Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-28T04:25:42.719Z Has data issue: false hasContentIssue false
  • English
  • Français

The Economic Consequences of not Treating Depression

Published online by Cambridge University Press:  06 August 2018

Agnes Rupp
Agnes Rupp*
Affiliation:
Mental Health Economics Research Program, National Institute of Mental Health, 5600 Fishers Lane, Rm 10C-06, Rockville, MD 20857
Get access Rights & Permissions [Opens in a new window]

Abstract

Background. A conceptual framework Is described for a broad cost–benefit evaluation of improved financial access to treatment of untreated affective disorders.

Method. The analysis provides an estimate of the value of resources needed to provide improved access to treatment, and it compares these resources to the value of resources the improved access to treatment might save.

Results. The cost–benefit analyses based on recent cost of mental illness studies provide some evidence that appropriately treating people with untreated affective disorders is cost-beneficial.

Conclusion. Patients, providers and buyers of health care should be further encouraged to pay more attention and to commit more financial resources to the treatment of affective disorders.

Type
III. Economic Aspects of Programmes Dealing with Depressive Disorders
Information
The British Journal of Psychiatry , Volume 166 , Issue S27: Economics of Anxiety and Depression , April 1995 , pp. 29 - 33
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM–III). Washington, DC: American Psychiatric Association.Google Scholar
Drummond, M. F., Stoddart, G. L. & Torrance, G. W. (1987) Methods for the Economic Evaluation of Health Care Programmes. New York, NY: Oxford Medical Publications.Google Scholar
Elkin, I., Shea, M. T., Watkins, J. T., et al (1989) National Institute of Mental Health Treatment of Depression Collaborative Research Program. Archives of General Psychiatry, 46, 971–982.CrossRefGoogle ScholarPubMed
Frank, R. G. & McGuire, T. G. (1990) Mandating employer coverage of mental health care. Health Affairs, 9, 31–42.CrossRefGoogle ScholarPubMed
Freudenheim, M. (1991) “The Squeeze on Psychiatric Chains” The New York Times, October 26, 33.Google Scholar
Goodwin, F. K. (1990) Manic Depressive Illness. New York: Oxford University Press.Google Scholar
Heien, D. M. & Pittman, D. J. (1989) The economic costs of alcohol abuse: an assessment of current methods and estimates. Journal of Studies on Alcohol, 50, 567–579.CrossRefGoogle ScholarPubMed
Katon, W. & Sullivan, M. D. (1990) Depression and chronic mental illness. The Journal of Clinical Psychiatry, 51 (Suppl.), 3–11.Google Scholar
Lave, J. R., Frank, R. G., Taube, C. T., et al (1988) The early effects of Medicare's Prospective Payment System on psychiatry. Inquiry, 25, 354–363.Google ScholarPubMed
McDonnell Douglas Corporation and Alexander Consulting Group (1990) Employee Assistance Program Financial Offset Study: 1985–89. St Louis.Google Scholar
Mumford, E., Schlesinger, H. J., Glass, G. V., et al (1984) A new look at evidence about reduced cost of medical utilization following mental health treatment. American Journal of Psychiatry, 141, 1145–1158.Google Scholar
Nierenberg, A. A. & Amsterdam, J. A. (1990) Treatment-resistant depression: definition and treatment approaches. Journal of Clinical Psychiatry, 51 (Suppl.).Google ScholarPubMed
Prien, R. (1984) Affective disorders. In The Chronically Mentally Ill: Research and Services (ed. Mirabi, M.), New York: SP Medical and Scientific Books.Google Scholar
Regier, D. A., Hirschfield, R. M. A. & Goodwin, F. K. (1988) The NIMH depression awareness, recognition and treatment program: structure, aims and scientific basis. American Journal of Psychiatry, 145, 1351–1357.Google ScholarPubMed
Rice, D. P., Kelman, S., Miller, S., et al (1990) The Economic Costs of Alcohol, Drug Abuse and Mental Illness, 1985. Final Report Submitted to the Alcohol, Drug Abuse and Mental Health Administration, Rockville, Maryland, 1990.Google Scholar
Rice, D. P. & Miller, L. S. (1993) Economic burden of affective disorders. In Advances in Health Economics and Health Services Research, Vol. 14 (eds Hu, Teh-Wei & Rupp, A.). Greenwich, Connecticut: JAI Press.Google Scholar
Robins, L. E. & Regier, D. A. (eds) (1991) Psychiatric Disorders in America. New York: The Free Press.Google Scholar
Robins, L. N., Helzer, J. E., Croughan, J., et al (1981a) NIMH Diagnostic Interview Schedule: Version III. Rockville, MD: National Institute of Mental Health.Google Scholar
Robins, L. N., Helzer, J. E., Croughan, J., et al (1981b) National Institute of Mental Health Diagnostic Interview Schedule: its history, characteristics, and validity. Archives of General Psychiatry, 38, 381–389.CrossRefGoogle ScholarPubMed
Roose, S. P., Glassman, A. H., Walsh, B. T., et al (1983) Depression, delusions and suicide. American Journal of Psychiatry, 140, 1159–1162.Google ScholarPubMed
Rupp, A., Taube, C. A., Bodison, D., et al (1987) Medicaid and ambulatory mental health care: utilization and costs. In Mental Health, United States, 1987 (eds R. W. Manderscheid & S. A. Barrett), pp. 187–204. DHHS Pub. No. (ADM) 87–1518.Google Scholar
Shapiro, S., Skinner, E. A., Kessler, L. G., et al (1984) Utilization of health and mental health services. Archives of General Psychiatry, 41, 971–978.CrossRefGoogle ScholarPubMed
US Department of Commerce (1992) Statistical Abstracts of the United States. US Dept of Commerce, Bureau of the Census.Google Scholar
Stoudemire, A., Frank, R., Hedemark, N., et al (1986) The economic burden of depression. General Hospital Psychiatry, 8, 387–394.CrossRefGoogle ScholarPubMed
Taube, C. A., Schlenger, W. E., Rupp, A., et al (1986) Validity of Medicaid household respondent reporting of ambulatory visits for mental disorders. Journal of Economic and Social Measurement, 14, 243–256.CrossRefGoogle ScholarPubMed
Vacarro, V. (1991) Depression: Corporate Experiences and Innovations. Washington, DC: Washington Business Group on Health.Google Scholar
Weismann, M. M., Livingston Bruce, M., Leaf, P. J., et al (1991) Affective disorders. In Psychiatric Disorders in America (eds Robins, L. N. & Regier, D. A.). New York: The Free Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.