Costs and cost-effectiveness of a mental health intervention for war-affected young persons: decision analysis based on a randomized controlled trial

Health Policy and Planning
Ryan K McBainTheresa S Betancourt

Abstract

One billion children live in war-affected regions of the world. We conducted the first cost-effectiveness analysis of an intervention for war-affected youth in sub-Saharan Africa, as well as a broader cost analysis. The Youth Readiness Intervention (YRI) is a behavioural treatment for reducing functional impairment associated with psychological distress among war-affected young persons. A randomized controlled trial was conducted in Freetown, Sierra Leone, from July 2012 to July 2013. Participants (n = 436, aged 15-24) were randomized to YRI (n = 222) or care as usual (n = 214). Functional impairment was indexed by the World Health Organization Disability Assessment Scale; scores were converted to quality-adjusted life years (QALYs). An 'ingredients approach' estimated financial and economic costs, assuming a societal perspective. Incremental cost-effectiveness ratios (ICERs) were also expressed in terms of gains across dimensions of mental health and schooling. Secondary analyses explored whether intervention effects were largest among those worst-off (upper quartile) at baseline. Retention at 6-month follow-up was 85% (n = 371). The estimated economic cost of the intervention was $104 per participant. Functional impairment wa...Continue Reading

References

Mar 23, 2002·Annual Review of Public Health·Marthe R GoldDennis G Fryback
Mar 3, 2004·The British Journal of Psychiatry : the Journal of Mental Science·Nicholas TarrierGraham Dunn
Apr 7, 2004·Journal of Consulting and Clinical Psychology·Philip C KendallAlicia Webb
Aug 4, 2004·Archives of Pediatrics & Adolescent Medicine·Robert S KahnRobert C Whitaker
Mar 2, 2005·International Journal of Technology Assessment in Health Care·Cynthia P IglesiasUNKNOWN NEVALAT Project Group
Apr 19, 2005·Mental Health Services Research·Bruce F ChorpitaJohn R Weisz
Nov 12, 2005·BMJ : British Medical Journal·Tessa Tan-Torres EdejerDavid B Evans
Sep 5, 2006·Lancet·Ali H RazokhiNaeema Al Gasseer
Oct 13, 2006·The American Psychologist·John R WeiszKristin M Hawley
Aug 2, 2007·JAMA : the Journal of the American Medical Association·Paul BoltonHelen Verdeli
Jan 29, 2008·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Myron L Belfer
Jun 24, 2008·International Review of Psychiatry·Theresa Stichick Betancourt, Kashif Tanveer Khan
Aug 14, 2008·JAMA : the Journal of the American Medical Association·Wietse A TolJoop T V M De Jong
Aug 14, 2008·JAMA : the Journal of the American Medical Association·Brandon A KohrtIvan H Komproe
Apr 2, 2009·Comparative Education Review·Theresa S BetancourtMarie de la Soudière
Jan 28, 2010·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Mark J D JordansJoop T V M de Jong
Mar 23, 2010·Community Mental Health Journal·M J D JordansJ T V M De Jong
May 25, 2010·Journal of the American Academy of Child and Adolescent Psychiatry·Theresa S BetancourtStephen E Gilman
Feb 18, 2011·Health Policy and Planning·Inge PetersenUNKNOWN Mental Health and Poverty Research Programme Consortium
May 6, 2011·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Sebastian KöhlerFrans Verhey
Oct 14, 2011·Kidney International·William G CouserMarcello Tonelli
Jun 8, 2012·Disability and Rehabilitation·Ayşe A KüçükdeveciAlan Tennant
Dec 12, 2012·Bulletin of the World Health Organization·Christine ButtorffVikram Patel
Jul 28, 2013·The British Journal of Psychiatry : the Journal of Mental Science·Theresa S BetancourtRobert T Brennan
Jan 8, 2015·JAMA Psychiatry·Theresa S Betancourt

❮ Previous
Next ❯

Citations

Jun 30, 2016·International Journal of Mental Health Systems·Hélène N C YoderJoop T V M de Jong
Feb 21, 2019·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Joseph KwonStavros Petrou
Nov 9, 2016·Disability and Rehabilitation·Stefano FedericiJuan V Luciano
Sep 11, 2020·New Directions for Child and Adolescent Development·Marinus H van IJzendoorn, Marian J Bakermans-Kranenburg
Sep 2, 2020·International Journal of Mental Health Systems·Waleed M Sweileh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.