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      The Economic Case for the Prevention of Mental Illness

      1 , 1 , 2
      Annual Review of Public Health
      Annual Reviews

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          Abstract

          Poor mental health has profound economic consequences. Given the burden of poor mental health, the economic case for preventing mental illness and promoting better mental health may be very strong, but too often prevention attracts little attention and few resources. This article describes the potential role that can be played by economic evidence alongside experimental trials and observational studies, or through modeling, to substantiate the need for increased investment in prevention. It illustrates areas of action across the life course where there is already a good economic case. It also suggests some further areas of substantive public health concern, with promising effectiveness evidence, that may benefit from economic analysis. Financial and economic barriers to implementation are then presented, and strategies to address the barriers and increase investment in the prevention of mental illness are suggested.

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          Most cited references65

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          Adult health outcomes of childhood bullying victimization: evidence from a five-decade longitudinal British birth cohort.

          The authors examined midlife outcomes of childhood bullying victimization.
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            Preventive strategies for mental health

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              Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): a randomised controlled trial.

              Individuals with a history of recurrent depression have a high risk of repeated depressive relapse or recurrence. Maintenance antidepressants for at least 2 years is the current recommended treatment, but many individuals are interested in alternatives to medication. Mindfulness-based cognitive therapy (MBCT) has been shown to reduce risk of relapse or recurrence compared with usual care, but has not yet been compared with maintenance antidepressant treatment in a definitive trial. We aimed to see whether MBCT with support to taper or discontinue antidepressant treatment (MBCT-TS) was superior to maintenance antidepressants for prevention of depressive relapse or recurrence over 24 months.
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                Author and article information

                Journal
                Annual Review of Public Health
                Annu. Rev. Public Health
                Annual Reviews
                0163-7525
                1545-2093
                April 2019
                April 2019
                : 40
                : 1
                : 373-389
                Affiliations
                [1 ]Personal Social Services Research Unit, Department of Health Policy, London School of Economics and Political Science, London WC2A 2AE, United Kingdom;,
                [2 ]The Finnish Association for Mental Health, 00240 Helsinki, Finland;
                Article
                10.1146/annurev-publhealth-040617-013629
                30601725
                d722a2de-1d94-4c43-aecf-7af4a83b8dc4
                © 2019
                History

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