Cost-Outcome Methods for Mental Health - 1st Edition - ISBN: 9780123251558, 9780080918600

Cost-Outcome Methods for Mental Health

1st Edition

Authors: William Hargreaves Martha Shumway Chou Li-Wei Brian Cuffel
Print ISBN: 9780123251558
eBook ISBN: 9780080918600
Imprint: Academic Press
Published Date: 16th October 1997
Page Count: 242

Institutional Access


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.

Key Features

@introbul:Key Features @bul:* Clearly explains key economic concepts for non-economists

  • Integrates the presentation of both economic and clinical aspects of design
  • Provides many examples of applications to mental health services
  • Authored by leading mental health services investigators


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.

Table of Contents


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


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About the Author

William Hargreaves

William A. Hargreaves is Professor of Psychology in the Department of Psychiatry at University of California, San Francisco. He earned a Ph.D. in clinical psychology from the University of Chicago in 1959. He is an active participant in the Center for Mental Health Services Research, a multidisciplinary consortium of UC Berkeley and UCSF faculty funded by NIMH as a research center. His research interests are in the psychosocial and pharmacological treatments for schizophrenia, and in the clinical practices, organization, management, cost, and effectiveness of mental health services. In 1995 he was awarded the Carl Taube Award by the Division of Mental Health of the American Public Health Association for outstanding contributions to mental health services research.

Affiliations and Expertise

University of California, San Francisco, U.S.A.

Martha Shumway

Martha Shumway is Assistant Professor of Psychology in the Department of Psychiatry at the University of California, San Francisco. She earned a Ph.D. in psychology from the University of Berkeley in 1996. Her research interests include the cost–effectiveness of mental health services and methods of estimating the outcome preferences of persons with schizophrenia and of related stakeholders.

Affiliations and Expertise

University of California, San Francisco, U.S.A.

Chou Li-Wei

Brian Cuffel

Brian Cuffel is Assistant Vice President, Research and Evaluation, United Behavioral Health, San Francisco, California. He earned a Ph.D. in clinical psychology from Kent State University in 1989. He has been Assistant Professor of Psychiatry, University of Arkansas for Medical Sciences; Assistant Professor of Psychology, University of California, San Francisco; Research Director at the Center for Mental Health Services Research; and Senior Manager with The Medstat Group, Washington, D.C. His research interests are managed behavioral healthcare, cost–effectiveness of mental health services, and psychosocial and pharmacological treatments for schizophrenia.

Affiliations and Expertise

United Behavioral Health, San Francisco, California, U.S.A.


@qu:"In summary, this book would serve as an excellent resource for graduates and postgraduates involved in mental health outcome research. While many chapters are technical and dense in nature, this book was exciting to read in that it encouraged me, as a scientist-practitioner, to consider innovative models for integrating fiscal responsibility with effective service delivery." @source:--JOURNAL OF CLINICAL PSYCHIATRY 61:4, April 2000 @qu:"This excellent book is engaging, clear, practical, and scientifically sound. It will enable mental health services researchers from a variety of backgrounds both to understand the literature on cost studies and to participate in such studies. Clearly the best available primer in the field, it should be a welcome resource for researchers and students alike." @source:--ROBERT E. DRAKE, M.D., Professor of Psychiatry, Psychiatric Research Center, Lebanon, New Hampshire @qu:"This book combines the right authors with a timely and useful subject. Like their previous works, it is certain to be well received." @source:--HOWARD H. GOLDMAN, M.D., Professor of Psychiatry, University of Maryland School of Medicine, Baltimore @qu:Cost-Outcome Methods for Mental Health is a timely textbook that helps fill a yawning gap in mental health services research - a field that has produced so few published cost-outcomes studies that the authors resort to examples from medicine rather than mental health. Recognizing the elementary phase of development of the field, the authors wisely point out that their goal is to help readers learn a new vocabulary and become intelligent consumers of cost-outcome research findings." @source:--Barbara Dickey, Ph.D. in PSYCHIATRIC SERVICES, April 1999 @qu:"A great virtue of this book - in addition to its excellent attention to "how to" - is its focus on "why": why we have a responsibility to understan