Table 27:

Results of Budget Impact Analysis: CBT Strategies Versus Usual Care for Moderate to Severe Major Depressive Disorder

	Total Budget Impact, $
Strategy	2017a	2018	2019	2020	2021a
Group CBT by nonphysicians	32,951,097	97,987,988	195,844,408	327,382,099	493,522,667
Usual care	29,119,218	88,583,852	179,595,194	303,269,453	461,231,561
Net Budget Impact,b $	3,831,879	9,404,136	16,249,214	24,112,646	32,291,106
Group CBT by physicians	35,793,820	106,377,266	212,468,311	354,865,948	534,423,245
Usual care	29,119,218	88,583,852	179,595,194	303,269,453	461,231,561
Net Budget Impact, $	6,674,602	17,793,414	32,873,117	51,596,495	73,191,684
Individual CBT by nonphysicians	38,178,830	114,084,086	228,342,388	381,638,126	574,451,555
Usual care	29,119,218	88,583,852	179,595,194	303,269,453	461,231,561
Net Budget Impact, $	9,059,611	25,500,234	48,747,194	78,368,673	113,219,994
Individual CBT by physicians	42,209,146	126,363,500	253,114,396	423,079,255	636,627,791
Usual care	29,119,218	88,583,852	179,595,194	303,269,453	461,231,561
Net Budget Impact, $	13,089,928	37,779,648	73,519,202	119,809,802	175,396,231

Abbreviation: CBT, cognitive behavioural therapy.

^aIn 2017, the uptake is assumed to be 20%; in 2021, it is assumed to be 100%.

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