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PURE TEST - Is it worth investing in mental health promotion and prevention of mental illness? A systematic review of the evidence from economic evaluations

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dc.contributor.authorZechmeister,Ingrid
dc.contributor.authorKilian,Reinhold
dc.contributor.authorMcDaid,David
dc.contributor.authorDierckx,Hilde
dc.contributor.authorRissanen,Pekka
dc.contributor.authorLepine,Jean Pierre
dc.contributor.authorBecker,Thomas
dc.contributor.authorConstantoupoulos,Athanassios
dc.contributor.authorTomasson,Kristinn
dc.contributor.authorKenelly,Breden
dc.contributor.authorAmaddeo,Francesco
dc.contributor.authorEvers,Silvia
dc.contributor.authorHalsteinli,Vidar
dc.contributor.authorDuarte-Oliveira,Monica
dc.contributor.authorSalvador-Carulla,Luis
dc.contributor.authorJonsson,Linus
dc.contributor.authorDernovsek,Mojca Z.
dc.contributor.authorKnapp,Martin
dc.contributor.authorMedeiros,Helen
dc.contributor.authorMetha,Anji
dc.contributor.authorHenderson,John
dc.contributor.authorFresu,Mari
dc.contributor.authorVan Dievel,Mary
dc.contributor.authorDimitrov,Hristo
dc.contributor.authorNawka,Petr
dc.contributor.authorLai,Taavi
dc.contributor.authorMurauskiene,Liubove
dc.contributor.authorProt-Klinger,Katarzyna
dc.contributor.authorSimon,Judit
dc.contributor.authorTatar,Mehtap
dc.contributor.authorXerri,Ray G.
dc.contributor.institutionDepartment of Engineering and Management
dc.date.accessioned2025-12-11T10:51:55Z
dc.date.available2025-12-11T10:51:55Z
dc.date.issued2008
dc.description.abstractBackground. While evidence on the cost of mental illness is growing, little is known about the cost-effectiveness of programmes in the areas of mental health promotion (MHP) and mental disorder prevention (MDP). The paper aims at identifying and assessing economic evaluations in both these areas to support evidence based prioritisation of resource allocation. Methods. A systematic review of health and non health related bibliographic databases, complemented by a hand search of key journals and analysis of grey literature has been carried out. Study characteristics and results were qualitatively summarised. Economic evaluations of programmes that address mental health outcome parameters directly, those that address relevant risk factors of mental illness, as well as suicide prevention interventions were included, while evaluations of drug therapies were excluded. Results. 14 studies fulfilled the inclusion criteria. They varied in terms of topic addressed, intervention used and study quality. Robust evidence on cost-effectiveness is still limited to a very small number of interventions with restricted scope for generalisability and transferability. The most favourable results are related to early childhood development programmes. Conclusion. Prioritisation between MHP and MDP interventions requires more country and population-specific economic evaluations. There is also scope to retrospectively add economic analyses to existing effectiveness studies. The nature of promotion and prevention suggests that innovative approaches to economic evaluation that augment this with information on the challenges of implementation and uptake of interventions need further development.en
dc.identifier.citationZechmeister, I, Kilian, R, McDaid, D, Dierckx, H, Rissanen, P, Lepine, J P, Becker, T, Constantoupoulos, A, Tomasson, K, Kenelly, B, Amaddeo, F, Evers, S, Halsteinli, V, Duarte-Oliveira, M, Salvador-Carulla, L, Jonsson, L, Dernovsek, M Z, Knapp, M, Medeiros, H, Metha, A, Henderson, J, Fresu, M, Van Dievel, M, Dimitrov, H, Nawka, P, Lai, T, Murauskiene, L, Prot-Klinger, K, Simon, J, Tatar, M & Xerri, R G 2008, 'PURE TEST - Is it worth investing in mental health promotion and prevention of mental illness? A systematic review of the evidence from economic evaluations', BMC Public Health, vol. 8, 20. https://doi.org/10.1186/1471-2458-8-20
dc.identifier.doihttps://doi.org/10.1186/1471-2458-8-20
dc.identifier.issn1472-698X
dc.identifier.urihttp://hdl.handle.net/10400.5/116416
dc.identifier.urlhttps://www.scopus.com/pages/publications/39449083241
dc.language.isoeng
dc.peerreviewedyes
dc.publisherBioMed Central Ltd.
dc.relation.ispartofBMC Public Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titlePURE TEST - Is it worth investing in mental health promotion and prevention of mental illness? A systematic review of the evidence from economic evaluationsen
dc.typearticle
dspace.entity.typePublication
rcaap.rightsopenAccess

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