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Green space and health benefits: a QALY and CEA of a mental health programme

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  • Ken Willis
  • Bob Crabtree
  • Liesl M. Osman
  • Kirsty Cathrine

Abstract

Green spaces are promoted as a means of improving the health-related quality of life (HRQoL) for people with health problems. This paper evaluates the Branching Out programme in Scotland, which provides patients with mental health problems, social, physical and recreational activities in an outdoor ‘community’ setting. Patients carry out group-based woodland activities over a 12-week period. Health agencies in the Strathclyde region of Scotland offer patients the opportunity to participate if they consider that the patient will benefit from Branching Out activities. The evaluation uses the SF-12 questionnaire to assess HRQoL of participants in the programme. From the SF-12 scores, quality adjusted life year (QALY) change is calculated. Cost per QALY is estimated in relation to economic costs of the program (staffing cost, facilities and other costs e.g. travel). Cost effectiveness analysis reveals Branching Out is comparable to other programmes oriented to social recovery. Its cost-effectiveness in terms of National Institute for Health & Care Excellence guidelines for medical treatments depends on the duration of the health improvement.

Suggested Citation

  • Ken Willis & Bob Crabtree & Liesl M. Osman & Kirsty Cathrine, 2016. "Green space and health benefits: a QALY and CEA of a mental health programme," Journal of Environmental Economics and Policy, Taylor & Francis Journals, vol. 5(2), pages 163-180, July.
  • Handle: RePEc:taf:teepxx:v:5:y:2016:i:2:p:163-180
    DOI: 10.1080/21606544.2015.1058195
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    References listed on IDEAS

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    1. Karl Claxton & Steve Martin & Marta Soares & Nigel Rice & Eldon Spackman & Sebastian Hinde & Nancy Devlin & Peter C Smith & Mark Sculpher, 2013. "Methods for the estimation of the NICE cost effectiveness threshold," Working Papers 081cherp, Centre for Health Economics, University of York.
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    Cited by:

    1. Mary Lynch & Llinos Haf Spencer & Rhiannon Tudor Edwards, 2020. "A Systematic Review Exploring the Economic Valuation of Accessing and Using Green and Blue Spaces to Improve Public Health," IJERPH, MDPI, vol. 17(11), pages 1-15, June.
    2. Charlotte Wendelboe-Nelson & Sarah Kelly & Marion Kennedy & John W. Cherrie, 2019. "A Scoping Review Mapping Research on Green Space and Associated Mental Health Benefits," IJERPH, MDPI, vol. 16(12), pages 1-49, June.
    3. Astell-Burt, Thomas & Navakatikyan, Michael & Eckermann, Simon & Hackett, Maree & Feng, Xiaoqi, 2022. "Is urban green space associated with lower mental healthcare expenditure?," Social Science & Medicine, Elsevier, vol. 292(C).

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