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Making an economic argument for investment in global mental health: the case of conflict-affected refugees and displaced people

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  • McDaid, David
  • Park, A-La

Abstract

Mental health expenditure accounts for just 2.1% of total domestic governmental health expenditure per capita. There is an economic, as well as moral, imperative to invest more in mental health given the long-term adverse impacts of mental disorders. This paper focuses on how economic evidence can be used to support the case for action on global mental health, focusing on refugees and people displaced due to conflict. Refugees present almost unique challenges as some policy makers may be reluctant to divert scarce resources away from the domestic population to these population groups. A rapid systematic scoping review was also undertaken to identify economic evaluations of mental health-related interventions for refugees and displaced people and to look at how this evidence base can be strengthened. Only 11 economic evaluations focused on the mental health of refugees, asylum seekers and other displaced people were identified. All but two of these intervention studies potentially could be cost-effective, but only five studies reported cost per quality-adjusted life year gained, a metric allowing the economic case for investment in refugee mental health to be compared with any other health-focused intervention. There is a need for more consistent collection of data on quality of life and the longer-term impacts of intervention. The perspective adopted in economic evaluations may also need broadening to include intersectoral benefits beyond health, as well as identifying complementary benefits to host communities. More use can be also made of modelling, drawing on existing evidence on the effectiveness and resource requirements of interventions delivered in comparable settings to expand the current evidence base. The budgetary impact of any proposed strategy should be considered; modelling could also be used to look at how implementation might be adapted to contain costs and take account of local contextual factors.

Suggested Citation

  • McDaid, David & Park, A-La, 2023. "Making an economic argument for investment in global mental health: the case of conflict-affected refugees and displaced people," LSE Research Online Documents on Economics 118149, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:118149
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    File URL: http://eprints.lse.ac.uk/118149/
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    1. Nancy J. Devlin & Richard Brooks, 2017. "EQ-5D and the EuroQol Group: Past, Present and Future," Applied Health Economics and Health Policy, Springer, vol. 15(2), pages 127-137, April.
    2. Roman Hoffmann & Anna Dimitrova & Raya Muttarak & Jesus Crespo Cuaresma & Jonas Peisker, 2020. "A meta-analysis of country-level studies on environmental change and migration," Nature Climate Change, Nature, vol. 10(10), pages 904-912, October.
    3. Thomas Grochtdreis & Susanne Röhr & Franziska U. Jung & Michaela Nagl & Anna Renner & Anette Kersting & Steffi G. Riedel-Heller & Hans-Helmut König & Judith Dams, 2021. "Health Care Services Utilization and Health-Related Quality of Life of Syrian Refugees with Post-Traumatic Stress Symptoms in Germany (the Sanadak Trial)," IJERPH, MDPI, vol. 18(7), pages 1-13, March.
    4. Satinsky, Emily & Fuhr, Daniela C. & Woodward, Aniek & Sondorp, Egbert & Roberts, Bayard, 2019. "Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review," Health Policy, Elsevier, vol. 123(9), pages 851-863.
    5. Ivdity Chikovani & Nino Makhashvili & George Gotsadze & Vikram Patel & Martin McKee & Maia Uchaneishvili & Natia Rukhadze & Bayard Roberts, 2015. "Health Service Utilization for Mental, Behavioural and Emotional Problems among Conflict-Affected Population in Georgia: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-17, April.
    6. Biddle, Louise & Miners, Alec & Bozorgmehr, Kayvan, 2019. "Cost-utility of screening for depression among asylum seekers: a modelling study in Germany," Health Policy, Elsevier, vol. 123(9), pages 873-881.
    7. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884.
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    More about this item

    Keywords

    forced displacement; health economics; conflict; global mental health policy; global mental health;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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