Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data

Background Approximately one in ten children aged 5–15 in Britain has a conduct, hyperactivity or emotional disorder. Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care...

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Veröffentlicht in:Journal of child psychology and psychiatry 2013-09, Vol.54 (9), p.977-985
Hauptverfasser: Snell, Tom, Knapp, Martin, Healey, Andrew, Guglani, Sacha, Evans-Lacko, Sara, Fernandez, Jose-Luis, Meltzer, Howard, Ford, Tamsin
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container_end_page 985
container_issue 9
container_start_page 977
container_title Journal of child psychology and psychiatry
container_volume 54
creator Snell, Tom
Knapp, Martin
Healey, Andrew
Guglani, Sacha
Evans-Lacko, Sara
Fernandez, Jose-Luis
Meltzer, Howard
Ford, Tamsin
description Background Approximately one in ten children aged 5–15 in Britain has a conduct, hyperactivity or emotional disorder. Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well‐being.
doi_str_mv 10.1111/jcpp.12055
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Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well‐being.</description><identifier>ISSN: 0021-9630</identifier><identifier>EISSN: 1469-7610</identifier><identifier>DOI: 10.1111/jcpp.12055</identifier><identifier>PMID: 23442096</identifier><identifier>CODEN: JPPDAI</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adolescents ; Affective Symptoms - economics ; Age Factors ; Attention Deficit Disorder with Hyperactivity - economics ; Biological and medical sciences ; Child ; Child Health ; Child, Preschool ; Children ; Children &amp; youth ; conduct ; Conduct Disorder - economics ; Cost ; Cost of Illness ; Costs ; Costs and Cost Analysis - economics ; Costs and Cost Analysis - statistics &amp; numerical data ; Delivery of Health Care - economics ; disorder ; Economic Impact ; Education - economics ; Educational Finance ; emotional ; Female ; Foreign Countries ; Health ; Health Care Costs ; Health costs ; Humans ; hyperactivity ; Male ; Medical sciences ; Mental Disorders ; Mental Disorders - economics ; Mental health ; Organization of mental health. 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Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well‐being.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Affective Symptoms - economics</subject><subject>Age Factors</subject><subject>Attention Deficit Disorder with Hyperactivity - economics</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child Health</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>conduct</subject><subject>Conduct Disorder - economics</subject><subject>Cost</subject><subject>Cost of Illness</subject><subject>Costs</subject><subject>Costs and Cost Analysis - economics</subject><subject>Costs and Cost Analysis - statistics &amp; numerical data</subject><subject>Delivery of Health Care - economics</subject><subject>disorder</subject><subject>Economic Impact</subject><subject>Education - economics</subject><subject>Educational Finance</subject><subject>emotional</subject><subject>Female</subject><subject>Foreign Countries</subject><subject>Health</subject><subject>Health Care Costs</subject><subject>Health costs</subject><subject>Humans</subject><subject>hyperactivity</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders</subject><subject>Mental Disorders - economics</subject><subject>Mental health</subject><subject>Organization of mental health. 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Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well‐being.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>23442096</pmid><doi>10.1111/jcpp.12055</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source Wiley Online Library - AutoHoldings Journals; MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Adolescent
Adolescents
Affective Symptoms - economics
Age Factors
Attention Deficit Disorder with Hyperactivity - economics
Biological and medical sciences
Child
Child Health
Child, Preschool
Children
Children & youth
conduct
Conduct Disorder - economics
Cost
Cost of Illness
Costs
Costs and Cost Analysis - economics
Costs and Cost Analysis - statistics & numerical data
Delivery of Health Care - economics
disorder
Economic Impact
Education - economics
Educational Finance
emotional
Female
Foreign Countries
Health
Health Care Costs
Health costs
Humans
hyperactivity
Male
Medical sciences
Mental Disorders
Mental Disorders - economics
Mental health
Organization of mental health. Health systems
psychiatric
Psychiatric disorders
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public sector
Social psychiatry. Ethnopsychiatry
Social Services
Social Welfare - economics
Social Welfare - statistics & numerical data
Special Education
United Kingdom
United Kingdom - epidemiology
title Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data
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