Impact of co-located welfare advice in healthcare settings: prospective quasi-experimental controlled study

Woodhead, Charlotte, Khondoker, Mizanur, Lomas, Robin and Raine, Rosalind (2017) Impact of co-located welfare advice in healthcare settings: prospective quasi-experimental controlled study. The British Journal of Psychiatry, 211 (6). pp. 388-395. ISSN 0007-1250

[img]
Preview
PDF (Accepted manuscript) - Submitted Version
Available under License Creative Commons Attribution.

Download (1MB) | Preview

Abstract

Background: Evaluations of primary healthcare co-located welfare advice services have been methodologically limited. Aims: To examine the impact and cost-consequences of co-located benefits and debt advice on mental health and service use. Method: Prospective, controlled quasi-experimental study in eight intervention and nine comparator sites across North Thames. Changes in the proportion meeting criteria for common mental disorder (CMD, 12-item General Health Questionnaire); well-being scores (Shortened Warwick and Edinburgh Mental Well-being Scale), 3-month GP consultation rate and financial strain were measured alongside funding costs and financial gains. Results: Relative to controls, CMD reduced among women (ratio of odds ratios (rOR) = 0.37, 95% CI 0.20–0.70) and Black advice recipients (rOR = 0.09, 95% CI 0.03–0.28). Individuals whose advice resulted in positive outcomes demonstrated improved well-being scores (β coefficient 1.29, 95% CI 0.25–2.32). Reductions in financial strain (rOR = 0.42, 95% CI 0.23–0.77) but no changes in 3-month consultation rate were found. Per capita, advice recipients received £15 per £1 of funder investment. Conclusions: Co-located welfare advice improves short-term mental health and well-being, reduces financial strain and generates considerable financial returns.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: Pure Connector
Date Deposited: 02 Nov 2017 06:07
Last Modified: 31 May 2020 23:44
URI: https://ueaeprints.uea.ac.uk/id/eprint/65334
DOI: 10.1192/bjp.bp.117.202713

Actions (login required)

View Item View Item