Decision Science and Health Economics: Applications to Mental Health Services
December 2022
Decision Science and Health Economics: Applications to Mental Health Services
Decision science is a collection of quantitative techniques for understanding how people make choices and how they can make better ones. While most fields of research focus on producing new knowledge, decision science is concerned with making optimal choices based on the information at hand. Within health decision science, cost-effectiveness analysis can guide resource allocation decisions at the policy level, whereas shared decision making aims to align a patient’s choices with the patient’s preferences. Health economics is a related field that studies how choices made by policy makers, physicians, or patients can affect health care outcomes and costs. Together, these fields are used to inform mental health policy and drive meaningful change in mental health service access, delivery, and outcomes.
The articles included in this collection demonstrate a variety of approaches within health decision science and health economics. Articles in the first section examine effects of different policy changes on access to mental health services. The second section includes articles that estimate the economic burden of certain disorders (e.g., cost-of-illness studies). Articles in the third section demonstrate cost-effectiveness analysis through simulation modeling of mental disorders. Finally, the fourth section offers examples of shared decision-making research with an emphasis on patient preferences. All of these approaches can be useful tools in the provision and evaluation of mental health care.
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EVALUATING THE EFFECTS OF MENTAL HEALTH POLICY INTERVENTIONS
Effects of High-Deductible Health Plans on Enrollees With Mental Health Conditions With and Without Substance Use Disorders
Cameron J. Schilling, M.P.H., Matthew D. Eisenberg, Ph.D., Alene Kennedy-Hendricks, Ph.D., Alisa B. Busch, M.D., M.S., Haiden A. Huskamp, Ph.D., Elizabeth A. Stuart, Ph.D., Mark K. Meiselbach, B.S., Colleen L. Barry, Ph.D., M.P.P.
2022, Volume 73, Issue 5, pp. 518-525
The Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey
Coleman Drake, Ph.D., Susan H. Busch, Ph.D., Ezra Golberstein, Ph.D.
2019, Volume 70, Issue 4, pp. 287-293
EvaluatingEffects of ACA Expansion of Dependent Coverage on Hospital-Based Care of Young Adults With Early Psychosis
Susan H. Busch, Ph.D., Eza Golberstein, Ph.D., Howard H. Goldman, Ph.D., Christine Loveridge, M.P.Aff., Robert E. Drake, M.D., Ellen Meara, Ph.D.
2019, Volume 70, Issue 11, pp. 1027-1033
COST-OF-ILLNESS STUDIES IN MENTAL HEALTH CARE
Incremental Health Care Burden of Treatment-Resistant Depression Among Commercial, Medicaid, and Medicare Payers
Anshu Shrestha, M.P.H., Ph.D., Meaghan Roach, M.P.H., Kruti Joshi, M.P.H., John J. Sheehan, Ph.D., M.B.A., Prodyumna Goutam, Ph.D., Katie Everson, M.S., Kristin Heerlein, M.D., Anupam B. Jena, M.D., Ph.D.
2020, Volume 71, Issue 6, pp. 593-601
Spending on Young Children with Autism Spectrum Disorder in Employer-Sponsored Plans, 2011-2017
Scott D. Grosse, Ph.D., Xu Ji, Ph.D., Phyllis Nichols, M.P.H., Samuel H. Zuvekas, Ph.D., Catherine E. Rice, Ph.D., Marshalyn Yeargin-Allsopp, M.D.
2021, Volume 72, Issue 1, pp. 16-22
Health Care Costs of Individuals With Chronic Psychotic Disorders Who Experience Incarceration in Ontario
Claire de Oliveira, M.A., Ph.D., Fiona G. Kouyoumdjian, M.D., Ph.D., Tomisin Iwajomo, M.P.H., Roland Jones, M.D., Ph.D., Alexander I. F. Simpson, M.B.Ch.B., B.Med., Paul Kurdyak, M.D., Ph.D.
2022, Volume 73, Issue 7, pp. 760-767
COST-EFFECTIVENESS ANALYSES TO GUIDE RESOURCE ALLOCATION DECISIONS
Cost-Effectiveness of Esketamine Nasal Spray for Patients With Treatment-Resistant Depression in the United States
Eric L. Ross, M.D., and Djøra I. Soeteman, Ph.D.
2020, Volume 71, Issue 10, pp. 988-997
Cost-Effectiveness of Early Intervention in Psychosis: A Modeling Study
Saadia Sediqzadah, M.D., S.M., Allison Portnoy, Sc.D., Jane J. Kim, Ph.D., Matcheri Keshavan, M.D., Ankur Pandya, Ph.D.
2022, Volume 73, Issue 9, pp. 970-977
Modeling the Cost-Effectiveness of Interventions to Reduce Suicide Risk Among Hospital Emergency Department Patients
Peter Denchev, Ph.D., Jane L. Pearson, Ph.D., Michael H. Allen, M.D., Cynthia A. Claassen, Ph.D., Glenn W. Currier, M.D., M.P.H., Douglas F. Zatzick, M.D., Michael Schoenbaum, Ph.D.
2018, Volume 69, Issue 1, pp. 23-31
SHARED DECISION MAKING AND PATIENT-CENTERED MENTAL HEALTH CARE
Satisfaction and Needs in Serious Mental Illness and Autism Spectrum Disorder: The REHABase Psychosocial Rehabilitation Project
Nicolas Franck, M.D., Ph.D., Laura Bon, M.Sc., Marie Dekerle, Ph.D., Julien Plasse, M.Sc., Catherine Massoubre, M.D., Ph.D., Romain Pommier, M.D., Emilie Legros-Lafarge, M.D., Nemat Jaafari, M.D., Ph.D., Nathalie Guillard-Bouhet, M.D., Clélia Quilès, M.D., Ph.D., Geoffroy Couhet, M.D., Hélène Verdoux, M.D., Ph.D., Benjamin Gouache, M.D., Brice Martin, M.D., Ph.D., Sophie Cervello, M.D., Caroline Demily, M.D., Ph.D., Julien Dubreucq, M.D.
2019, Volume 70, Issue 4, pp. 316-323
Use of a Web-Based Shared Decision-Making Program: Impact on Ongoing Treatment Engagement and Antipsychotic Adherence
Molly T. Finnerty, M.D., Deborah M. Layman, M.A., Qingxian Chen, M.S., Emily Leckman-Westin, Ph.D., Nicole Bermeo, B.A., Daisy S. Ng-Mak, Ph.D., Krithika Rajagopalan, Ph.D., Kimberly E. Hoagwood, Ph.D.
2018, Volume 69, Issue 12, pp.1215-1221
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