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Author :
Publisher :
ISBN 13 :
Total Pages : 12 pages
Book Rating : 4.3/5 (555 download)
Download or read book Improving the Quality and Cost-effectiveness of Treatment for Depression written by and published by . This book was released on 1998 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Kenneth B. Wells
Publisher : Harvard University Press
ISBN 13 : 9780674097292
Total Pages : 270 pages
Book Rating : 4.0/5 (972 download)
Download or read book Caring for Depression written by Kenneth B. Wells and published by Harvard University Press. This book was released on 1996 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the major concerns about the changing U.S. health-care systems is whether they will improve or diminish the quality and cost-effectiveness of medical care. The shift from a fee-for-service to a prepaid method of reimbursement has greatly changed the incentives of patients to seek care as well as those of providers to supply it. This change poses a particular challenge for care of depressed patients, a vulnerable population that often does not advocate for its own care. This book documents the inefficiencies of our national systems--prepaid as well as fee-for-service--for treating depression and explores how they can be improved. Although depression is a major illness affecting millions of people, it is seriously undertreated in the United States. The ongoing shift of mental-health care away from specialists and toward primary medical-care providers is causing fewer depressed patients to be appropriately diagnosed and treated. Depression is frequently more devastating than other major illnesses, such as arthritis and heart disease, because it often begins at a younger age, when people are at their productive peak and thus at risk of permanently damaging their careers. It also differs from many medical conditions in that its indirect costs are usually much higher than direct treatment costs. The authors urge the integration of both medical and economic considerations in designing policies for the treatment of depression. They show that by spending more money efficiently on care, the nation will gain greater health improvements per dollar invested and a more productive population.
Author : Vikram Patel
Publisher : World Bank Publications
ISBN 13 : 1464804281
Total Pages : 307 pages
Book Rating : 4.4/5 (648 download)
Download or read book Disease Control Priorities, Third Edition (Volume 4) written by Vikram Patel and published by World Bank Publications. This book was released on 2016-03-10 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mental, neurological, and substance use disorders are common, highly disabling, and associated with significant premature mortality. The impact of these disorders on the social and economic well-being of individuals, families, and societies is large, growing, and underestimated. Despite this burden, these disorders have been systematically neglected, particularly in low- and middle-income countries, with pitifully small contributions to scaling up cost-effective prevention and treatment strategies. Systematically compiling the substantial existing knowledge to address this inequity is the central goal of this volume. This evidence-base can help policy makers in resource-constrained settings as they prioritize programs and interventions to address these disorders.
Author : Robert C Hsiung
Publisher : W. W. Norton & Company
ISBN 13 : 9780393703702
Total Pages : 260 pages
Book Rating : 4.7/5 (37 download)
Download or read book E Therapy written by Robert C Hsiung and published by W. W. Norton & Company. This book was released on 2002-10-29 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a world of information that tends toward randomness, therapists and clinicians often need guidance regarding how best to use new technologies and yet not allow the chaos of new media to undermine their practice. Here, a leading provider of online mental health information, Dr. Robert Hsiung, has gathered a group of distinguished contributors to discuss clinical, ethical, and legal issues pertaining to e-therapy. Full of case studies and examples of active programs that deliver mental health information and therapy via new media, E-Therapy offers first-hand accounts of the potential and risks of recent trends in 'distance therapy' and 'telepsychiatry.' Chapters include The Internet 'Expert': Ronald Pies An E-Patient's Story: Martha Ainsworth Chat Room Therapy: Gary S. Stofle Using E-mail to Support Outpatient Treatment: Joel Yager Community Telepsychiatry: Sara F. Gibson An Online Self-Help Group Hosted by a Mental Health Professional: Robert C Hsiung Principles of Professional Ethics: Robert C Hsiung Legal Ethics in On-line Mental Health: Nicholas P. Terry
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133661
Total Pages : 528 pages
Book Rating : 4.3/5 (91 download)
Download or read book Improving the Quality of Health Care for Mental and Substance-Use Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 2006-03-29 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
Author : Michael Barkham
Publisher : SAGE
ISBN 13 : 1473994314
Total Pages : 230 pages
Book Rating : 4.4/5 (739 download)
Download or read book Psychodynamic-Interpersonal Therapy written by Michael Barkham and published by SAGE. This book was released on 2016-11-10 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents for the first time, a practical manual for psychodynamic-interpersonal therapy. Drawing on forty years of research, teaching and practice, its expert authors guide you through the conversational model’s theory, skills and implications for practice. Part I sets out the model’s underlying theory and outlines the evidence for its efficacy with client groups. Part II guides you through clinical skills of the model, from foundational to advanced. Part III offers practical guidance on implementing the approach within a range of settings, and for developing effective practice through reflection and supervision.
Author : Jeff Pyne
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)
Download or read book Cost Effectiveness Analysis of Rural Telemedicine Intervention for Depression written by Jeff Pyne and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rationale: Existing methods for detecting and treating depression are effective and relatively inexpensive. Collaborative care for depression has been shown to be cost-effective in urban primary care settings. Implementing collaborative care for depression in small rural primary care practices without on-site psychiatrists presents unique challenges. We adapted the collaborative care model using telemedicine (e.g., telephone, interactive video, electronic medical records) to support antidepressant therapy initiated by PC providers in small rural practices. The Telemedicine Enhanced Antidepressant Management (TEAM) collaborative care intervention was implemented by offsite personnel and all intervention components were implemented using telemedicine technologies. Objective: One of the objectives of this study was to determine the cost-effectiveness of the TEAM intervention relative to usual care. Methodology: This study was conducted in seven community-based outpatient clinics in the Veterans Health Administration (VHA) located across four US south-central states. Eligible clinics treated 1,000 to 5,000 unique veterans, had no on-site psychiatrists, and had interactive video equipment. Matched clinics were randomized to receive the intervention or usual care. Of the 24,882 clinic patients, 73.6% (n=18,306) were successfully screened and 6.9% screened positive for depression (PHQ9 ≥12). Of those eligible for the study, 91.3% agreed to participate, and 91.9% of those attended their appointment and were consented. Over an 18-month period, 395 patients were enrolled, 91.1% (n=360) completed six-month follow-up interviews, and 85.1% (n=336) completed twelve-month follow-up interviews. Effectiveness was tested using an intent-to-treat analysis. Main analysis costs included intervention, outpatient encounter, emergency room, and medication costs. Quality adjusted life years (QALYs) were calculated using the Quality of Well Being scale. Sensitivity analyses included main cost plus depression-related inpatient cost and main cost plus all inpatient cost. Backward elimination regression methods were used to select covariates. Multiple imputation methods were used to adddress missing data. Boostrap sampling with replacement methods were used to generate acceptability curves. Results: In the main analysis, intervention patients had significantly higher total costs than usual care patients ($1,060, p=0.001) and significantly higher QALYs (0.017, p=0.046). The mean incremental cost effectiveness ratio for the intervention was $62,353 per QALY. Intervention costs averaged $794 per patient. Sensitivity analyses resulted in incremental cost effectiveness ratios from $37,353 per QALY (all cost) to $96,941 per QALY (depression-related cost). Conclusions: Using the commonly cited cost-effectiveness threshold of $50,000 per QALY, the TEAM intervention is less cost-effective than this threshold. Adjusting the common threshold for inflation, the cost effectiveness ratio remains near the upper limit. Our findings suggest that collaborative care for depression using telemedicine technologies is less cost-effective for rural VHA patients than patients in other sectors. Future research should focus on improving the effectiveness of rural telemedicine interventions and/or lowering the cost. The cost of the TEAM intervention could potentially be lowered by streamlining the off-site depression care team or improving the efficiency of the informatics support to the nurse care manager. The effectiveness of the TEAM intervention could potentially be improved by targeting common comorbidities such as pain, anxiety, and substance abuse and providing access to telephone-based psychotherapy.
Author : Henry A. Glick
Publisher : OUP Oxford
ISBN 13 : 0191508055
Total Pages : 265 pages
Book Rating : 4.1/5 (915 download)
Download or read book Economic Evaluation in Clinical Trials written by Henry A. Glick and published by OUP Oxford. This book was released on 2014-10-02 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is becoming increasingly important to examine the relationship between the outcomes of a clinical trial and the costs of the medical therapy under study. The results of such analysis can affect reimbursement decisions for new medical technologies, drugs, devices or diagnostics. It can aid companies seeking to make claims about the cost-effectiveness of their product, as well as allowing early consideration of the economic value of therapies which may be important to improving initial adoption decisions. It is also vital for addressing the requirements of regulatory bodies. Economic Evaluation in Clinical Trials provides practical advice on how to conduct cost-effectiveness analyses in controlled trials of medical therapies. This new edition has been extensively rewritten and revised; topics discussed range from design issues such as the types of services that should be measured and price weights, to assessment of quality-adjusted life years. Illustrative materials, case histories and worked examples are included to encourage the reader to apply the methods discussed. These exercises are supported with datasets, programmes and solutions made available online.
Author : Cecilia Essau
Publisher :
ISBN 13 :
Total Pages : 352 pages
Book Rating : 4.3/5 (91 download)
Download or read book Treatments for Adolescent Depression written by Cecilia Essau and published by . This book was released on 2009-04-16 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depression is one of the most common mental health problems in adolescence. Up to 20% of adolescents suffer from depression at some point in their lives. This comprehensive and authoritative book brings together a group of international experts to provide an overview of the major evidence-based treatments for depression in adolescents.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309121787
Total Pages : 488 pages
Book Rating : 4.3/5 (91 download)
Download or read book Depression in Parents, Parenting, and Children written by Institute of Medicine and published by National Academies Press. This book was released on 2009-10-28 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.
Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309049393
Total Pages : 636 pages
Book Rating : 4.3/5 (9 download)
Download or read book Reducing Risks for Mental Disorders written by Institute of Medicine and published by National Academies Press. This book was released on 1994-01-01 with total page 636 pages. Available in PDF, EPUB and Kindle. Book excerpt: The understanding of how to reduce risk factors for mental disorders has expanded remarkably as a result of recent scientific advances. This study, mandated by Congress, reviews those advances in the context of current research and provides a targeted definition of prevention and a conceptual framework that emphasizes risk reduction. Highlighting opportunities for and barriers to interventions, the book draws on successful models for the prevention of cardiovascular disease, injuries, and smoking. In addition, it reviews the risk factors associated with Alzheimer's disease, schizophrenia, alcohol abuse and dependence, depressive disorders, and conduct disorders and evaluates current illustrative prevention programs. The models and examination provide a framework for the design, application, and evaluation of interventions intended to prevent mental disorders and the transfer of knowledge about prevention from research to clinical practice. The book presents a focused research agenda, with recommendations on how to develop effective intervention programs, create a cadre of prevention researchers, and improve coordination among federal agencies.
Author : Bert Spilker
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781703321
Total Pages : 1259 pages
Book Rating : 4.7/5 (33 download)
Download or read book Quality of Life and Pharmacoeconomics in Clinical Trials written by Bert Spilker and published by Lippincott Williams & Wilkins. This book was released on 1996 with total page 1259 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Second Edition of this groundbreaking work refines the art and science of quality of life assessment and pharmacoeconomics and redefines the role of these evaluation parameters in clinical trials and health care decision-making. Dr. Spilker has assembled more than 200 experts from diverse clinical, research, and social science disciplines to provide a comprehensive reference on the methodology, interpretation, and use of quality of life and pharmacoeconomic studies. Expanded to four times its predecessor's size and scope, the Second Edition features: all-new sections on pharmacoeconomics and crucial health policy issues such as outcomes research a new, extensive section on cross-cultural and cross-national issues in quality of life assessment detailed information on specific tests and measures of quality of life comprehensive guidelines on choosing and administering tests and analyzing, interpreting, and presenting data many chapters on new topics such as phenomenology, assessment of spiritual status, and alternative/complementary medical treatments.
Author : Alastair Gray
Publisher : Oxford University Press, USA
ISBN 13 : 0199227284
Total Pages : 326 pages
Book Rating : 4.1/5 (992 download)
Download or read book Applied Methods of Cost-effectiveness Analysis in Healthcare written by Alastair Gray and published by Oxford University Press, USA. This book was released on 2011 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides the reader with a comprehensive set of instructions and examples of how to perform an economic evaluation of a health intervention, focusing solely on cost-effectiveness analysis in healthcare.
Author : Haile T. Debas
Publisher : World Bank Publications
ISBN 13 : 1464803676
Total Pages : 445 pages
Book Rating : 4.4/5 (648 download)
Download or read book Disease Control Priorities, Third Edition (Volume 1) written by Haile T. Debas and published by World Bank Publications. This book was released on 2015-03-23 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.
Author : Alan D. Lopez
Publisher : World Bank Publications
ISBN 13 : 0821362631
Total Pages : 511 pages
Book Rating : 4.8/5 (213 download)
Download or read book Global Burden of Disease and Risk Factors written by Alan D. Lopez and published by World Bank Publications. This book was released on 2006-04-02 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.
Author : Ricardo F. Muñoz
Publisher : Rand Corporation
ISBN 13 : 9780833028365
Total Pages : 128 pages
Book Rating : 4.0/5 (283 download)
Download or read book Group Therapy Manual for Cognitive-behavioral Treatment of Depression written by Ricardo F. Muñoz and published by Rand Corporation. This book was released on 2000 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: Care clinicians, nurse specialists, and therapists; individual and group therapy manuals, in Spanish and English; patient-education brochures, in Spanish and English; patient-education videos, in Spanish and English; training agendas and materials; forms and worksheets; and quick-reference cards.
Author : A. George Awad
Publisher : Springer Science & Business Media
ISBN 13 : 1402057792
Total Pages : 389 pages
Book Rating : 4.4/5 (2 download)
Download or read book Quality of Life Impairment in Schizophrenia, Mood and Anxiety Disorders written by A. George Awad and published by Springer Science & Business Media. This book was released on 2007-06-28 with total page 389 pages. Available in PDF, EPUB and Kindle. Book excerpt: A fascinating and worthy text that presents new insights into a hugely important area of mental health. Health-related quality of life (HRQL) impairment is a core domain of prevalent mental disorders such as schizophrenia, schizoaffective, mood and anxiety disorders. The authors present a new conceptual framework for this field by explaining how HRQL impairment arises from interactions between various multidimensional factors. They suggest several ways in which further research could enhance our understanding of HRQL impairment, its biological basis, and its relevance to psychopathology.
