Table 24:

Net Budget Impact of Adopting Group CBT Provided by Nonphysicians in Ontario: 2017 to 2021

		Year Post-Diagnosis of New Major Depressive Disorder, $
Year	Strategy	Year 1	Year 2	Year 3	Year 4	Year 5	Total Budget Impact, $
2017	Group CBT by nonphysicians	100,118,135					100,118,135
	Usual care	89,179,996					89,179,996
	Net Budget Impacta	10,938,139					10,938,139
2018	Group CBT by nonphysicians	200,236,271	97,821,368				298,057,639
	Usual care	178,359,992	95,223,671				273,583,663
	Net Budget Impact	21,876,278	2,597,697				24,473,975
2019	Group CBT by nonphysicians	300,354,406	195,642,736	100,303,320			596,300,462
	Usual care	267,539,988	195,642,736	98,777,307			556,764,637
	Net Budget Impact	32,814,417	5,195,394	1,526,014			39,535,825
2020	Group CBT by nonphysicians	400,472,541	293,464,104	200,603,228	102,432,336		996,972,209
	Usual care	356,719,985	285,674,240	197,551,249	102,469,900		942,415,374
	Net Budget Impact	43,752,557	7,789,864	3,051,979	−37,564		54,556,835
2021	Group CBT by nonphysicians	500,590,676	391,282,159	300,906,549	204,864,671	105,686,977	1,503,331,033
	Usual care	445,899,981	380,897,911	296,328,556	204,943,308	107,226,626	1,435,296,382
	Net Budget Impact	54,690,696	10,384,248	4,577,993	−78,636	−1,539,649	68,034,651

Abbreviation: CBT, cognitive behavioural therapy.

^aNet budget impact = budget impact of a CBT strategy − budget impact for usual care.