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5

The results show that CBT improved health and prevented sick leave for

individuals who were not on sick leave at the start of treatment but had no

effect for individuals who were on sick leave. The results thus suggest that

CBT is most effective as a preventive measure. MDT was a failure

regardless of the individual’s sick leave status at the time of treatment

initiation. MDT increased sick leave while having no long term impact on

either health care visits or drug prescriptions. The public finance

calculations suggest that the CBT was cost effective as a preventive

measure, but did not compensate for the large costs of the ineffective MDT.

The paper proceeds as follows. Section 2 provides the background about

the government initiative and the induced supply of CBT in the Skåne

region. Section 3 outlines the estimation strategy and the data. Section 4

presents the results and Section 5 concludes the paper.