McCrone Paul
Institute for Lifecourse Development, University of Greenwich, London, UK.
Child Adolesc Ment Health. 2025 Feb;30(1):99-101. doi: 10.1111/camh.12751. Epub 2024 Dec 10.
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.
学校中的心理健康问题令人担忧，人们已开展了各种举措来解决这些问题。干预措施可以是普遍性的（覆盖整个学校）或针对性的（针对有特定需求的人群）。任何新的干预措施都应进行评估，这应包括对成本效益的评估。迄今为止的证据表明，虽然普遍性计划的成效可能不大，但鉴于其覆盖范围，它们仍可能具有成本效益。然而，针对性干预措施可以解决关键的健康不平等问题，这也应该是经济评估的一个目标。研究普遍和针对性方法的长期影响的研究表明，两者都可能具有良好的性价比，混合或分层方法可能是合适的。
