Authors: Kalpa Pisavadia; Llinos Haf Spencer; Lorna Tuersley; Rose Coates; Susan Ayers; Rhiannon Tudor Edwards · Research
What Are the Most Cost-Effective Ways to Support Mental Health During Pregnancy and Early Parenthood?
A review of economic evidence shows that early screening and support for maternal mental health is cost-effective and beneficial for both mothers and children.
Source: Pisavadia, K., Spencer, L. H., Tuersley, L., Coates, R., Ayers, S., & Edwards, R. T. (2024). Health economic evaluations of preventative care for perinatal anxiety and associated disorders: a rapid review. BMJ Open, 14, e068941.
What you need to know
- Early screening and support for mental health during pregnancy and after birth is cost-effective
- Untreated maternal mental health problems can have long-term impacts on both mother and child
- Group counseling appears more cost-effective than individual counseling for supporting new mothers
The Hidden Costs of Maternal Mental Health
Becoming a parent is often portrayed as a time of pure joy, but for many women, the reality includes significant emotional challenges. One in five women experiences mental health difficulties during pregnancy or in the first year after birth. These challenges not only affect mothers but can also impact their children’s development and future opportunities. While the immediate costs of maternal mental health care may seem high, research shows that not providing support leads to much greater costs down the road.
The Economic Impact of Untreated Mental Health Issues
When maternal mental health problems go untreated, the financial implications are substantial. Studies show that children of mothers with postpartum depression require approximately £2,453 more in healthcare costs during their first two years of life compared to children of mothers without depression. The total cost to society for each year’s births is estimated at £8.1 billion in the UK alone, with 72% of these costs related to long-term impacts on children. These impacts can include developmental delays, behavioral issues, and reduced educational and employment prospects.
Screening and Prevention: A Cost-Effective Solution
One of the most encouraging findings from the research is that screening for maternal mental health issues is relatively inexpensive - costing less than £2 per mother - while potentially preventing significant future costs. When screening is combined with appropriate support services, studies show it results in better outcomes for both mothers and children. For example, one study found that implementing screening and treatment programs resulted in 29 more healthy women per 1,000 screened, at a cost considered well within acceptable healthcare spending guidelines.
The Value of Different Support Approaches
Research reveals that different types of support vary in their cost-effectiveness. Group counseling sessions, for instance, typically cost about £114 per mother, while individual counseling costs around £187. Both approaches show benefits, but group sessions may offer a more economical way to support more mothers. Web-based support programs are also emerging as promising and cost-effective solutions, particularly for reaching mothers in rural areas or those who face barriers to accessing in-person care.
What This Means for You
If you’re expecting a baby or have recently become a parent, these findings highlight the importance of being proactive about your mental health:
- Don’t hesitate to discuss mental health concerns with your healthcare providers
- Consider participating in group support programs, which can be both effective and economical
- Look into online resources and support options if in-person services are difficult to access
- Remember that seeking help early can prevent more serious issues later
- Know that investing in your mental health benefits both you and your child
Conclusions
- Early intervention in maternal mental health is more cost-effective than dealing with problems later
- Screening and preventive support programs show clear economic and health benefits
- Group-based and web-based support options can provide cost-effective alternatives to individual therapy