Feb 14

Written by: Matthew Hile
2/14/2008 7:40 AM

From NRI's State Mental Health Agency Services Research, Program Evaluation and Policy in DC, Enhancing the Clinical Effectiveness of Mental Health Treatments: Research to Improve Practice & Inform Policy, Philip Wang, (NIMH).

What are the unmet needs

• Mental health treatment seeking is very slow 10-30 years
• About 41% needing care receive it.
• The sorts of treatments being received are sub optimal
• For people with SMI only 20% re receiving minimally acceptable care

How to improve effectiveness (innovation and enhancement)

• Because the cost of genetic typing costs have dropped so much we can use that information to identify diseases with specific genetic locations
• Increase potential for more personalized treatments
• If the Quality adjusted year costs are$50k or less it would be appropriate to do these procedures. This is because dialysis costs this much and the government is willing to pay for that treatment.
• There is an increasing use in new medications (even before comparative studies) which has resulted in rapidly increasing costs.
• States are spending a large percentage of their mediation budgets on atypical antipsychotics event thought do not know if this is appropriate or not.
• While there is a lot of money being spent on healthcare there is no evidence that this improves health outcomes. [Suggested that this means we need more effective treatments. What it really means is that we are leaking money in our systems which are not as efficient other nations.]
• Use real use data
• use quasi-experimental studies
• Use simulations to create studies

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