Measuring the Lifetime Costs of Serious Mental Illness and the Mitigating Effects of Educational Attainment
| Autor: | Henu Zhao, Hanke Heun-Johnson, Danielle A. Schlosser, John Hernandez, Bryan Tysinger, Dana P. Goldman, Gwyn C. Pauley, Sarah Axeen, Seth A. Seabury |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cost-Benefit Analysis education Risk Assessment Severity of Illness Index Article 03 medical and health sciences Disability Evaluation Young Adult 0302 clinical medicine Quality of life (healthcare) Life Expectancy Cost of Illness Intervention (counseling) Severity of illness mental disorders Early Intervention Educational Medicine Humans 030212 general & internal medicine Psychiatry Child Cost–benefit analysis business.industry 030503 health policy & services Health Policy Mental Disorders fungi Age Factors Middle Aged Mental illness medicine.disease Educational attainment United States Quality-adjusted life year Chronic Disease Life expectancy Quality of Life Female Quality-Adjusted Life Years 0305 other medical science business |
| Popis: | Serious mental illness (SMI) is a disabling condition that develops early in life and imposes substantial economic burden. There is a growing belief that early intervention for SMI has lifelong benefits for patients. However, assessing the cost-effectiveness of early intervention efforts is hampered by a lack of evidence on the long-term benefits. We addressed this by using a dynamic microsimulation model to estimate the lifetime burden of SMI for those diagnosed by age twenty-five. We estimated that the per patient lifetime burden of SMI is $1.85 million. We also found that a policy intervention focused on improving the educational attainment of people with SMI reduces the average per person burden of SMI by $73,600 (4.0 percent)-a change driven primarily by higher lifetime earnings-or over $8.9 billion in reduced burden per cohort of SMI patients. These findings provide a benchmark for the potential value of improving educational attainment for people with SMI. |
| Databáze: | OpenAIRE |
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