Mental Health

Overview

Overview 

Mental health problems are the largest single cause of disability in the UK, representing a quarter of the national burden of ill-health, and are the leading cause of sickness absence. It is estimated that mental health problems cost the country as much as £100 billion each year – including the costs to individuals and society of treating preventable illness, the impact on quality of life, lost working days and lost income. There is a large “treatment gap” with most people with mental health problems receiving no treatment and with severe funding restrictions compared with physical health services. People with mental illness die on average 15-20 years earlier than other people – one of the greatest health inequalities in England.

We have a portfolio of research in the area of mental health economics and policy that is contributing to a better understanding of:

  • socio-economic determinants of mental illness
  • the nature of the treatment and the quality of care received by people with mental illness
  • health inequalities in treatment rates
  • mental health outcomes
  • the organisation and funding of mental health services
  • the performance of mental health providers

For further details on NIHR projects examining the link between quality of primary care and outcomes for people with serious mental illness see here:

Contact: Rowena Jacobs

Publications

Publications

2019

  • Moscelli G, Jacobs R, Gutacker N, Aragon MJM, Chalkley MJ, Mason A, Bohnke J. Prospective payment systems and discretionary coding - Evidence from English mental health providers. Health Economics 2019;28(3):387-402. Download from Wiley

2018

  • Jacobs R, Chalkley M, Aragon MJ, Böhnke JR, Clark M, Moran V. Funding approaches for mental health services: Is there still a role for clustering? BJPsych Advances 2018;24(6):412-421. Download from Cambridge UP 
  • Moscelli G, Jacobs R, Gutacker N, Aragon MJM, Chalkley MJ, Mason A, Bohnke J. Prospective payment systems and discretionary coding - Evidence from English mental health providers. Health Economics 2018;doi:10.1002/hec.3851. Download from Wiley    
  • Reichert A, Jacobs R. The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in England. Health Economics 2018;27(11):1772-1787. Download from Wiley 
  • Ride J, Kasteridis P, Gutacker N, et al. Do care plans and annual reviews of physical health influence unplanned hospital utilisation for people with serious mental illness? Analysis of linked longitudinal primary and secondary healthcare records in England. BMJ Open 2018;8(11):e023135. Download from BMJ 

2017

  • Alguera-Lara V, Dowsey MM, Ride J, Kinder S, Castle D. Shared decision making in mental health: the importance for current clinical practice. Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists 2017;25(6):578-582. Download from Sage
  • Kronenberg C, Doran T, Goddard M, Kendrick T, Gilbody S, Dare C, Aylott L, Jacobs R. Identifying primary care quality indicators for people with serious mental illness: a systematic review. British Journal of General Practice 2017;doi:10.3399/bjgp17X691721. Download from BJGP 
  • Kronenberg C, Jacobs R, Zucchelli E. The impact of the UK National Minimum Wage on mental health. SSM - Population Health 2017;3:749-755. Download from ScienceDirect
  • Moran V, Jacobs R. Costs and performance of English mental health providers. The Journal of Mental Health Policy and Economics 2017;20(2):83-94. Download from ICMPE
  • Moran V, Jacobs R. Investigating the relationship between costs and outcomes for English mental health providers: a bi-variate multi-level regression analysis. The European Journal of Health Economics 2017;doi:10.1007/s10198-017-0915-5. Download from Springer
  • Moran V, Jacobs RMason A. Variations in performance of mental health providers in the English NHS: An analysis of the relationship between readmission rates and length-of-stay. Administration and Policy in Mental Health and Mental Health Services Research 2017;44(2):188-200. Erratum;44(2):201-202. 
  • Reichert AJacobs R. Socioeconomic inequalities in duration of untreated psychosis: Evidence from administrative data in England. Psychological Medicine 2017;doi: 10.1017/S0033291717002197. Download from Cambridge UP
  • Ride J. Setting the boundaries for economic evaluation: investigating time horizon and family effects in the case of postnatal depression. Value in Health 2017;doi:/10.1016/j.jval. 2017.10.016. Download from Value in Health

2016

  • Goddard M, Kasteridis P, Jacobs R, Santos R, Mason A. Bridging the gap: the impact of quality of primary care on duration of hospital stay for people with dementia. Journal of Integrated Care 2016;24(1):15-25. Download from Emerald Insight
  • Jacobs RChalkley MAragón MJ, Böhnke JR, Clark M, Moran V, Gilbody S. Funding of mental health services: Do available data support episodic payment? Centre for Health Economics, University of York; CHE Research Paper 137 (PDF , 3,043kb)‌ 2016.
  • Kasteridis P, Mason A, Goddard M, Jacobs R, Santos R, Rodriguez-Sanchez B. Risk of care home placement following acute hospital admission: effects of a pay-for-performance scheme for dementia. PloS One 2016;11(5):e0155850.

2015

  • Di Novi C, Jacobs R, Migheli M. The quality of life of female informal caregivers: from Scandinavia to the Mediterranean sea. European Journal of Population 2015;doi:10.1007/s10680-014-9336-7. Download from springer
  • Gutacker NMason A, Kendrick T, Goddard MGravelle H, Gilbody S, Aylott L, Wainwright J, Jacobs R. Does the quality and outcomes framework reduce psychiatric admissions in people with serious mental illness? A regression analysis. BMJ Open 2015;5(4):e007342. Download from bmjopen
  • Jacobs RGutacker N, Mason A, Goddard MGravelle H, Kendrick T. Do higher primary care practice performance scores predict lower rates of emergency admissions for persons with serious mental illness? An analysis of secondary panel data. NIHR HS & DR Journal 2015;3(16). Download from NIHR
  • Kasteridis PMason AGoddard MJacobs R, Santos R, McGonigal G. The influence of primary care quality on hospital admissions for people with dementia in England: a regression analysis. PLoS One 2015;10(3):e0121506. Download from plosoneDementia Lay Summary (PDF  , 353kb),Dementia S1 Appendix (PDF  , 52kb)Dementia S2 Appendix (PDF  , 50kb)
  • Kasteridis P, Goddard MJacobs RSantos RMason A. The impact of primary care quality on inpatient length of stay for people with dementia: an analysis by discharge destination. Centre for Health Economics, University of York;CHE Research Paper 113 (PDF  , 2,722kb) 2015.
  • Kronenberg C, Jacobs R, Zucchelli E. The impact of a wage increase on mental health: Evidence from the UK minimum wage. Health, Econometrics and Data Group (HEDG), University of York 2015; working paper 15/08. Download from HERC
  • Moran V, Jacobs R. Comparing the performance of English mental health providers in achieving patient outcomes. Social Science & Medicine 2015;140:127-136. Download from Elsevier

2014

  • Carrieri V, Di Novi C, Jacobs R, Robone S. Insecure, sick and unhappy? Well-being consequences of temporary employment contracts, Chapter 4. In: Polachek SW, Tatsiramos K (eds). Factors Affecting Worker Well-Being: The Impact of Change in the Labor Market Book Series. Research in Labor Economics Vol.40. 2014;pp. 157-193:Emerald Group Publishing Limited:ISBN:978-1-78441-150-3.
  • Jacobs R. Payment by results for mental health services: economic considerations of case-mix funding. Advances in Psychiatric Treatment 2014;20:155-164.
  • White J, Gutacker NJacobs RMason AR. Hospital admissions for severe mental illness in England: Changes in equity of utilisation at the small area level between 2006 and 2010, Social Science & Medicine 2014;120:243-251. Download from Elsevier

2013

  • Di Novi C, Jacobs R, Migheli M. The quality of life of female informal caregivers: from Scandinavia to the Mediterranean Sea. Centre for Health Economics, University of York; CHE Research Paper 84 (PDF , 552kb), 2013.
  • Moran V, Jacobs R. An international comparison of efficiency of inpatient mental health care systems. Health Policy 2013;112(1):88-99. Download from Elsevier

2012

  • Carrieri V, Di Novi C, Jacobs R, Robone S. Well-being and psychological consequences of temporary contracts: the case of younger Italian employees. Centre for Health Economics, University of York; CHE Research Paper 79 (PDF , 342kb), 2012.

2011

  • Jacobs R, Barrenho E. The impact of crisis resolution and home treatment teams on psychiatric admission rates in England. British Journal of Psychiatry 2011;199(1):71-76.
  • Mason A, Goddard M, Myers L, Verzulli R. Navigating uncharted waters? How international experience can inform the funding of mental health care in England. Journal of Mental Health 2011;20(3);234-48. Download from informa.
  • Maynard A, Street A, Hunter R. Using ‘payment by results’ to fund the treatment of dependent drug users-proceed with care! Addiction 2011;106(10):1715-1882.