TY - JOUR PY - 2014// TI - Depression prevention, labour force participation and income of older working aged Australians: A microsimulation economic analysis JO - Australian and New Zealand journal of psychiatry A1 - Veerman, J. Lennert A1 - Shrestha, Rupendra N. A1 - Mihalopoulos, Cathrine A1 - Passey, Megan E. A1 - Kelly, Simon J. A1 - Tanton, Robert A1 - Callander, Emily J. A1 - Schofield, Deborah J. SP - 430 EP - 436 VL - 49 IS - 5 N2 - OBJECTIVE: Depression has economic consequences not only for the health system, but also for individuals and society. This study aims to quantify the potential economic impact of five-yearly screening for sub-syndromal depression in general practice among Australians aged 45-64 years, followed by a group-based psychological intervention to prevent progression to depression.

METHOD: We used an epidemiological simulation model to estimate reductions in prevalence of depression, and a microsimulation model, Health&WealthMOD2030, to estimate the impact on labour force participation, personal income, savings, taxation revenue and welfare expenditure.

RESULTS: Group therapy is estimated to prevent around 5,200 prevalent cases of depression (2.2%) and add about 520 people to the labour force. Private incomes are projected to increase by $19 million per year, tax revenues by $2.4 million, and transfer payments are reduced by $2.6 million.

CONCLUSION: Group-based psychological intervention to prevent depression could result in considerable economic benefits in addition to its clinical effects.

Language: en

LA - en SN - 0004-8674 UR - http://dx.doi.org/10.1177/0004867414561528 ID - ref1 ER -