the fore public health concerns that are too often marginalized, Global Mental Health is necessary reading for health professionals, health and clinical psychologists, psychiatrists, medical sociologists, and policymakers.
The health care system continues to change rapidly in response to skyrocketing medical costs and private sector forces. Consumers, investigators, and clinicians have become more cognizant of the urgent need for systematic integration of data on the cost-effectiveness of psychotherapy. This volume, the first of its kind, reflects a focused integration of the work of some of the world's most distinguished mental health investigators. It spans the domains of clinical, treatment, and services research, while incorporating a critical focus throughout on mental health economics. This handbook is designed to serve as a guide, providing substantive direction to a coalescing area of inquiry. Organized as an introductory text to a newly burgeoning field, the book includes, among others, step-by-step introductions to the approaches used by economists to evaluate cost-effectiveness, descriptions of key research instruments and where to get them, and critical assessments of the pros and cons of alternative research design strategies.
With the emerging international consensus toward community care of the mentally ill, there comes a growing need for meaningful evaluation of services. Redressing the current lack of guidance this book describes how to do mental health service research. Contributors comprehensively review the most recent developments in research design, method and measurement at the level of both whole service systems and individual programs within mental health services. Practical descriptions of comprehensive evaluation projects illustrate each issue and many chapters examine important earlier advances in effective service knowledge as well as future work that will further develop our understanding of meeting patient requirements.
ÔThe Elgar Companion to Health Economics is a comprehensive and accessible look at the field, as seen by its leading figures.Õ Ð Joseph Newhouse, Harvard Medical School, US Acclaim for the first edition: ÔThis Companion is a timely addition. . . It contains 50 chapters, from 90 contributors around the world, on the topical and policy-relevant aspects of health economics. . . there is a balanced coverage of theoretical and empirical materials, and conceptual and practical issues. . . I have found the Companion very useful.Õ Ð Sukhan Jackson, Economic Analysis and Policy ÔThis encyclopedic work provides interested readers with an authoritative and comprehensive overview of many, if not all, of the current research issues in health economics. Highly recommended. Upper-level undergraduates and above.Õ Ð R.M. Mullner, Choice This comprehensive collection brings together more than 50 contributions from some of the most influential researchers in health economics. It authoritatively covers theoretical and empirical issues in health economics, with a balanced range of material on equity and efficiency in health care systems, health technology assessment and issues of concern for developing countries. This thoroughly revised second edition is expanded to include four new chapters, while all existing chapters have been extensively updated. The Elgar Companion to Health Economics, Second Edition intends to take an audience of advanced undergraduates, postgraduates and researchers to the current frontier of research by providing concise and readable introductions to key topics.
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