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<p>The prevalence and burden of mental disorders have worsened despite increased community awareness. Enhanced access to treatments alone is unlikely to deliver improvements in population mental health, so more attention needs to be paid to social and environmental influences. Here we estimate the health benefits and economic value of improving the social determinants of mental health within Brisbane South, a diverse population of 1.2 million people, in Australia. The incremental net monetary benefit (combining costs and monetized health outcomes) derived from 5% improvements in the average yearly change of social cohesion, childhood difficulties, substance misuse and unemployment over 11 years from 2024 to 2034 was projected to be AUD$146.64 million, AUD$234.50 million, AUD$281.67 million and AUD$100.43 million, respectively. Quality-adjusted life years, suicide deaths, emergency department presentations and self-harm hospitalizations were also improved. This study demonstrates the health and economic value of investing in the social determinants of mental health.</p>

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Modeled estimates of the health outcomes and economic value of improving the social determinants of mental health

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月24日

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  • Paul Crosland,
  • Nicholas Ho,
  • Kim-Huong Nguyen,
  • Kristen Tran,
  • Seyed Hossein Hosseini,
  • Catherine Vacher,
  • Adam Skinner,
  • Jordan van Rosmalen,
  • Sebastian Rosenberg,
  • Frank Iorfino,
  • Victoria Loblay,
  • Olivia Iannelli,
  • Sarah Piper,
  • Yun Ju Christine Song,
  • Sophie Morson,
  • Judith M. G. Piccone,
  • Adam Connell,
  • Deborah A. Marshall,
  • Ian B. Hickie,
  • Jo-An Occhipinti

摘要

The prevalence and burden of mental disorders have worsened despite increased community awareness. Enhanced access to treatments alone is unlikely to deliver improvements in population mental health, so more attention needs to be paid to social and environmental influences. Here we estimate the health benefits and economic value of improving the social determinants of mental health within Brisbane South, a diverse population of 1.2 million people, in Australia. The incremental net monetary benefit (combining costs and monetized health outcomes) derived from 5% improvements in the average yearly change of social cohesion, childhood difficulties, substance misuse and unemployment over 11 years from 2024 to 2034 was projected to be AUD$146.64 million, AUD$234.50 million, AUD$281.67 million and AUD$100.43 million, respectively. Quality-adjusted life years, suicide deaths, emergency department presentations and self-harm hospitalizations were also improved. This study demonstrates the health and economic value of investing in the social determinants of mental health.