Thursday, September 29, 2011

[EQ] Return on Investment Mental Health Promotion and Mental Illness Prevention

Return on Investment Mental Health Promotion and Mental Illness Prevention

Canadian Policy Network at the University of Western Ontario

Canadian Institute for Health Information. CIHI 2011

Available online PDF file [76p.] at: http://bit.ly/o0cTEd

“….Mental health issues will be among the leading causes of disability in Canada by 2030, yet there is limited information about the costs of interventions for mental illness prevention and mental health promotion.
This scoping study found that there is research showing a return on investment for some mental health promotion/illness prevention interventions. The strongest evidence was for interventions targeting children and youth (such as those that focus on conduct disorders, depression, parenting, and suicide awareness and prevention), while the weakest evidence was from the workplace sector….”

Key Messages

·          The evidence suggests that there is a return on investment (ROI) for some mental health promotion/illness prevention interventions.

·          There are a number of high-quality systematic reviews and meta-analyses on the topics of ROI for mental health promotion and mental illness prevention; however, the number of randomized trials is low and there is an overall lack of evidence in Canada.

·          There is more evidence for illness prevention activities, and most studies were found at the individual/organizational levels.

·          The weakest evidence was from the workplace sector, due to a lack of high-quality research studies.

·          The strongest ROI evidence was for children/adolescents in the areas of reducing conduct disorders and depression, parenting and anti-bullying/-stigma programs, suicide awareness and prevention, health promotion in schools and primary health care screening for depression and alcohol misuse.

·          There is a lack of standard definitions in the areas of mental health, mental health promotion, mental illness prevention and economic analysis. A common lexicon that crosses sectors is required.

·          Expenditure information on mental health is research-based and likely understated. There is a lack of expenditure information on mental health promotion/mental illness prevention.

·          Returns from mental health promotion/illness prevention typically show up in a different sector from the one in which the investments are made— a “mental health–in-all-policies” approach should be considered.

·          By 2030, mental health issues will be the leading cause of disability in Canada, but Canada appears to be a low spender on mental health.

·          There is mounting evidence that the growing cost to society of mental illness is not sustainable—the total cost to society could be greater than the entire cost of the health care system in Canada.

·          The solution lies in promoting mental health and preventing mental illness—we need to prevent more people from breaking down—and a long-range view is required…”

 

Table of Contents


Key Messages

Executive Summary

Introduction

Methodology

Search Protocol

Results

Health

Education

Workplace

Social Services and Criminal Justice

Discussion

Conclusion


Appendix A: Search Strategy Results

Appendix B: Glossary of Health Economic Terms

References

Bibliography

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]
Washington DC USA

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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[EQ] European review of social determinants of health

European review of social determinants of health

Interim second report on social determinants of health and the health divide in the European Region
WHO - EUR/RC61/Inf.Doc./5

Drafted by a team based at University College London and led by Sir Michael Marmot – 2011

Available online PDF [75p.] at: http://bit.ly/qwzKh0

“……This interim second report sets out the approaches to tackling health inequities that have emerged from the work undertaken since WHO published the Interim first report on social determinants of health and the health divide in the WHO European Region in September 2010 as part of the review. This report further describes some of the Region’s inequalities that were set out in the first report.

Key developments reported are:

• the review’s conceptual approach to the causes of health inequities and the policies and processes required to tackle these;
• analysis of recent time trends in the WHO European Region;
• identification of the key themes and issues that have emerged from the work of topic specific and cross-cutting task groups
  so far and that will underpin the formulation of recommendations to be made by the review;
• emerging thinking on the role WHO, health ministers and other important actors can play in promoting health equity for
  current and future generations by promoting fairer and more sustainable societies; and
• how the review fits into wider global action on the social determinants of health and the new European policy for health – Health 2020….”

Contents

Executive summary

1. Overview

1.1 Introduction

1.2 Scope of the review

1.3 The policy context

2. Health and its social determinants in the WHO European Region

2.1 Health and inequalities in Europe

2.2 Trends

2.3 Social gradient within countries

2.4 Conceptual framework

2.5 Applying the framework to understand the time trends in the WHO European Region

3. European review of the social determinants of health and the health divide

3.1 Structure of the review and the approach to be taken

3.2 Task groups

3.3 Activities

3.3.1 Promising practices and country experiences

3.3.2 Consultation

3.3.3 Examination of future trends in inequalities in health

4. Emerging themes

4.1 Emerging thinking on themes

4.2 Thematic areas and issues

4.2.1 Key concepts

4.2.2 Organizations and governance

4.2.3 Interventions and policies

4.2.4 Wider agendas

4.2.5 Economic issues

References

Annex 1. Key messages reported in phase 1 of the review

Annex 2. Review of systems, processes and contexts affecting action on the social determinants of health
Annex 3. Summaries of the interim reports of the task groups

First interim report on the European review of social determinants of health and the health divide

Report on the new health policy framework for the WHO European Region (Health 2020)

 

Twitter http://twitter.com/eqpaho


 *      *     *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]
Washington DC USA

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
Twitter http://twitter.com/eqpaho





IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.

Thank you.