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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 2/2013

01.02.2013 | Original Paper

Estimating the costs of ongoing care for adolescents with attention-deficit hyperactivity disorder

verfasst von: Claire Telford, Colin Green, Stuart Logan, Kate Langley, Anita Thapar, Tamsin Ford

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 2/2013

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Abstract

Purpose

Attention-deficit hyperactivity disorder (ADHD) is associated with increased use of health, social and education services. There is a lack of data to quantify the economic burden of ADHD in the UK. The aim of this study was to estimate additional education, health and social care costs amongst adolescents in the UK diagnosed with ADHD.

Methods

Participants were 143, 12- to 18-year-olds from the Cardiff longitudinal ADHD study. Service use relating to mental health over the previous year was measured using the children’s service interview. Individual resource use was combined with unit cost data, from national sources, to calculate costs per patient and subsequently the mean cost per patient. Mean costs, 95 % confidence intervals and median use were calculated using nonparametric bootstrapping methods.

Results

The mean cost per adolescent for NHS, social care and education resources used in a 12-month period related to ADHD was £5,493 (£4,415.68, £6,678.61) in 2010 prices and the median was £2,327. Education and NHS resources accounted for approximately 76 and 24 %, respectively. Estimated annual total UK costs are £670 million.

Conclusions

The additional costs to the NHS and education system of treating adolescents remain substantial for several years after the initial ADHD diagnosis. There exists a need to develop and evaluate early interventions which have the potential to reduce the longer-term burden, particularly on education resource use.
Literatur
1.
Zurück zum Zitat Ford T, Goodman R, Meltzer H (2003) The British Child and Adolescent Mental Health Survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry 42(10):1203–1211PubMedCrossRef Ford T, Goodman R, Meltzer H (2003) The British Child and Adolescent Mental Health Survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry 42(10):1203–1211PubMedCrossRef
2.
Zurück zum Zitat Polanczyk M, Silva de Lima M, Biederman J, Rohde L (2007) The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 164(6):942–948PubMedCrossRef Polanczyk M, Silva de Lima M, Biederman J, Rohde L (2007) The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 164(6):942–948PubMedCrossRef
3.
Zurück zum Zitat Biederman J, Faraone S, Milberger S, Curtis S, Chen L, Marrs A et al (1996) Predictors of persistence and remission of ADHD into adolescence: results from a four-year perspective follow-up study. J Am Acad Child Adolesc Psychiatry 35(3):343–351PubMedCrossRef Biederman J, Faraone S, Milberger S, Curtis S, Chen L, Marrs A et al (1996) Predictors of persistence and remission of ADHD into adolescence: results from a four-year perspective follow-up study. J Am Acad Child Adolesc Psychiatry 35(3):343–351PubMedCrossRef
4.
Zurück zum Zitat Hinshaw S (1994) Attention deficits and hyperactivity in children. Sage, Thousand Oaks Hinshaw S (1994) Attention deficits and hyperactivity in children. Sage, Thousand Oaks
5.
Zurück zum Zitat Barkley R, Fischer M, Smallish L, Fletcher K (2002) The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting sources and definition of disorder. J Abnorm Psychol 111:279–289PubMedCrossRef Barkley R, Fischer M, Smallish L, Fletcher K (2002) The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting sources and definition of disorder. J Abnorm Psychol 111:279–289PubMedCrossRef
6.
Zurück zum Zitat Faraone SV, Biederman J, Mick E (2006) The age dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychol Med 36:159–165PubMedCrossRef Faraone SV, Biederman J, Mick E (2006) The age dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychol Med 36:159–165PubMedCrossRef
7.
Zurück zum Zitat Ford T, Fowler T, Langley K, Whittinger N, Thapar A (2008) Five years on: public sector service use related to mental health in young people with ADHD or hyperkinetic disorder 5 years after diagnosis. Child Adolesc Mental Health 13(3):122–129CrossRef Ford T, Fowler T, Langley K, Whittinger N, Thapar A (2008) Five years on: public sector service use related to mental health in young people with ADHD or hyperkinetic disorder 5 years after diagnosis. Child Adolesc Mental Health 13(3):122–129CrossRef
8.
Zurück zum Zitat Pelham W, Foster M, Robb J (2007) The economic impact of attention-deficit/hyperactivity disorder in children and adolescents. J Pediatr Psychol 32(6):711–727PubMedCrossRef Pelham W, Foster M, Robb J (2007) The economic impact of attention-deficit/hyperactivity disorder in children and adolescents. J Pediatr Psychol 32(6):711–727PubMedCrossRef
9.
Zurück zum Zitat Langley K, Fowler T, Ford T, Thapar A, Van den Bree M, Harold G et al (2010) Adolescent clinical outcomes for young people with attention-deficit hyperactivity disorder. Brit J Psychiat 196:235–240PubMedCrossRef Langley K, Fowler T, Ford T, Thapar A, Van den Bree M, Harold G et al (2010) Adolescent clinical outcomes for young people with attention-deficit hyperactivity disorder. Brit J Psychiat 196:235–240PubMedCrossRef
10.
Zurück zum Zitat Ford T, Hamilton H, Dosani S, Burke L, Goodman R (2007) The children’s services interview: validity and reliability. Soc Psychiatry Psychiatr Epidemiol 42(1):36–49PubMedCrossRef Ford T, Hamilton H, Dosani S, Burke L, Goodman R (2007) The children’s services interview: validity and reliability. Soc Psychiatry Psychiatr Epidemiol 42(1):36–49PubMedCrossRef
11.
Zurück zum Zitat British Medical Association and Royal Pharmaceutical Society of Great Britain (2010) British National Formulary (Sept. issue). BMJ Books and Pharmaceutical Press, London British Medical Association and Royal Pharmaceutical Society of Great Britain (2010) British National Formulary (Sept. issue). BMJ Books and Pharmaceutical Press, London
12.
Zurück zum Zitat Curtis L (2010) Unit costs of health and social care. Personal Social Services Research Unit, Canterbury Curtis L (2010) Unit costs of health and social care. Personal Social Services Research Unit, Canterbury
16.
Zurück zum Zitat Curtis L, Netten A (2004) Unit costs of health and social care. Personal Social Services Research Unit, Canterbury Curtis L, Netten A (2004) Unit costs of health and social care. Personal Social Services Research Unit, Canterbury
17.
Zurück zum Zitat Efron B, Tibshirani R (1993) An introduction to the bootstrap. Chapman and Hall/CRC, Boca Raton Efron B, Tibshirani R (1993) An introduction to the bootstrap. Chapman and Hall/CRC, Boca Raton
18.
Zurück zum Zitat Leibson C, Katusie S, Barbaresi W, Ransom J, O’Brien P (2001) Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder. JAMA 285(1):60–66PubMedCrossRef Leibson C, Katusie S, Barbaresi W, Ransom J, O’Brien P (2001) Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder. JAMA 285(1):60–66PubMedCrossRef
19.
Zurück zum Zitat Ford T, Hamilton H, Meltzer H, Goodman R (2007) Child mental health is everybody’s business; the prevalence of contacts with public sector services by type of disorder among British school children in a three-year period. Child Adolesc Mental Health 12(1):13–20CrossRef Ford T, Hamilton H, Meltzer H, Goodman R (2007) Child mental health is everybody’s business; the prevalence of contacts with public sector services by type of disorder among British school children in a three-year period. Child Adolesc Mental Health 12(1):13–20CrossRef
20.
Zurück zum Zitat Weare K, Nind M (2010) Identifying evidence-based work on mental health promotion in schools in Europe: an interim report on the DataPrev project. Adv Sch Mental Health Promot 3(2):36–44 Weare K, Nind M (2010) Identifying evidence-based work on mental health promotion in schools in Europe: an interim report on the DataPrev project. Adv Sch Mental Health Promot 3(2):36–44
21.
Zurück zum Zitat Abbott R, O’Donnell J, Hawkins D, Hill K, Kosterman R, Catalano R (1998) Changing teaching practices to promote achievement and bonding to school. Am J Orthopsychiat 68:542–552PubMedCrossRef Abbott R, O’Donnell J, Hawkins D, Hill K, Kosterman R, Catalano R (1998) Changing teaching practices to promote achievement and bonding to school. Am J Orthopsychiat 68:542–552PubMedCrossRef
22.
Zurück zum Zitat Rimm-Kaufman S, Chiu Y (2007) Promoting social and academic competence in the classroom: an intervention study examining the contribution of the “Responsive Classroom” approach. Psychol Schools 44:397–413CrossRef Rimm-Kaufman S, Chiu Y (2007) Promoting social and academic competence in the classroom: an intervention study examining the contribution of the “Responsive Classroom” approach. Psychol Schools 44:397–413CrossRef
24.
Zurück zum Zitat DiScala C, Lescohier I, Barthel M, Li G (1998) Injuries to children with attention deficit hyperactivity disorder. Pediatrics 102:1415–1421PubMedCrossRef DiScala C, Lescohier I, Barthel M, Li G (1998) Injuries to children with attention deficit hyperactivity disorder. Pediatrics 102:1415–1421PubMedCrossRef
25.
Zurück zum Zitat Szatmari P, Offord D, Boyle M (1989) Correlates, associated impairments and patterns of service utilization of children with attention deficit disorder: findings from the Ontario Child Health Study. J Child Psychol Psychiatry 30:205–217PubMedCrossRef Szatmari P, Offord D, Boyle M (1989) Correlates, associated impairments and patterns of service utilization of children with attention deficit disorder: findings from the Ontario Child Health Study. J Child Psychol Psychiatry 30:205–217PubMedCrossRef
Metadaten
Titel
Estimating the costs of ongoing care for adolescents with attention-deficit hyperactivity disorder
verfasst von
Claire Telford
Colin Green
Stuart Logan
Kate Langley
Anita Thapar
Tamsin Ford
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 2/2013
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0530-9

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