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Titel der Veröffentlichung: Assessing cost-effectiveness in mental health: Vocational rehabilitation for schizophrenia and related conditions

Bibliographische Angaben

Autor/in:

Chalamat, M.; Mihalopoulos, C.; Carter, R. [u. a.]

Herausgeber/in:

The Royal Australian and New Zealand College of Psychiatrists; Joyce, Peter

Quelle:

Australian and New Zealand Journal of Psychiatry, 2005, Volume 39 (Issue 8), Seite 693-700, Weinheim: Wiley Deutschland, ISSN: 0004-8674 (Print); 1440-1614 (Online)

Jahr:

2005

Der Text ist von:
Chalamat, M.; Mihalopoulos, C.; Carter, R. [u. a.]

Der Text steht in der Zeitschrift:
Australian and New Zealand Journal of Psychiatry, Volume 39 (Issue 8), Seite 693-700

Den Text gibt es seit:
2005

Inhaltliche Angaben

Wo bekommen Sie den Text?

Australian and New Zealand Journal of Psychiatry
https://onlinelibrary.wiley.com/journal/14401614

Weitere Informationen zur Veröffentlichung

Australian and New Zealand Journal of Psychiatry
https://onlinelibrary.wiley.com/journal/14401614

Um Literatur zu beziehen, wenden Sie sich bitte an Bibliotheken, die Herausgeber, den Verlag oder an den Buch- und Zeitschriftenhandel.

Assessing cost-effectiveness in mental health: Vocational rehabilitation for schizophrenia and related conditions

Objective:
Existing evidence suggests that vocational rehabilitation services, in particular individual placement and support (IPS), are effective in assisting people with schizophrenia and related conditions gain open employment. Despite this, such services are not available to all unemployed people with schizophrenia who wish to work. Existing evidence suggests that while IPS confers no clinical advantages over routine care, it does improve the proportion of people returning to employment. The objective of the current study is to investigate the net benefit of introducing IPS services into current mental health services in Australia.

Method:
The net benefit of IPS is assessed from a health sector perspective using cost-benefit analysis. A two-stage approach is taken to the assessment of benefit. The first stage involves a quantitative analysis of the net benefit, defined as the benefits of IPS (comprising transfer payments averted, income tax accrued and individual income earned) minus the costs. The second stage involves application of 'second-filter' criteria (including equity, strength of evidence, feasibility and acceptability to stakeholders) to results. The robustness of results is tested using the multivariate probabilistic sensitivity analysis.

Results:
The costs of IPS are 10.3M Australian dollars (95% uncertainty interval 7.4M-13.6M Australian dollars), the benefits are 4.7M (3.1M-6.5M Australian dollars), resulting in a negative net benefit of 5.6M Australian dollars (8.4M-3.4M Australian dollars).

Conclusions:
The current analysis suggests that IPS costs are greater than the monetary benefits. However, the evidence-base of the current analysis is weak. Structural conditions surrounding welfare payments in Australia create disincentives to full-time employment for people with disabilities.

Referenznummer:

R/ZA2571

Informationsstand: 29.09.2005