Implementing an Economic Evaluation of a Workplace Mental Health Intervention: A Primer

  • Carolyn S. DewaEmail author
  • Jeffrey S. Hoch
Part of the Integrating Psychiatry and Primary Care book series (IPPC)


Most organizations feel they have insufficient resources. Budgets never seem to stretch far enough. There always seems to be a shortage of staff, equipment, or both. At the same time, they face significant costs related to covering worker healthcare and mental illness-related work disability costs. Choosing the most cost-effective way to intervene can be confusing. This chapter gives an overview of how to conduct an economic evaluation, a method that helps decision-makers make informed choices. Using an example of three work colleagues who are tasked with evaluating two types of workplace mental health interventions, the chapter discusses the factors that should be considered before beginning an economic evaluation, the types of economic evaluations from which to choose, the data needed to conduct an economic evaluation, how to use the data, interpreting the results of an economic evaluation, and how organizations could use an economic evaluation to make decisions.


Workplace Mental illness Work disability Economic evaluation Workplace programs Cost-effectiveness analysis 


  1. 1.
    Wang J, Schmitz N, Dewa C, Stansfeld S. Changes in perceived job strain and the risk of major depression: results from a population-based longitudinal study. Am J Epidemiol. 2009;169(9):1085–91.CrossRefGoogle Scholar
  2. 2.
    Nieuwenhuijsen K, Sluiter JK, Dewa CS. Need for recovery as an early sign of depression risk in a working population. J Occup Environ Med. 2016;58(11):e350–e4.CrossRefGoogle Scholar
  3. 3.
    Dewa CS, Dermer SW, Chau N, Lowrey S, Mawson S, Bell J. Examination of factors associated with the mental health status of principals. Work. 2009;33(4):439–48.PubMedGoogle Scholar
  4. 4.
    Greenberg PE, Fournier AA, Sisitsky T, Pike CT, Kessler RC. The economic burden of adults with major depressive disorder in the United States (2005 and 2010). J Clin Psychiatry. 2015;76(2):155–62.CrossRefGoogle Scholar
  5. 5.
    Olesen J, Gustavsson A, Svensson M, Wittchen HU, Jonsson B, CDBE2010 study group; European Brain Council. The economic cost of brain disorders in Europe. Eur J Neurol. 2012;19(1):155–62.CrossRefGoogle Scholar
  6. 6.
    Stephens T, Joubert N. The economic burden of mental health problems in Canada. Chronic Dis Can. 2001;22(1):18–23.PubMedGoogle Scholar
  7. 7.
    Dewa CS, Loong D, Bonato S, Hees H. Incidence rates of sickness absence related to mental disorders: a systematic literature review. BMC Public Health. 2014;14:205.CrossRefGoogle Scholar
  8. 8.
    Dewa CS, Loong D, Bonato S. Work outcomes of sickness absence related to mental disorders: a systematic literature review. BMJ Open. 2014;4(7):e005533.CrossRefGoogle Scholar
  9. 9.
    Dewa CS, Goering P, Lin E. Bridging the worlds of academia and business: exploring the burden of mental illness in the workplace. Econ Neurosci. 2000;2(6):47–9.Google Scholar
  10. 10.
    Drummond MF, Sculpher MJ, Torrance GW, O’Brien BJ, Stoddart GL. Methods for the economic evaluation of health care programmes. 3rd ed. Oxford: Oxford University Press; 2005.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral SciencesUniversity of California, DavisDavisUSA
  2. 2.Division of Health Policy and Management, Department of Public Health SciencesUniversity of California, DavisDavisUSA

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