Woodhead, C; Collins, H; Khondoker, M; Lomas, R; Raine, R; (2017) The impact of co-located welfare advice in healthcare settings: a prospective quasi-experimental controlled study. British Journal of Psychiatry , 211 (6) pp. 388-395. 10.1192/bjp.bp.117.202713.

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Abstract

Evaluations of primary healthcare co-located welfare advice services have been methodologically limited. To examine the impact and cost-consequences of co-located benefits and debt advice on mental health and service use. 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. 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=042, 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. Co-located welfare advice improves short-term mental health and well-being, reduces financial strain and generates considerable financial returns.

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