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Impact of co-located welfare advice in healthcare settings: prospective quasi-experimental controlled study.
- Source :
- British Journal of Psychiatry; Dec2017, Vol. 211 Issue 6, p388-395, 15p
- Publication Year :
- 2017
-
Abstract
- BackgroundEvaluations of primary healthcare co-located welfare advice services have been methodologically limited.AimsTo examine the impact and cost-consequences of co-located benefits and debt advice on mental health and service use.MethodProspective, controlled quasi-experimental study in eight intervention and nine comparator sites across North Thames. Changes in the proportion meeting criteria for common mental disorder (CMD, 12-item General Health Questionnaire); well-being scores (Shortened Warwick and Edinburgh Mental Well-being Scale), 3-month GP consultation rate and financial strain were measured alongside funding costs and financial gains.ResultsRelative to controls, CMD reduced among women (ratio of odds ratios (rOR) = 0.37, 95% CI 0.20-0.70) and Black advice recipients (rOR = 0.09, 95% CI 0.03-0.28). Individuals whose advice resulted in positive outcomes demonstrated improved well-being scores (β coefficient 1.29, 95% CI 0.25-2.32). Reductions in financial strain (rOR = 0.42, 95% CI 0.23-0.77) but no changes in 3-month consultation rate were found. Per capita, advice recipients received £15 per £1 of funder investment.ConclusionsCo-located welfare advice improves short-term mental health and well-being, reduces financial strain and generates considerable financial returns. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL care
RANDOMIZED controlled trials
PATHOLOGICAL psychology
FINANCIAL stress
MENTAL health
MENTAL illness
ECONOMICS
MENTAL illness treatment
STATISTICS on Black people
COMPARATIVE studies
COUNSELING
FAMILY medicine
RESEARCH methodology
MEDICAL cooperation
REHABILITATION of people with mental illness
HEALTH outcome assessment
PUBLIC welfare
QUESTIONNAIRES
RESEARCH
SOCIOECONOMIC factors
EVALUATION research
AT-risk people
Subjects
Details
- Language :
- English
- ISSN :
- 00071250
- Volume :
- 211
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- British Journal of Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 126707187
- Full Text :
- https://doi.org/10.1192/bjp.bp.117.202713