Evidence map›Paper›PMID 32296867›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Quantifying the size of the informal care sector for Australian adults with mental illness: caring hours and replacement cost.

Sandra Diminic, Yong Yi Lee, Emily Hielscher, Meredith G Harris, Jan Kealton, Harvey A Whiteford

Abstract read
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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. The Australian and New Zealand journal of psychiatry · 2026
    Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. NDIS Participants with Psychosocial Disabilities and Life-Limiting Diagnoses: A Scoping Review.International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Sandra DiminicSchool of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia. sandra_diminic@qcmhr.uq.edu.au.ORCID http://orcid.org/0000-0001-8742-8816
Yong Yi LeeSchool of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0003-2359-6823
Emily HielscherSchool of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0002-0559-5256
Meredith G HarrisSchool of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0003-0096-729X
Jan Kealton, Carer Consultant, Gold Coast, Australia.
Harvey A WhitefordSchool of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0003-4667-6623
The University of Queensland · AUDeakin University · AUGold Coast City Council · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo quantify and value the total informal support provided by family and friends to Australian adults with mental illness in 2018.

methodsThe number of mental health carers was drawn from the 2015 Survey of Disability, Ageing and Carers (SDAC), adjusted to the 2018 population. Annual caring hours by type of assistance were estimated using the SDAC, 2007 National Survey of Mental Health and Wellbeing and an online carer survey. Caring hours for each task were assigned an hourly replacement cost from the National Disability Insurance Scheme. Informal caring was valued as the sum of these costs minus expenditure on carer income support payments, estimating how much it would hypothetically cost governments to replace this care with formal support services.

resultsAn estimated 354,000 (95% uncertainty interval (UI): 327,000-383,000) Australian mental health carers provided 186 million (95% UI: 159-215) hours of support in 2018. The estimated replacement cost was AU$8.4 billion (95% UI: 7.0-10.0), excluding AU$1.3 billion in income support. Univariate sensitivity analyses demonstrated that results were robust to variation in model inputs, with total caring hours the most influential parameter. Using an alternative estimate of mean caring hours, the replacement cost could be as high as AU$13.2 billion (95% UI: 11.2-15.4).

conclusionInformal carers provide substantial support to people with mental illness, highlighting their important contribution to the mental health system and reinforcing the need for carer support services. Future valuation studies would benefit from refinement of available data collections, particularly on hours and types of care provided.

Indexed as

Mental DisordersAdultAustraliaCaregiversCost of IllnessHumansMental HealthPatient CareCaregiverEconomic valueMental healthProxy goodReplacement cost

Identifiers

PMID32296867
OpenAlexW3017263596

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.