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

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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
Case identification and formal assessmentTable 17 (Continued)Input parameter Deterministic Source of data – commentsvaluetreatment and another visit during maintenance treatment.Cost of sertraline based on BNF 59 (British MedicalAssociation & the Royal Pharmaceutical Society ofGreat Britain, March 2010); cost of GP visit based on nationalsources (Curtis, 2009)Weekly health and social care cost £15.47 NCCMH (2011a) – weekly cost incurred by people withincurred by people with GAD GAD (true positive) not responding to treatment and by peoplewith GAD who failed to be diagnosed (false negative). Estimatebased on resource use data reported in the most recent adultpsychiatric morbidity survey in England (McManus et al.,2009), further expert opinion and national unit costs(Curtis, 2009)114
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Commonmental healthdisordersTHE NIC
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© The British Psychological Societ
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Contents6 FURTHER ASSESSMENT OF RIS
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Guideline development group members
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Preface1 PREFACEThis guideline has
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Prefacecollaborative manner using t
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PrefaceThe experience of people wit
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Common mental health disorders2.2 T
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Common mental health disordersto ho
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Common mental health disordersManua
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Common mental health disordershighe
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Common mental health disordersNegat
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Common mental health disorderscours
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Common mental health disordersover
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Common mental health disorders2.2.6
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Common mental health disordersTable
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Common mental health disorders1996)
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Common mental health disordersSumma
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Common mental health disordersTable
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Common mental health disordersappli
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Common mental health disorderspatie
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Methods used to develop this guidel
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Access to healthcare4. ACCESS TO HE
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Access to healthcareunder the Menta
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Further assessment of risk and need
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Systems for organising and developi
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Summary of recommendations8.1.1.6 S
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Summary of recommendationsFigure 12
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Summary of recommendations●Genera
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Summary of recommendations8.4 STEPS
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Summary of recommendations●●a g
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Summary of recommendationsDiscuss w
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Summary of recommendationsinclude p
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Appendices9 APPENDICESAppendix 1: S
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Appendix 1of a depressive disorder
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Appendix 1b) Assessment of anxiety
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Appendix 2APPENDIX 2:DECLARATIONS O
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Appendix 2Mr Mike BessantEmployment
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Appendix 2Personal non-pecuniary in
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Appendix 2Actions takenMr Rupert Su
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Appendix 2Personal family interestN
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Appendix 3APPENDIX 3:STAKEHOLDERS A
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Appendix 4ClinicalpopulationPeople
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Appendix 4Case identificationNo. Pr
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Appendix 5APPENDIX 5:REVIEW PROTOCO
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Appendix 7APPENDIX 7:METHODOLOGY CH
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Appendix 9APPENDIX 9:METHODOLOGY CH
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Appendix 92.10 Are all important pa
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Appendix 9case also excludes costs
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Appendix 9For consistency, the EQ-5
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Appendix 9Answer ‘yes’ if the a
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Appendix 9Answer ‘yes’ if the e
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Appendix 9Answer ‘yes’ if appro
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Appendix 10APPENDIX 10: EVIDENCE TA
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Appendix 11APPENDIX 11:HIGH PRIORIT
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Appendix 11discussion of options bu
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Appendix 13APPENDIX 13:GENERALIZED
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ReferencesAndlin-Sobocki, P., Jöns
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ReferencesBower, P., Gilbody, S., R
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ReferencesCooper, S., Smiley, E., M
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ReferencesEhlers A., Gene-Cos N. &
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ReferencesGiles, D. E., Jarrett, R.
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ReferencesHorowitz, M. J., Wilner,
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ReferencesKnapp, M. & Ilson, S. (20
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ReferencesMarks, J., Goldberg, D. P
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ReferencesNCCMH (forthcoming) Self-
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ReferencesOzer, E. J., Best, S. R.,
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ReferencesSartorius, N. (2002) Eine
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ReferencesTiemens, B. G., Ormel, J.
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ReferencesWilkinson, M. J. B. & Bar
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Glossarybeliefs and interpretations
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Glossaryto learn to become more awa
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Abbreviations12 ABBREVIATIONSADDADS
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AbbreviationsOASISOCDONSORPHQ (-A,
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