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Health and Economic Impact of Preventive Interventions for School Children Aimed to Improve Mental Health: Municipality perspective
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2014 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Psykisk ohälsa bland barn och unga är ett växande problem i Sverige. Kommunen bär den största samhällskostnaden för ett barn under uppväxten och därför är det extra viktigt att ta reda på hur resurser kan omfördelas i samhället för att gynna barns hälsa. Syftet med studien var att visa hur en investering i preventiva insatser kan förbättra barns psykiska hälsa och samtidigt spara på samhällets resurser. Kommunal statistik visar att barn i skolan som är i behov av särskilt stöd på grund av depression/ångest, ADHD och psykosocial problematik får insatser så som stöd från elevassistent, lärare eller placerad i särskild undervisningsgrupp. Kostnader för dessa insatser varierar mellan 4424-26000 kronor per barn och månad. Dessa kostnader kan ställas i relation till kostnader för universella preventiva skolprogram som har en bevisad positiv effekt på barns psykiska hälsa, vars driftskostnader för en hel intervention som mest är 1097 kronor per barn. Analysen visar att en omfördelning av resurserna till preventiva interventioner, såsom skolprogram, kan vara en lyckosam satsning för kommunen, både ekonomiskt och hälsomässigt då det kan förbättra barns psykiska hälsa men också leda till samhällsbesparingar.

Abstract [en]

Children’s mental ill-health is a growing public health problem in Sweden and for the municipality, being an important financial actor during a child’s upbringing, it is crucial to put resources where they give positive effect on the problem. The overall aim of the study is to describe how investing in prevention programs at children’s schools can improve children’s mental health and reduce the societal costs. Municipality statistics show that children in need of special support in school because of depression/anxiety, ADHD and psychosocial problems receive actions such as personal assistant, teacher or placed in a special education group. The cost of these actions varies between 4424-26000 Swedish krona [SEK] per child and month. These costs can be put in relation to preventive universal school interventions that have the highest cost of 1097 SEK per child and have a proven effect on child mental health. The analysis shows that preventing child mental ill-health can save societal costs and provide a healthier life for children compared to the current standard practice of targeting the children’s problems only after they have occurred. 

Place, publisher, year, edition, pages
2014. , 38 p.
Keyword [en]
Child, Mental ill-health, Cost consequences analyses, Municipality cost, Prevention, School intervention
Keyword [sv]
Barn, Psykisk ohälsa, Kostnadskonsekvensanalys, Kommunala kostnader, Prevention, Skolintervention
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-226953OAI: oai:DiVA.org:uu-226953DiVA: diva2:727991
Subject / course
Public Health
Educational program
Master Programme in Public Health
Supervisors
Examiners
Available from: 2014-06-26 Created: 2014-06-23 Last updated: 2014-06-26Bibliographically approved

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Lisa Wellander Thesis(1005 kB)106 downloads
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