Background
Methods
Source of data
Study population
Data elements
Estimation of the prevalence of clients with FASD in specialized addiction treatment and their utilization of these services
Number of people with FASD in Canada
Number of people with FASD who abuse or are addicted to alcohol and/or drugs
Meta-analysis
Number of people with FASD who utilized specialized addiction treatment services and their rate of utilization in 2010/11
Estimation of costs
Sensitivity analysis
Results
Calculation of the rate of specialized addiction treatment service among individuals with a lifetime mental disorder
Estimation of the number of clients with FASD who received specialized addiction treatment services in Ontario and Canada in 2010/11
Service utilization and estimation of the cost associated with addiction treatment services for clients with FASD
Gender | Age group | Cost | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
14 and under | 15-19 | 20-24 | 25-29 | 30-34 | 35-39 | 40-44 | 45-49 | 50-54 | 55-59 | 60-64 | 65-69 | 70 and over | All ages | Lower estimate | Upper estimate | |
Clients with FASD in Ontario | ||||||||||||||||
Number of admissions
| ||||||||||||||||
Male | <6 | 15 | 13 | 11 | 12 | 11 | 13 | 13 | 10 | 7 | <6 | <6 | <6 | 112 | ||
Female | <6 | 10 | 11 | 13 | 13 | 12 | 11 | 12 | 8 | <6 | <6 | <6 | <6 | 99 | ||
Total
|
<6
|
25
|
24
|
24
|
25
|
23
|
24
|
25
|
18
|
11
|
6
|
<6
|
<6
|
212
| ||
Number of visits
| ||||||||||||||||
Male | 17 | 98 | 91 | 93 | 124 | 124 | 143 | 137 | 111 | 90 | 29 | 14 | 7 | 1,078 | $64,670 | $117,484 |
Female | 23 | 82 | 106 | 143 | 127 | 121 | 127 | 147 | 79 | 56 | 31 | 15 | 9 | 1,065 | $63,914 | $116,111 |
Total
|
40
|
180
|
197
|
237
|
250
|
245
|
270
|
283
|
190
|
146
|
60
|
29
|
16
|
2,143
|
$128,585
|
$233,595
|
Clients with FASD in Canada
| ||||||||||||||||
Number of admissions
| ||||||||||||||||
Male | 6 | 38 | 32 | 29 | 31 | 29 | 34 | 33 | 26 | 18 | 8 | <6 | <6 | 290 | ||
Female | <6 | 26 | 30 | 34 | 32 | 30 | 28 | 31 | 20 | 12 | 6 | <6 | <6 | 256 | ||
Total
|
10
|
63
|
62
|
63
|
64
|
59
|
61
|
64
|
46
|
29
|
14
|
6
|
<6
|
546
| ||
Number of visits
| ||||||||||||||||
Male | 43 | 251 | 236 | 241 | 319 | 320 | 369 | 353 | 286 | 232 | 75 | 37 | 18 | 2,779 | $166,759 | $302,946 |
Female | 59 | 212 | 272 | 370 | 326 | 312 | 327 | 378 | 204 | 145 | 81 | 38 | 22 | 2,747 | $164,810 | $299,405 |
Total
|
102
|
463
|
508
|
610
|
645
|
632
|
696
|
731
|
490
|
377
|
156
|
74
|
40
|
5,526
|
$331,569
|
$602,350
|
Gender | Age group | Cost | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
14 and under | 15-19 | 20-24 | 25-29 | 30-34 | 35-39 | 40-44 | 45-49 | 50-54 | 55-59 | 60-64 | 65-69 | 70 and over | All ages | Lower estimate | Upper estimate | |
Clients with FASD in Ontario | ||||||||||||||||
Number of admissions
| ||||||||||||||||
Male | <6 | <6 | <6 | <6 | 6 | 7 | 6 | 6 | 5 | <6 | <6 | <6 | <6 | 44 | ||
Female | <6 | <6 | <6 | <6 | <6 | <6 | <6 | <6 | <6 | <6 | <6 | <6 | <6 | 29 | ||
Total
|
<6
|
<6
|
8
|
11
|
10
|
10
|
9
|
10
|
7
|
<6
|
<6
|
<6
|
<6
|
73
| ||
Number of days
| ||||||||||||||||
Male | <6 | 99 | 158 | 200 | 234 | 264 | 235 | 292 | 223 | 93 | 41 | 9 | 7 | 1,855 | $256,056 | $582,621 |
Female | <6 | 84 | 104 | 174 | 143 | 116 | 114 | 102 | 90 | 49 | 10 | <6 | <6 | 989 | $136,472 | $310,524 |
Total
|
7
|
183
|
262
|
374
|
376
|
381
|
349
|
394
|
313
|
142
|
51
|
12
|
7
|
2,844
|
$392,529
|
$893,145
|
Clients with FASD in Canada
| ||||||||||||||||
Number of admissions
| ||||||||||||||||
Male | <6 | 6 | 11 | 14 | 15 | 17 | 14 | 16 | 13 | 6 | <6 | <6 | <6 | 115 | ||
Female | <6 | <6 | 10 | 13 | 10 | 9 | 9 | 9 | <6 | <6 | <6 | <6 | <6 | 74 | ||
Total
|
<6
|
10
|
21
|
27
|
25
|
25
|
23
|
25
|
18
|
9
|
<6
|
<6
|
<6
|
189
| ||
Number of days
| ||||||||||||||||
Male | 13 | 254 | 407 | 515 | 603 | 682 | 607 | 753 | 576 | 241 | 105 | 24 | 18 | 4,785 | $660,269 | $1,502,351 |
Female | <6 | 217 | 267 | 450 | 368 | 300 | 294 | 263 | 231 | 126 | 27 | 6 | <6 | 2,550 | $351,908 | $800,718 |
Total
|
18
|
471
|
675
|
965
|
971
|
982
|
900
|
1,016
|
807
|
367
|
131
|
30
|
19
|
7,335
|
$1,012,177
|
$2,303,069
|
Gender | Age group | Cost | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
14 and under | 15-19 | 20-24 | 25-29 | 30-34 | 35-39 | 40-44 | 45-49 | 50-54 | 55-59 | 60-64 | 65-69 | 70 and over | All ages | Lower estimate | Upper estimate | |
Clients with FASD in Ontario | ||||||||||||||||
Number of admissions
| ||||||||||||||||
Male | <6 | 7 | 19 | 29 | 31 | 28 | 31 | 30 | 24 | 14 | <6 | <6 | <6 | 219 | ||
Female | <6 | <6 | 15 | 18 | 16 | 13 | 14 | 13 | 10 | <6 | <6 | <6 | <6 | 111 | ||
Total
|
<6
|
12
|
34
|
47
|
48
|
42
|
45
|
43
|
33
|
19
|
6
|
<6
|
<6
|
332
| ||
Number of days
| ||||||||||||||||
Male | <6 | 20 | 41 | 61 | 70 | 83 | 90 | 88 | 75 | 30 | 23 | <6 | <6 | 587 | $80,941 | $184,169 |
Female | <6 | 10 | 35 | 36 | 40 | 28 | 36 | 28 | 29 | 13 | <6 | <6 | <6 | 264 | $36,455 | $82,948 |
Total
|
<6
|
30
|
76
|
97
|
110
|
111
|
126
|
117
|
104
|
43
|
28
|
<6
|
<6
|
851
|
$117,438
|
$267,213
|
Clients with FASD in Canada
| ||||||||||||||||
Number of admissions
| ||||||||||||||||
Male | <6 | 18 | 49 | 74 | 81 | 73 | 81 | 77 | 61 | 37 | 12 | <6 | <6 | 566 | ||
Female | <6 | 14 | 37 | 47 | 42 | 35 | 36 | 32 | 25 | 12 | <6 | <6 | <6 | 287 | ||
Total
|
<6
|
32
|
87
|
121
|
123
|
107
|
117
|
110
|
86
|
49
|
16
|
<6
|
<6
|
856
| ||
Number of days
| ||||||||||||||||
Male | <6 | 51 | 105 | 157 | 180 | 214 | 232 | 228 | 194 | 78 | 60 | 8 | 7 | 1,512 | $208,714 | $474,901 |
Female | <6 | 26 | 91 | 94 | 104 | 73 | 94 | 73 | 74 | 33 | 12 | <6 | <6 | 681 | $94,003 | $213,891 |
Total
|
<6
|
77
|
196
|
251
|
285
|
286
|
325
|
301
|
268
|
111
|
72
|
12
|
9
|
2,194
|
$302,825
|
$689,037
|
Number of admissions, outpatient visits and resident days; associated cost (lower & upper estimate) | Total population (2010)a
| Number of clients with FASD (based on a prevalence of 9 per 1,000) | Types of specialized addiction treatment services | ||||
---|---|---|---|---|---|---|---|
Outpatient | Residential | Withdrawal | Overall | ||||
Ontario
|
13,227,791
|
119,050
| |||||
Number of admissions | 212 | 73 | 332 |
617
| |||
Number of visits | 2,143 |
2,143
| |||||
Number of days | 2,844 | 851 |
3,695
| ||||
Cost (Lower estimate) | $128,585 | $392,529 | $117,438 |
$638,551
| |||
Cost (Upper estimate) | $233,595 | $893,145 | $267,213 |
$1,393,953
| |||
Canada (All provinces/territories)
|
34,126,181
|
307,136
| |||||
Number of admissions | 546 | 189 | 856 |
1,591
| |||
Number of visits | 5,526 |
5,526
| |||||
Number of days | 7,335 | 2,194 |
9,529
| ||||
Cost (Lower estimate) | $331,569 | $1,012,177 | $302,825 |
$1,646,571
| |||
Cost (Upper estimate) | $602,350 | $2,303,069 | $689,037 |
$3,594,456
| |||
1) Sensitivity analysis, assuming 22% (lower estimate) of individuals with FASD suffer from addiction
|
34,126,181
|
307,136
| |||||
Number of admissions | 325 | 112 | 509 |
946
| |||
Number of visits | 3,286 |
3,286
| |||||
Number of days | 4,361 | 1,305 |
5,666
| ||||
Cost (Lower estimate) | $197,144 | $601,866 | $180,029 |
$979,037
| |||
Cost (Upper estimate) | $358,145 | $1,369,464 | $409,626 |
$2,137,235
| |||
2) Sensitivity analysis, assuming 55% (upper estimate) of individuals with FASD suffer from addiction
|
34,126,181
|
307,136
| |||||
Number of admissions | 812 | 281 | 1,272 |
2,365
| |||
Number of visits | 8,214 |
8,214
| |||||
Number of days | 10,903 | 3,261 |
14,165
| ||||
Cost (Lower estimate) | $492,859 | $1,504,666 | $450,066 |
$2,447,592
| |||
Cost (Upper estimate) | $895,361 | $3,423,661 | $1,024,064 |
$5,343,086
|