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Online ISSN: 1099-176X    Print ISSN: 1091-4358
The Journal of Mental Health Policy and Economics
Volume 23, Issue 4, 2020. Pages: 115-137
Published Online: 1 December 2020

Copyright © 2020 ICMPE.


 

Intersectoral Costs and Benefits of Mental and Behavioural Disorders in the Education Sector: an Exploration of Costing Methods

 

Leonarda G.M. Bremmers,1* Silvia M.A.A. Evers,2 Ruben M.W.A. Drost,3 Luca M.M. Janssen,3 Irina Pokhilenko,3 Aggie T.G. Paulus3

1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam; and Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
2Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht; and Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Centre for Economic Evaluation and Machine Learning, Utrecht, The Netherlands
3Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands

* Correspondence to: Leonarda G.M. Bremmers, Ph.D. candidate, Erasmus School of Health Policy & Management, Bayle (J) Building, Room J8-55, Burgemeester Oudlaan 50, 3062 PA Rotterdam, The Netherlands.
Tel.: +31-10-408 8555
E-mail: bremmers@eshpm.eur.nl

Source of Funding: None declared.

Abstract
Education costs and benefits are relevant in the disease area of mental and behavioral disorders, but their inclusion in economic evaluations is largely neglected due to lack of methodological knowledge. This study aims to explore the identification, measurement, and valuation methods used to assess the impact of mental and behavioural disorders on education costs and benefits. A scoping review was conducted to identify articles that were set in the education sector and assessed education costs and benefits.177 component articles and 61 mutually exclusive education costs and benefits were identified. The nomenclature and costing methods used to describe the costs and benefits was poorly defined, heterogeneous in nature and largely context dependent. This is the first study, which offers a classification of education costs and benefits and costing methods reported by studies set in the education sector.


Background: The inclusion of indirect spillover costs and benefits that occur in non-healthcare sectors of society is necessary to make optimal societal decisions when assessing the cost effectiveness of healthcare interventions. Education costs and benefits are relevant in the disease area of mental and behavioral disorders, but their inclusion in economic evaluations is largely neglected due to lack of methodological knowledge.

Aim of the Study: This study aims to explore, using a scoping review, the identification, measurement, and valuation methods used to assess the impact of mental and behavioural disorders on education costs and benefits.

Methods: A scoping review was conducted to identify articles that were set in the education sector and assessed education costs and benefits. An adapted 5-step approach was used: (i) initating a scoping review; (ii) identifying component studies; (iii) data extraction; (iv) reporting results; (v) discussion and interpretation of findings. Results were summarized in a narrative synthesis per identification, measurement, and valuation method.

Results: 177 component articles were identified in the scoping review that reported 61 mutually exclusive education costs and benefits. The nomenclature used to describe the costs and benefits was poorly defined, heterogeneous in nature and largely context dependent. This was also reflected in the diverse number of measurement and valuation methods found in the component articles.

Discussion: This is the first study, which offers a classification of education costs and benefits and costing methods reported by studies set in the education sector. In conclusion, mental and behavioral disorders have a notable impact on a variety of different education costs and benefits.

Implications for Health Policies: The classification provided in the current study gives an indication of the wide-spread impact of mental and behavioral disorders on the education sector. Hence, the inclusion of relevant education costs and benefits in economic evaluations for mental and behavioral disorders is necessary to make optimal societal decisions.

Implications for Further Research: By exploring a new area of research from a sector-specific perspective, the current study adds to the existing intersectoral cost and benefit literature base. Future research should focus on standardizing costing methods in pharmacoeconomic guidelines and assessing the relative importance of individual education costs and benefits in economic evaluations for specific interventions and diseases.

Received 27 April 2020; accepted 6 October 2020

Copyright 2020 ICMPE