Evidence map›Paper›PMID 39354214›Full record

ArticlePharmacoEconomics2024

Incorporating Complexity and System Dynamics into Economic Modelling for Mental Health Policy and Planning.

Paul Crosland, Deborah A Marshall, Seyed Hossein Hosseini, Nicholas Ho, Catherine Vacher, Adam Skinner, Kim-Huong Nguyen, Frank Iorfino, Sebastian Rosenberg, Yun Ju Christine Song and 4 more

Abstract read
In one paragraph

Article in PharmacoEconomics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

14 authors.

Paul CroslandYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia. paul.crosland@sydney.edu.au.ORCID 0000-0002-6445-7486
Deborah A MarshallCumming School of Medicine, University of Calgary, Alberta Children's Hospital Research Institute, Calgary, Canada.ORCID 0000-0002-8467-8008
Seyed Hossein HosseiniYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0002-0400-5613
Nicholas HoYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0001-9843-0866
Catherine VacherYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0002-6923-0993
Adam SkinnerYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0002-9823-1506
Kim-Huong NguyenYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0002-2592-9372
Frank IorfinoYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0003-1109-0972
Sebastian RosenbergYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0002-3374-8694
Yun Ju Christine SongYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0001-8776-6305
Apostolos TsiachristasNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-4662-8915
Kristen TranYouth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0002-3544-1696
Jo-An Occhipinti *Youth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0002-2380-1092
Ian B Hickie *Youth Mental Health and Technology, Brain and Mind Centre, Faculty of Medicine and Health, Translational Research Collective, University of Sydney, Sydney, Australia.ORCID 0000-0001-8832-9895

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Care as usual has failed to stem the tide of mental health challenges in children and young people. Transformed models of care and prevention are required, including targeting the social determinants of mental health. Robust economic evidence is crucial to guide investment towards prioritised interventions that are effective and cost-effective to optimise health outcomes and ensure value for money. Mental healthcare and prevention exhibit the characteristics of complex dynamic systems, yet dynamic simulation modelling has to date only rarely been used to conduct economic evaluation in this area. This article proposes an integrated decision-making and planning framework for mental health that includes system dynamics modelling, cost-effectiveness analysis, and participatory model-building methods, in a circular process that is constantly reviewed and updated in a 'living model' ecosystem. We describe a case study of this approach for mental health system policy and planning that synergises the unique attributes of a system dynamics approach within the context of economic evaluation. This kind of approach can help decision makers make the most of precious, limited resources in healthcare. The application of modelling to organise and enable better responses to the youth mental health crisis offers positive benefits for individuals and their families, as well as for taxpayers.

Indexed as

Cost-Benefit AnalysisDecision MakingHealth PolicyMental Health ServicesModels, EconomicAdolescentChildHumansMental DisordersMental Health

Identifiers

PMID39354214
PMCPMC11564312

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.