Globally, guidance recommends the integration of mental health into maternal and child healthcare to address common maternal mental health problems during the perinatal period. However, implementing this in the real-world requires substantial resource allocations. The aim of this study was to estimate the likely costs and consequences linked to scaling the delivery of treatment (in the form of psychosocial interventions) during the perinatal period. Simulation modelling. England. Costs and consequences were modelled for three scenarios of assumed provision of services, whereby one referred to the projected provision under current government plans, with no additional scaling up of treatment. The other two scenarios referred to additional scaling of treatment: in one scenario, this referred to the provision of treatment by midwives and health visitors trained in the routine enquiry about mental health and delivery of psychosocial interventions; in the other scenario this referred to an expanded provision by primary mental health services. For each scenario and in yearly intervals (covering a ten-year period, 2015 to 2024), unit cots and outcomes were assigned to the activities women were assumed to receive (routine enquiry, assessment, treatment, care coordination). All costs were in 2020 pounds sterling. Data sources for the modelling included: published findings from randomised controlled trials; national unit cost source; national statistics; and expert consultation. If the projected treatment gap was to be addressed, an estimated additional 111,154 (50,031) women would be accessing treatment in 2015 (2024). Estimated total costs (including cost offsets) in the scenario of projected provision under current government plans would be £73.5 million in 2015 and £95.2 million in 2024, whilst quality-adjusted life years gained would be 901 and 928 respectively. Addressing the treatment gap through provision by trained midwives and health visitors could mean additional costs of £7.3 million in 2015 but lower costs of £18.4 million in 2024. The additional quality-adjusted life years gained are estimated at 2096 in 2015 and 1418 in 2024. A scenario in which the treatment gap would be met by primary mental health services was likely to be more costly and delivered less health gains. Findings from this modelling study suggest that scaling the integration of mental health care into routinely delivered care for women during the perinatal period might be economically viable. N/A. Integrating mental health into maternal and child healthcare might generate economic benefits new study by @a_annettemaria and @knappem @CPEC_LSE finds #increasing access to treatment for women with perinatal mental health problems

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英国围产期扩大心理社会干预的成本和效益：模拟建模研究

全球范围内，指南建议将心理健康纳入妇幼保健，以解决围产期常见的孕产妇心理健康问题。然而，在现实世界中实施这一点需要大量的资源分配。本研究的目的是估计围产期期间与扩大治疗（以社会心理干预的形式）相关的可能成本和后果。模拟建模。英格兰。成本和后果针对三种假设提供服务的情景进行了建模，其中一种是指当前政府计划下的预计提供，没有额外扩大治疗范围。另外两种情况涉及额外扩大治疗范围：在一种情况下，这指的是由接受过心理健康常规询问培训和心理社会干预培训的助产士和健康访客提供治疗；在另一种情况下，这指的是扩大初级精神卫生服务的提供。对于每种情景和每年的间隔（涵盖十年期间，2015 年至 2024 年），单位床位和结果被分配给妇女假定接受的活动（常规询问、评估、治疗、护理协调）。所有成本均以 2020 年英镑为单位。建模的数据来源包括：已发表的随机对照试验结果；国家单位成本来源；国家统计数据；和专家咨询。如果要解决预计的治疗差距，预计 2015 年（2024 年）将有 111,154 名（50,031 名）女性接受治疗。在当前政府计划下预计提供的情况下，预计总成本（包括成本抵消）在 2015 年将达到 7350 万英镑，在 2024 年将达到 9520 万英镑，而获得的质量调整生命年将分别为 901 和 928 年。通过提供训练有素的助产士和健康访问员来解决治疗缺口可能意味着 2015 年将增加 730 万英镑的费用，但到 2024 年将减少 1,840 万英镑的费用。预计 2015 年获得的额外质量调整生命年为 2096 年，2024 年为 1418 年如果通过初级精神卫生服务来弥补治疗缺口，那么成本可能会更高，而带来的健康收益也会更少。这项模型研究的结果表明，将心理保健保健纳入围产期妇女的常规护理中可能在经济上是可行的。不适用。将心理健康纳入妇幼保健可能会产生经济效益 @a_annettemaria 和 @knappem @CPEC_LSE 的新研究发现#增加患有围产期心理健康问题的妇女获得治疗的机会