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Social Psychiatry and Psychiatric Epidemiology
Published 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

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

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 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.
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Metadata
Title
Estimating the costs of ongoing care for adolescents with attention-deficit hyperactivity disorder
Authors
Claire Telford
Colin Green
Stuart Logan
Kate Langley
Anita Thapar
Tamsin Ford
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 2/2013
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0530-9

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