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

J Child Psychol Psychiatry. 2013 Sep;54(9):977-85. doi: 10.1111/jcpp.12055. Epub 2013 Feb 27.

Abstract

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.

Keywords: Cost; adolescent; child; conduct; disorder; economic impact; emotional; hyperactivity; mental health; psychiatric.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Affective Symptoms / economics
  • Age Factors
  • Attention Deficit Disorder with Hyperactivity / economics
  • Child
  • Child, Preschool
  • Conduct Disorder / economics
  • Cost of Illness
  • Costs and Cost Analysis / economics
  • Costs and Cost Analysis / statistics & numerical data
  • Delivery of Health Care / economics*
  • Education / economics*
  • Female
  • Humans
  • Male
  • Mental Disorders / economics*
  • Social Welfare / economics*
  • Social Welfare / statistics & numerical data
  • United Kingdom / epidemiology