International Center of Mental Health Policy and Economics
 

 

 

INTERDISCIPLINARY POSTGRADUATE TRAINING IN MENTAL HEALTH POLICY AND ECONOMICS RESEARCH



SPONSORSHIP

Section on Mental Health Economics
World Psychiatric Association (WPA)

SECTION COMMITTEE

S. Zuvekas (USA), Chair
E. Rytik (Russia), Co-chair
T. Ruud (Norway), Secretary
R. Araya (Chile)
A.H. Khalil (Egypt)
M. Olatawura (Nigeria)
H.A. Pincus (USA)
K. Prot (Poland), Former Chair

SECRETARIAT

M. Moscarelli (Italy)
International Center of Mental Health Policy and Economics
(ICMPE)


Introduction

 

The Interdisciplinary Postgraduate Training in Mental Health Policy and Economics Research represents a significant innovation in the international development of high quality interdisciplinary research training in health policy and economics: it underlines the importance of considering the characteristics of the illnesses and of the individual medical specialties when research aimed at informing health policies and services financing strategies is developed.  The training offers to the different participants in the field of mental health policy and economics (psychiatrists involved in research and care and other mental health workers, health services researchers, health economists, policy makers, public and private health providers, advocacy groups, and the pharmaceutical industry) a rigorous, structured, introductory, interactive research training program .

The Interdisciplinary Postgraduate Training in Mental Health Policy and Economics Research is aimed at offering high quality international research training infrastructure to support:

  • Experienced Researchers in this interdisciplinary research field interested in including international research mentorship training, international research and international consultancy as part of their research activities and career.
  • Participants and Research Mentees from different countries and disciplines committed to develop/enhance their research capacity in this area, to share high quality international methodologies and to become active members of an international research network.
  • Public and Private Organisations in the various countries of the world who are committed to the finance and use of mental health policy and economics research for supporting their decision making at country and international level.

Burden of Mental and Addictive Disorders

 
Mental and addictive disorders impose heavy burdens on individuals, families, and society. Surveys conducted in both developed and developing countries have shown that, during their lifetime, more than 25% of individuals develop one or more mental or behavioral disorders. The World Bank/World Health Organization (World Health Report, 2002) estimates have shown that mental and addictive disorders account for 13 percent of the burden of all diseases in terms of mortality and disability. These disorders cause substantial pain and suffering to affected individuals and to their families. They lead also to relevant economic losses to society: many are simply unable to work or are significantly less productive because of mental illness or because they have an affected relative. These disorders also have a huge impact on the resources spent for the health and social services aimed at their care and support. These conditions are made worse by the severe stigma and isolation that surrounds mental illness. Stigma leads others to avoid living, socializing or working with, renting to, or employing people with mental disorders, especially severe disorders such as schizophrenia.  In its most overt and egregious form, stigma results in outright discrimination and abuse.
 

Mental Health Policy and Economics Research

 

Mental health policy and economics research provides crucially needed information, including estimates of the socio-economic burden of psychiatric disorders, evidence of the costs and effectiveness of treatments, and information about the cost-effectiveness of new ways of coordinating the clinical and social interventions. In addition, research based information is needed to determine the benefits of different financing and reimbursement policies in bringing about desired changes in the management of mental and addictive disorders. This research is important in enabling governments to contain health system costs while improving the health and the productivity of the population. The development of multidisciplinary research during the last 25 years led to the rapid evolution of sound methodologies for applying economic analyses to the mental health care sector. This research has fundamentally altered the way decisions about mental health policy and treatments are made, especially in countries, such as the United States, with a large body of research studies. These research studies provide policymakers with extensive information on a wide-range of issues including:

  • The social and economic consequences of severe mental and addictive disorders, including the costs they impose on society, patients, and their family caregivers and the socio-economic costs of not financing  or underfinancing psychiatric services for mental and addictive disorders.
  • The evaluation of the cost/effectiveness of psychological or pharmacological interventions in specialty and general practice settings aimed at prevention, care and rehabilitation
  • The analysis of alternative systems for providing comprehensive health and social services
  • The socio-economic impact of policies encouraging comprehensive, coordinated community-based care
  • The evaluation of different financing systems to enhance health care provision, efficiency, and health outcomes

Many of these studies have influenced psychiatric policies internationally. They demonstrated that mental and addictive disorders can frequently be treated successfully, with either full recovery or reduced disability, and that not financing treatment imposes substantial economic costs on society due to the reduced or complete inability to work of patients or their relatives. Economic evaluations of treatments for mental disorders have developed awareness in many countries that treatments must not only be considered in terms of their safety and efficacy, but also in terms of treatment costs and potential cost-savings when compared to other treatments already available. These studies help policymakers and providers choose the best treatments to maximize health benefits while containing costs. This research also has had a profound influence on mental health reforms to provide treatment for those with severe and persistent mental illnesses in the community rather than in asylums or hospitals. They scientifically demonstrated that many patients can be treated in the community in an equally cost-effective manner, if the array of financial, clinical and social services that is needed to support and assist these particularly vulnerable individuals in the community is fully established. When policymakers could not rely on sound research data, neglect, homelessness, violence, and suicide were frequent consequence of uninformed deinstitutionalization policies.
 

Reasons of the Innovative Interdisciplinary Postgraduate Training

Systematic interdisciplinary research training in mental health policy and economics research is unavailable in most countries. As a consequence, key policy decisions must either be informed by the few high quality research studies elsewhere (with limited applicability), or without research data at all.

The Interdisciplinary Postgraduate Training in Mental Health Policy and Economics Research seeks to fill this gap by providing a systematic introductory program of training courses in mental health policy and economics research, a research field to be developed in quality and quantity in the world. A number of countries are currently undertaking substantial reforms of their mental health care and social services delivery and financing systems. Decision-making in public and private organizations requires science-based mental health policy and economic research studies in this reform process. This type of research has increasingly demonstrating its importance in informing decision-makers on the repercussions of these illnesses on patients, families, workplace and society, and on the impact of clinical, social, policy, financial interventions on health, quality of life and economic well-being of these vulnerable populations. These studies are critical in learning how to design cost-effective systems to improve the lives of those with mental and addictive disorders and their families. Obtaining sound scientific information in this field requires interdisciplinary collaboration among psychiatrists, psychologists, health economists, and public health researchers. This integrated approach brings together the strengths of each field to provide the best possible information to support the complex policy decisions regarding mental health care that confront governments.

The Interdisciplinary Postgraduate Training in Mental Health Policy and Economics Research provides an integrated, coherent approach to training and developing new researchers in the field of mental health policy and economics involving an integrated, interactive program of introductory training courses with the aims of enabling them:

  • to reach international standards for scientific quality (sharing up-to-date international methodology and developing sound research projects) and
  • to develop complementary abilities needed in a research career (i.e. obtaining research grants, presenting  research results at scientific meetings, publication in peer-reviewed journals, international networking to establish needed consultation and collaboration)

The proposed training approach efficiently and consistently coordinates a number of events to offer new researchers the core skills they will need to conduct their own mental health policy and economics research along with the complementary skills needed to enhance their research career. Through this integrated training program, participants receive a comprehensive high quality introductory education, extensive personal interaction with international authorities in the field and with peers from the US, Europe and other countries, forming the basis for international collaborative research. The program is particularly innovative in its interdisciplinary approach, which is critical in this research field, and in providing systematic research education and training to participants from countries with limited or no existing opportunities for such training. The participants will have the opportunity to interact with recognized distinguished authorities in the field of research grant application, research development, research publication, and research presentation. The design of the training program provides participants with significant opportunities to build contacts for further research with leading authorities in the field and with other researchers from the US, EU and other countries. It will also enable participants to collaborate with researchers of other disciplines not only during the training program, but build contacts to collaborate in future research projects.  The courses rely on an integrated, coherent approach to training and developing new researchers in the field of mental health policy ad economics

The proposed courses will:

  • Provide an introductory core education for facilitating the communication of research ideas among researchers of different scientific disciplines (clinicians, economists, and health services and public health researchers), countries, and organizations (universities, research centers, governmental institutions, industry). .
  • Represent an international focal point, stimulating universities and governments to better understand the relevance of the field and to collaborate to further enhance the development of research and training in this field.
  • Encourage the development of multisite interdisciplinary, international research
  • Encourage public and private institutions to properly use research findings in decisions about mental health policy.
  • Encourage high quality researchers to develop international research projects in this area
  • Be especially significant in developing new researchers in countries without substantial expertise in this area.


Structure of the Interdisciplinary Postgraduate Training

 

The Interdisciplinary Postgraduate Training in Mental Health Policy and Economics Research relies on an integrated, coherent approach to training and developing new researchers in the field of mental health policy ad economics..

INTERDISCIPLINARY TRAINING

Leading international authorities from the different core disciplines of the field (psychiatry, psychology, economics, health policy, services research) will serve as instructors for the formal in-person courses. The teachers have been distinguished speakers at international congresses, have published extensively in international peer-reviewed journals, have relevant experience in academic education and training. This course provides an interdisciplinary, introductory approach to the core components of the field. It will develop a common, "core" set of information and expertise that is needed by all researchers, regardless of discipline, to conduct research in this area and to communicate with one another in a common language. The participants will be trained in each of the core components of the field of mental health policy and economics and provided a picture of how the disciplines relate to each other and are integrated to produce high quality research in this field. The participants will learn what each discipline contributes (principally clinical, health services analysis, health economics, health policy, study design and methods) in joint research projects development. It will enable participants both to refine the contribution of their specific discipline and to develop awareness of when they need to rely on collaboration with informed researchers from other disciplines to design and conduct a "sound" research project. .

 

2006 - Interdisciplinary Postgraduate Training

 

The 2006 edition of the Training combined traditional (Venice, Italy, July 2006) and internet based training.

Please, visit the Evaluation Scores assigned by the attendees.

 

2008 - Interdisciplinary Postgraduate Training

 

The 2008 edition of the Training combined traditional (Venice, Italy, July 2008) and internet based training.

Please, visit the Evaluation Scores assigned by the attendees.

 

2010- Interdisciplinary Postgraduate Training

 

The 2006 and 2008 editions of the Training were exceptionally appreciated by the attendees, but in order to enable greater access for clinicians and researchers from the various countries of the world the WPA Section on Mental Health Economics has been developing an interactive internet-based training. In 2010, the entire training will be conducted through the website www.icmpe.org.

ONLINE TRAINING MATERIAL

The Training material will be available in advance to the Participants on the ICMPE website (through password) at www.icmpe.org upon registration.

ONLINE INTERACTIVE EVENTS – July 2010

To preserve the very positive interactions between the participants and the teachers, and among the participants themselves, each teacher will hold specific interactive events during July 2010 in which there will be a "real time" interactive online discussion with the participants (i.e. interactive discussion about the training material, exercises to be developed by groups of participants, etc.).

2010 - TRAINING PROGRAM

This course provides an interdisciplinary, introductory approach to the core components of the field of mental health policy and economics research to Participants. Leading international authorities from the different core disciplines of the field (psychiatry, psychology, economics, health policy, services research) will serve as instructors for the formal courses. They have been distinguished speakers at international congresses, have published extensively in international peer-reviewed journals, and have long experience in academic education and training. The course will develop a common, "core" set of information and expertise that is needed by all researchers, regardless of discipline, to conduct research in this area and to communicate with one another in a common language. The Participants will be trained in each of the core components of the field of mental health policy and economics and provided a picture of how the disciplines relate to each other and are integrated to produce high quality research in this field. The Participants will learn what each discipline contributes (principally clinical, health services analysis, health economics, health policy, study design and methods) in joint research projects development. It will enable participants both to refine the contribution of their specific discipline and to develop awareness of when they need to rely on collaboration with informed researchers from other disciplines to design and conduct a "sound" research project.

The training material and the related references referring to the issues that each instructor will cover, are available to the Participants through password on the ICMPE website at www.icmpe.org upon registration. It will enable participants to receive substantial information prior of their interactive course in July 2010.

Mapping of Mental Health Resources within Countries
Shekhar Saxena

M.D., Co-ordinator of the Team Mental Health:Evidence and Research at World Health Organization, Geneva, Switzerland

Mental Health Policy, Services and Evaluation Research
Howard H. Goldman

M.D., Ph.D., Professor of Psychiatry, University of Maryland School of Medicine, Baltimore, USA

Economic Evaluation for Health Care Decision Making
Michael Drummond

Ph.D., Professor of Health Economics, Centre for Health Economics, University of York, United Kingdom

Mental Health Financing Policy and Outcome Analysis
Teh-wei Hu

Ph.D., Professor in Graduate School, Professor Emeritus of Health Economics, University of California, Berkeley, California, USA Economic

Evaluation for Mental Health Interventions
Martin Knapp

Ph.D., Professor of Health Economics, Centre for the Economics of Mental Health, Institute of Psychiatry, King’s College London; and Professor of Social Policy, LSE Health & Social Care, London School of Economics, London UK

 

INFORMATION


ORGANIZING SECRETARIAT

InternationalCenter of Mental Health Policy and Economics (ICMPE)
Via Daniele Crespi 7
20123 Milano
Italy
FAX +39-02-5810 6901
E-mail: info@icmpe.org
Website: www.icmpe.org
 
TRAINING LANGUAGE

The official language of the Training is English

WEBSITE

ICMPE website at www.icmpe.org

SCHEDULE INTERACTIVE ONLINE TRAINING

The interactive online training events will be held at www.icmpe.org during July 7-28, 2010.
Each interactive event will be held in the Forum at 5.00pm-6.30pm (UK time) with the exception of Dr. Saxena's events that will be held at 2.00pm-3.30pm (UK time) and will last about 1.30'

  • July 8, Thursday - Howard Goldman
  • July 12, Monday - Shekhar Saxena (2.00pm-3.30pm, UK time)
  • July 13, Tuesday - Martin Knapp
  • July 14, Wednesday - Michael Drummond
  • July 15, Thursday - Shekhar Saxena (2.00pm-3.30pm, UK time)
  • July 15, Thursday - Howard Goldman
  • July 16, Friday - Martin Knapp
  • July 19, Monday - Teh-wei Hu
  • July 20, Tuesday - Teh-wei Hu
  • July 21, Wednesday - Teh-wei Hu
  • July 22, Thursday - Howard Goldman
  • July 23, Friday - Michael Drummond
  • July 27, Tuesday - Michael Drummond
  • July 28, Wednesday - Martin Knapp

REGISTRATION

The principal aim of the Training is to provide access to outstanding and innovative international training in mental health policy and economics for researchers of academies and no-profit institutions.  Special fees are available to researchers from these institutions in order to facilitate access to the Training.  The Full fee is required for participants who are not eligible for the Special Fees (i.e., for-profit institutions).

By        April 15, 2010 Special Fee*  =   Euro   1,000
After     April 15, 2010 Special Fee*  =   Euro   1,500
     
By        April 15, 2010 Full Fee* =   Euro   2,000
After     April 15, 2010  Full Fee* =   Euro   2,500

* It includes password online access at www.icmpe.org     

TRAINING REGISTRATION FORM
 

FELLOWSHIPS

Nominations, together with a career summary of the applicant should be sent to:
Massimo Moscarelli, MD at moscarelli@icmpe.org.

Dead-line: March 15, 2010.

 


Eli-Lilly
is gratefully acknowledged

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ICMPE
Via Daniele Crespi, 7
20123 Milano, Italy
fax: +39-02-5810 6901
email to: info@icmpe.org

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