IDEAS home Printed from https://ideas.repec.org/a/sae/niesru/v202y2007i1p90-98.html
   My bibliography  Save this article

Cost-benefit analysis of psychological therapy

Author

Listed:
  • R. Laynard

    (Centre for Economic Performance, London School of Economics, UK, R.Layard@Ise.ac.uk)

  • D. Clark

    (Centre for Economic Performance, London School of Economics, UK,)

  • M. Knapp

    (Centre for Economic Performance, London School of Economics, UK,)

  • G. Mayraz

    (Centre for Economic Performance, London School of Economics, UK,)

Abstract

At present six million people are suffering from clinical depression or anxiety disorders, but only a quarter of them are in treatment. NICE Guidelines prescribe the offer of evidence-based psychological therapy, but they are not implemented, due to lack of therapists within the NHS. We therefore estimate the economic costs and benefits of providing psychological therapy to people not now in treatment. The cost to the governement would be fully covered by the savings in incapacity benefits and extra taxes that result from more people being able to worl. On our estimates, the cost could be recovered within two years – and certainly within five. And the benefits to the whole economy are greater still. This is not because we expect the extra theropy to be targeted especially at people with problems about work. It is because the cost of the therapy is so small (£750 in total), the recovery rates are so high (50 per cent) and the cost of a person on IB is so large (£750 per month ). These findings strongly reinforce the humanitatian case for implementing the NICE Guidelines. Current proposals for doing this would require som8,000 extra psychological therapists withing the NHS over the six years.

Suggested Citation

  • R. Laynard & D. Clark & M. Knapp & G. Mayraz, 2007. "Cost-benefit analysis of psychological therapy," National Institute Economic Review, National Institute of Economic and Social Research, vol. 202(1), pages 90-98, October.
  • Handle: RePEc:sae:niesru:v:202:y:2007:i:1:p:90-98
    as

    Download full text from publisher

    File URL: http://ner.sagepub.com/content/202/1/90.abstract
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Faggio, Giulia, 2007. "Job destruction, job creation and unemployment in transition countries: what can we learn?," LSE Research Online Documents on Economics 19716, London School of Economics and Political Science, LSE Library.
    2. Alejandro Cuñat & Marc J. Melitz, 2012. "Volatility, Labor Market Flexibility, And The Pattern Of Comparative Advantage," Journal of the European Economic Association, European Economic Association, vol. 10(2), pages 225-254, April.
    3. Henry Overman & Patricia Rice & Anthony Venables, 2010. "Economic Linkages across Space," Regional Studies, Taylor & Francis Journals, vol. 44(1), pages 17-33.
    4. Christos Genakos & Tommaso Valletti, 2011. "Testing The “Waterbed” Effect In Mobile Telephony," Journal of the European Economic Association, European Economic Association, vol. 9(6), pages 1114-1142, December.
    5. Richard Layard & CEP Mental Health Policy Group, 2006. "The Depression Report: A New Deal for Depression and Anxiety Disorders," CEP Reports 15, Centre for Economic Performance, LSE.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Layard, Richard & Chisholm, Dan & Patel, Vikram & Saxena, Shekhar, 2013. "Mental Illness and Unhappiness," IZA Discussion Papers 7620, Institute of Labor Economics (IZA).
    2. Mark Fabian, 2019. "Racing from Subjective Well-Being to Public Policy: A Review of The Origins of Happiness," Journal of Happiness Studies, Springer, vol. 20(6), pages 2011-2026, August.
    3. Leire Alcaniz & Ana Martínez-Pampliega & Marta Herrero, 2022. "Cost-Benefit Analysis of an Intervention in Divorced Parents: Implications for Society, Public Administrations and Family Visitation Centers," IJERPH, MDPI, vol. 19(6), pages 1-11, March.
    4. Patricio V. Marquez, 2016. "Mental Health Among Displaced People and Refugees," World Bank Publications - Reports 25854, The World Bank Group.
    5. Ralph Chapman & Nicholas Preval & Philippa Howden-Chapman, 2017. "How Economic Analysis Can Contribute to Understanding the Links between Housing and Health," IJERPH, MDPI, vol. 14(9), pages 1-12, August.
    6. Clark, David M. & Layard, Richard & Smithies, Rachel, 2008. "Improving access to psychological therapy: initial evaluation of the two demonstration sites," LSE Research Online Documents on Economics 51591, London School of Economics and Political Science, LSE Library.
    7. Gruber, Jonathan & Lordan, Grace & Pilling, Stephen & Propper, Carol & Saunders, Rob, 2022. "The impact of mental health support for the chronically ill on hospital utilisation: Evidence from the UK," Social Science & Medicine, Elsevier, vol. 294(C).
    8. Richard Layard, 2012. "How Mental Illness Loses Out in the NHS A report by The Centre for Economic Performance's Mental Health Policy Group," CEP Reports 26, Centre for Economic Performance, LSE.
    9. Tim Bothe & Josephine Jacob & Christoph Kröger & Jochen Walker, 2020. "How expensive are post-traumatic stress disorders? Estimating incremental health care and economic costs on anonymised claims data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(6), pages 917-930, August.
    10. Richard Layard, 2010. "The Greatest Happiness Principle: Its Time Has Come," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 8(4), pages 26-31, 01.
    11. Lisa Boyd & Emma Baker & Joe Reilly, 2019. "Impact of a progressive stepped care approach in an improving access to psychological therapies service: An observational study," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-16, April.
    12. Benjamin Ly Serena, 2021. "Revisiting Offsets of Psychotherapy Coverage," CEBI working paper series 21-05, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    13. Böckerman, Petri & Johansson, Edvard & Saarni, Samuli I., 2011. "Do established health-related quality-of-life measures adequately capture the impact of chronic conditions on subjective well-being?," Health Policy, Elsevier, vol. 100(1), pages 91-95, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Andrew E. Clark & Ed Diener & Yannis Georgellis & Richard E. Lucas, 2008. "Lags And Leads in Life Satisfaction: a Test of the Baseline Hypothesis," Economic Journal, Royal Economic Society, vol. 118(529), pages 222-243, June.
    2. Yashiv, Eran, 2006. "The Beveridge Curve," IZA Discussion Papers 2479, Institute of Labor Economics (IZA).
    3. Jean-Baptiste Michau, 2013. "Creative Destruction with On-the-Job Search," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 16(4), pages 691-707, October.
    4. Miklós Koren & Silvana Tenreyro, 2013. "Technological Diversification," American Economic Review, American Economic Association, vol. 103(1), pages 378-414, February.
    5. Espen R. Moen & Åsa Rosén, 2011. "Incentives in Competitive Search Equilibrium," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 78(2), pages 733-761.
    6. Luis Araujo & Emanuel Ornelas, 2005. "Trust-Based Trade," IBMEC RJ Economics Discussion Papers 2005-08, Economics Research Group, IBMEC Business School - Rio de Janeiro.
    7. Elhanan Helpman, 2010. "Labor Market Frictions as a Source of Comparative Advantage, with Implications for Unemployment and Inequality," NBER Working Papers 15764, National Bureau of Economic Research, Inc.
    8. Mark Armstrong & Julian Wright, 2009. "Mobile Call Termination," Economic Journal, Royal Economic Society, vol. 119(538), pages 270-307, June.
    9. Sheedy, Kevin D., 2010. "Intrinsic inflation persistence," Journal of Monetary Economics, Elsevier, vol. 57(8), pages 1049-1061, November.
    10. Bahar, Dany & Rosenow, Samuel & Stein, Ernesto & Wagner, Rodrigo, 2019. "Export take-offs and acceleration: Unpacking cross-sector linkages in the evolution of comparative advantage," World Development, Elsevier, vol. 117(C), pages 48-60.
    11. Sandrine LEVASSEUR, 2010. "International outsourcing over the business cycle: some intuition for Germany, the Czech Republic and Slovakia," Eastern Journal of European Studies, Centre for European Studies, Alexandru Ioan Cuza University, vol. 1, pages 165-185, December.
    12. Mark D. Manuszak & Krzysztof Wozniak, 2017. "The Impact of Price Controls in Two-sided Markets : Evidence from US Debit Card Interchange Fee Regulation," Finance and Economics Discussion Series 2017-074, Board of Governors of the Federal Reserve System (U.S.).
    13. Harbord, David & Hoernig, Steffen, 2010. "Welfare Analysis of Regulating Mobile Termination Rates in the UK (with an Application to the Orange/T-Mobile Merger)," MPRA Paper 21515, University Library of Munich, Germany.
    14. Nieminen, Mika & Heimonen, Kari & Tohmo, Timo, 2017. "Current accounts and coordination of wage bargaining," BOFIT Discussion Papers 20/2017, Bank of Finland Institute for Emerging Economies (BOFIT).
    15. Hahn, Robert & Evans, Lewis, 2010. "Regulating Dynamic Markets: Progress in Theory and Practice," Working Paper Series 4052, Victoria University of Wellington, The New Zealand Institute for the Study of Competition and Regulation.
    16. Irene Brunetti & Davide fiaschi & Lisa Gianmoena, 2013. "An Index of Growth Rate Volatility: Methodology and an Application to European Regions," Discussion Papers 2013/169, Dipartimento di Economia e Management (DEM), University of Pisa, Pisa, Italy.
    17. Gabriel J. Felbermayr & Mario Larch & Wolfgang Lechthaler, 2013. "Unemployment in an Interdependent World," American Economic Journal: Economic Policy, American Economic Association, vol. 5(1), pages 262-301, February.
    18. Cardullo, Gabriele & Conti, Maurizio & Sulis, Giovanni, 2015. "Sunk capital, unions and the hold-up problem: Theory and evidence from cross-country sectoral data," European Economic Review, Elsevier, vol. 76(C), pages 253-274.
    19. Ambre Nicolle & Lukasz Grzybowski & Christine Zulehner, 2018. "Impact Of Competition, Investment, And Regulation On Prices Of Mobile Services: Evidence From France," Economic Inquiry, Western Economic Association International, vol. 56(2), pages 1322-1345, April.
    20. Kohler, Wilhelm & Kukharskyy, Bohdan, 2019. "Offshoring under uncertainty," European Economic Review, Elsevier, vol. 118(C), pages 158-180.

    More about this item

    Keywords

    Depression; anxiety; cost-benefit analysis; cognitive behavioural therapy; psychoogical therapists;
    All these keywords.

    JEL classification:

    • H5 - Public Economics - - National Government Expenditures and Related Policies
    • I1 - Health, Education, and Welfare - - Health

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:niesru:v:202:y:2007:i:1:p:90-98. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: https://edirc.repec.org/data/niesruk.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.