Report methods for synthesising evidence of cost-effectiveness Identifying and systematically reviewing published cost-effectiveness studies Systematic searches will be undertaken to identify existing published studies reporting the cost-effectiveness of low intensive psychological interventions for the secondary prevention of relapse after depression. NHS Health Depression news. As a minimum, the characteristics of the literature in this area will be described and classified in a scoping review. These will be synthesised in a full systematic review of clinical effects. All relevant evaluations of interventions involving qualified health professionals e.
CBT Comptetencies Map – clickable. Decision problem Background Depression Depression can refer to a range of mental health problems primarily characterised by persistent depressed mood and loss of interest in activities, among other potential symptoms. The interventions evaluated will be informed by the results of the clinical effectiveness review. Such interventions may involve support from paraprofessionals, peer supporters, physical trainers, case managers as in collaborative care models , or no personal support at all e. My Worries Today worksheet.
A high eolving when younger, she had not been working and was living in a shared house where people were using drugs and not paying their rent.
The Oxford call centre is part of the Improving Access to Psychological Therapies IAPT programme, which hopes to make therapy free on the NHS for low-intensity mental illness where previously medication was almost the only option. My Worries Today worksheet. Problem Solving Worksheet A.
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EVPI represents the expected costs of decision uncertainty as problemm information would eliminate the possibility of making the wrong decision. We will not, therefore, restrict inclusion to studies in which depression was established using a gold-standard structured clinical interview. In addition, guidelines and reviews will be identified using: Oxford Guide to Low Intensity C. Animal models, preclinical and biological studies, reviews, editorials, and opinions will be excluded.
Relapse Prevention Red Flags. Resource utilisation will reflect the inputs associated with the psychological interventions themselves, medication and depression-related events. The objective of this analysis termed partial EVPI is to identify the model parameters where it would be most worthwhile obtaining more precise estimates. Social Phobia – Clark. American Psychiatric Association, editor. This is presented using cost-effectiveness acceptability curves which show the probability that each intervention is cost-effective conditional on a range of possible threshold values which NHS decision makers attach to an additional QALY.
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Our Common Fate everything written was written by mental health professionals. Where CCBT is delivered as a primary intervention with minimal therapist involvement, it is considered a low-intensity intervention. The following databases will be searched: Rikki had a long history of depression, including feeling suicidal in his teens, having a breakdown when he worked as an ambulance paramedic splving attending repeated cot deaths, and most recently working as an environmental health officer.
These data will be combined with national sources of cost data e. Rikki, 53, a married father of two from Oxfordshire, says he was on the verge of suicide when he went to his GP.
Report methods for synthesising evidence of cost-effectiveness Identifying and systematically reviewing published cost-effectiveness studies Systematic searches will be undertaken to identify existing published studies reporting the cost-effectiveness of low intensive psychological interventions for the secondary prevention of relapse after depression.
Where possible the relative efficacy of lroblem types of intervention will be determined, as will the cost-effectiveness of these alternatives to current standard care.
The results from the clinical effectiveness review and the EVPI results will be used to identify future research recommendations.
These will be synthesised in a full systematic review of clinical effects.
To explore heterogeneity in the cost-effectiveness estimates using subgroup analysis where appropriate. Clinical and health services relationships between major depression, depressive symptoms, and ipt medical illness.
Her caseload includes victims of trafficking and people from Africa and Sri Lanka who have suffered war trauma including multiple rape. Social Phobia – Heimberg.
Study designs Randomised, quasi-randomised and non-randomised studies with concurrent problsm will be considered for inclusion.
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Data extraction strategy Data will be extracted independently by one reviewer using a standardised data extraction form and checked by another. Should resources allow, these studies will be extracted and synthesised alongside studies identified in part A of the systematic review.
Depression in adults update National Clinical Practice Guideline A broad range of studies will be considered in the assessment of cost-effectiveness including economic evaluations conducted alongside trials, modelling studies and analyses of administrative databases.
Good practice guidance on the use of self-help materials within IAPT services: