CG123 Common mental health disorders - National Institute for ...

Case identification and formal assessmentIdentification costs:GAD-2 £30 Based on 10 minutes of surgery/clinic GP consultation forGAD-7 £45 administration of the GAD-2, 15 minutes for administrationGP assessment £35 of the GAD-7 and one visit for GP assessment (GDG expertopinion); combined with national unit costs (Curtis, 2009)Cost of low-intensity psychologicalinterventions:Non-facilitated self-help £15 NCCMH (2011a) – non-facilitated self-help estimated to consistGuided self-help £117 of one 15-minute session with a mental health nurse (band 5)Psychoeducational group £72 plus the use of a booklet costing £4; guided self-help estimatedto comprise three to six sessions with a mental health nurseMean cost: £68 (band 5), with the first session lasting 45 minutes and the rest 30minutes, plus the use of a booklet costing £4; psychoeducationalgroup estimated to consist of six sessions of 2 hours each,provided by two mental health nurses (band 5) to groups of tento 30 people. Unit cost of mental health nurse (band 5) £44 perhour of face-to-face contact (Curtis, 2009)Cost of high-intensity psychologicalinterventions:CBT or applied relaxation (12 sessions) £900 NCCMH (2011a) – each session lasting 1 hour, provided byThree booster sessions for responders £225 clinical psychologists. Unit cost of clinical psychologist:only £75 per hour of client contact (Curtis, 2009)Cost of pharmacological treatment:Acute phase (8 weeks) £108.18 NCCMH (2011a) – based on use of sertraline at a daily dosageMaintenance treatment (26 weeks) £45.34 of 100 mg and GP monitoring visits, comprising one visit atinitiation of treatment, two more visits over the first 8 weeks of(Continued)113