PMID: 16633504Apr 25, 2006Paper

Choosing cost-effective interventions in psychiatry: results from the CHOICE programme of the World Health Organization.

World Psychiatry : Official Journal of the World Psychiatric Association (WPA)
D Chisholm

Abstract

There is increasing recognition at both the international and national level of the disease burden attributed to psychiatric disorders, yet little is known about how much of this burden is or could be averted by current or scaled-up implementation of effective interventions. In addition, little is known about the costs and cost-effectiveness of such interventions in most regions of the world, even though such information is of direct relevance to increased investment and service development. This research report provides an overview of the mental health component of the World Health Organization's CHOICE project, the aim of which is to generate cost-effectiveness evidence for a large number of interventions for leading contributors to disease burden in a range of geographical and epidemiological settings around the world. To date, expected costs (expressed in international dollars) and effects (measured in terms of disability adjusted life years, DALYs) of key pharmacological and psychosocial interventions have been modelled for schizophrenia, bipolar disorder, depression and panic disorder. The results of this analysis indicate that the most efficient interventions for common mental disorders (depression and panic disorder) ca...Continue Reading

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