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. 2016 Aug;134 Suppl 446(Suppl Suppl 446):34-44.
doi: 10.1111/acps.12608.

The economic costs of mental health-related discrimination

B Osumili  1 , C Henderson  2 , E Corker  2 , S Hamilton  3 , V Pinfold  3 , G Thornicroft  2 , P McCrone  1
Affiliations

The economic costs of mental health-related discrimination

B Osumili et al. Acta Psychiatr Scand. 2016 Aug.

Abstract

Objective: To estimate and compare the economic costs of mental health-related discrimination in the domains of health care, relationships and participation in leisure activities in England between 2011 and 2014.

Method: A subsample of the Viewpoint survey was interviewed using the Costs of Discrimination Assessment Questionnaire in 2011 and 2014. Information on the impact of discrimination on healthcare use, help seeking from family and friends and participation in leisure activities was recorded. Pattern of contacts, costs and predictor of costs were examined.

Results: Our findings showed higher costs of health service use for individuals who reported experiences of discrimination in healthcare settings in 2011 compared with those who did not (mean difference £625, P-value 0.019). Individuals who reported experiences of discrimination in relationships in 2014 had higher healthcare costs than those who did not (mean difference £418, P -value 0.034). There was some evidence of a reduction in overall levels of healthcare use, leisure activities and support from families over time. Discrimination did not significantly affect help seeking from family/friends or leisure activities.

Conclusion: There is some evidence that discrimination is related to increased healthcare costs. A prospective study is needed to better understand the consequences of these effects.

Keywords: costs; health service use; mental health-related discrimination; welfare loss.

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References

    1. Sharac J, McCrone P, Clement S, Thornicroft G. The economic impact of mental health stigma and discrimination: a systematic review. Epidemiol Psichiatr Soc 2010;19:223–232. - PubMed
    1. Milacic Vidojevic I, Dragojevic N, Toskovic O. Experienced and anticipated discrimination among people with major depressive disorder in Serbia. Int J Soc Psychiatry 2015; 61:638–644. - PubMed
    1. Corker E, Hamilton S, Robinson E et al. Viewpoint survey of mental health service users' experiences of discrimination in England 2008–14. Acta Psychiatr Scand 2016;134:6–13. - PMC - PubMed
    1. Henderson RC, Corker E, Hamilton S et al. Viewpoint survey of mental health service users’ experiences of discrimination in England 2008–2012. Soc Psychiatry Psychiatr Epidemiol 2014;49:1599–1608. - PMC - PubMed
    1. Hamilton S, Lewis‐Holmes E, Pinfold V, Henderson C, Rose D, Thornicroft G. Discrimination against people with a mental health diagnosis: qualitative analysis of reported experiences. J Ment Health 2014;23:88–93. - PubMed

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