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COST-OUTCOME METHODS FOR MENTAL HEALTH
Cost-Outcome Methods for Mental Health

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By
William Hargreaves, University of California, San Francisco, U.S.A.
Martha Shumway, University of California, San Francisco, U.S.A.
Teh-Wei Hu, University of California, Berkeley, U.S.A.
Brian Cuffel, United Behavioral Health, San Francisco, California, U.S.A.

Description
Cost-Outcome Methods for Mental Health provides an overview of the choices and judgments used to evaluate the cost effectiveness of mental health treatment. It presents economic concepts of cost, discusses the various approaches to cost-outcome studies, and focuses on the way such studies apply to mental health. It is a practical guide rather than a theoretical treatment of cost-effectiveness analyses. Readers are guided through the process of designing cost-outcome studies; measuring costs, interventions, and outcomes; analyzing study results; and using findings to guide policy and practice. The book introduces readers who do not have a background in economics to apply economic methods of cost-outcome research, and prepares them for productive collaboration with economists in mental health services research.

Audience
Graduate students, faculty members, and professionals specializing in psychiatry and working in the fields on mental health services research, mental health policy, and health economics. Also mental health services researchers, clinical investigators, program managers, and policy planners in insurance firms and government.

Contents
Preface.

Chapter 1. Cost-Outcome Research in Mental Health.
Real World Information for Decision Makeres. Mental Health Cost-Outcome Studies: A Brief Review. Overcoming Obstacles to Cost-Outcome Research in Mental Health. Chapter Review.

Chapter 2. Special Design Issues in Cost-Outcome Research.
Introduction to Study Design and Terminology. Internal Validity. External Validity. Specifying and Measuring Important Design Constructs. Statistical Conclusion Validity in Cost-Outcome Studies. Chapter Review.

Chapter 3. Concepts of Economic Cost.
Models for Cost-Outcome Analysis. Economic Theory and Cost-Outcome Analysis. Definitions of Economic Cost. Analytic Perspective. Chapter Review.

Chapter 4. Measuring Utilization.
Choosing the Types of Costs to Include. Mental Health Treatment Costs. Physical Health Care Costs. Criminal Justice Costs. Social Service Costs. Time and Productivity Costs. Other Family Costs. Transfers and Other Income. Sources of Data on Resource Utilization. Identifying and Selecting Resource Units. Practical Steps to Improve Data Quality. Chapter Review

Chapter 5. Estimating Economic Cost.
Sources of Cost Data. Estimating Resource Costs. Adjusting Cost Estimates. Chapter Review.

Chapter 6. Measuring Service Practice.
Why Measure Service Practices? Measuring Service Practice: The Special Challenge of Cost-Outcome Research. Treatment Theory: A Guide to Measuring Practices. Developing a Service Model Specification. Measurement Approaches. Existing Measures. Using Practice Data in Cost-Outcome Research. Future Developments. Chapter Review.

Chapter 7. Measuring Mental Health Outcomes.
Measurement Challenges in Effectiveness Research. Conceptual Framework for Outcome Measurement. Specific Outcome Instruments. Future Directions in Outcome Measurement. Chapter Review

Chapter 8. Aggregating Outcome Measures.
Approaches to Outcome Aggregation. Methods of Measuring Preferences. Quality-Adjusted Life Years. Discounting Outcomes. Chapter Review.

Chapter 9. Analyzing Cost-Effectiveness.
Making Cost-Effectiveness Comparisons: Basic Concepts. Procedures for Computing Cost-Effectiveness Ratios. Statistical Inference in Cost-Effectiveness Comparison. Additional Issues in Cost-Effectiveness Analysis. Chapter Review.

Chapter 10. Using Cost-Outcome Data to Guide Policy and Practice.
When Is Mental Health Policy Needed? Research Contributions to Mental Health Policy. Integrating the Findings from Multiple Studies. Future Developments in Applying Research to Policy. Chapter Review. Bibliography. Index.

Bibliographic details
Hardbound, 242 pages, publication date: OCT-1997
ISBN-13: 978-0-12-325155-8
ISBN-10: 0-12-325155-9
Imprint: ACADEMIC PRESS

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USD 115
GBP 73
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Last update: 22 Sep 2009
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