Mccrone, Paul ORCID: https://orcid.org/0000-0001-7001-4502 (2024) Debate: where to next for universal school‐based mental health interventions? Universal versus targeted school‐based mental health interventions: a health economic perspective. Child and Adolescent Mental Health (CAMH), 30 (1). pp. 99-101. ISSN 1475-357X (Print), 1475-3588 (Online) (doi:10.1111/camh.12751)

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Abstract

Mental health problems in schools are a concern and various initiatives have been developed to address these. Interventions can be universal (covering a whole school) or targeted (addressing those with specific needs). Any new intervention should be evaluated, and this should include an assessment of cost‐effectiveness. Evidence to date suggests that while gains from universal schemes may be modest, they can still be cost‐effective given the extent of their reach. However, targeted interventions can address key health inequalities which should also be an objective of an economic evaluation. Studies that have examined the longer term impact of both universal and targeted approaches have demonstrated that both can represent good values for money, and it is likely that a blended or tiered approach is appropriate.

Item Type:	Article
Uncontrolled Keywords:	universal interventions, cost-effectiveness, school-based, health economics
Subjects:	B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > H Social Sciences (General) L Education > L Education (General)
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Mental Health Faculty of Education, Health & Human Sciences > School of Health Sciences (HEA)
Last Modified:	12 Sep 2025 15:41
URI:	https://gala.gre.ac.uk/id/eprint/51021

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