Economic cost of autism in the UK / Martin KNAPP in Autism, 13-3 (May 2009)  

Public ISBD [article]  inAutism > 13-3 (May 2009) . - p.317-336 Titre : Economic cost of autism in the UK Type de document : Texte imprimé et/ou numérique Auteurs : Martin KNAPP, Auteur ; Jennifer BEECHAM, Auteur ; Renée ROMEO, Auteur Année de publication : 2009 Article en page(s) : p.317-336 Langues : Anglais (eng) Mots-clés : ASD autism costs economics families services Index. décimale : PER Périodiques Résumé : Autism has lifetime consequences, with potentially a range of impacts on the health, wellbeing, social integration and quality of life of individuals and families. Many of those impacts are economic. This study estimated the costs of autism spectrum disorders (ASDs) in the UK. Data on prevalence, level of intellectual disability and place of residence were combined with average annual costs of services and support, together with the opportunity costs of lost productivity. The costs of supporting children with ASDs were estimated to be £2.7 billion each year. For adults, these costs amount to £25 billion each year. The lifetime cost, after discounting, for someone with ASD and intellectual disability is estimated at approximately £1.23 million, and for someone with ASD without intellectual disability is approximately £0.80 million. En ligne : http://dx.doi.org/10.1177/1362361309104246 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=728 [article] Economic cost of autism in the UK [Texte imprimé et/ou numérique] / Martin KNAPP, Auteur ; Jennifer BEECHAM, Auteur ; Renée ROMEO, Auteur . - 2009 . - p.317-336. Langues : Anglais (eng) in Autism > 13-3 (May 2009) . - p.317-336 Mots-clés : ASD autism costs economics families services Index. décimale : PER Périodiques Résumé : Autism has lifetime consequences, with potentially a range of impacts on the health, wellbeing, social integration and quality of life of individuals and families. Many of those impacts are economic. This study estimated the costs of autism spectrum disorders (ASDs) in the UK. Data on prevalence, level of intellectual disability and place of residence were combined with average annual costs of services and support, together with the opportunity costs of lost productivity. The costs of supporting children with ASDs were estimated to be £2.7 billion each year. For adults, these costs amount to £25 billion each year. The lifetime cost, after discounting, for someone with ASD and intellectual disability is estimated at approximately £1.23 million, and for someone with ASD without intellectual disability is approximately £0.80 million. En ligne : http://dx.doi.org/10.1177/1362361309104246 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=728

Economic Evaluation of anti-epileptic Medicines for Autistic Children with Epilepsy / Aine RODDY ; Martin KNAPP ; Celso ARANGO ; Maria Andreina MENDEZ ; James CUSACK ; Declan MURPHY ; Roberto CANITANO ; Bethany OAKLEY ; Vinciane QUOIDBACH in Journal of Autism and Developmental Disorders, 54-7 (July 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-7 (July 2024) . - p.2733-2741 Titre : Economic Evaluation of anti-epileptic Medicines for Autistic Children with Epilepsy Type de document : Texte imprimé et/ou numérique Auteurs : Aine RODDY, Auteur ; Martin KNAPP, Auteur ; Celso ARANGO, Auteur ; Maria Andreina MENDEZ, Auteur ; James CUSACK, Auteur ; Declan MURPHY, Auteur ; Roberto CANITANO, Auteur ; Bethany OAKLEY, Auteur ; Vinciane QUOIDBACH, Auteur Article en page(s) : p.2733-2741 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : We examine the cost-effectiveness of treating epilepsy with anti-epileptic medicines in autistic children, looking at impacts on healthcare providers (in England, Ireland, Italy and Spain) and children?s families (in Ireland). We find carbamazepine to be the most cost-effective drug to try first in children with newly diagnosed focal seizures. For England and Spain, oxcarbazepine is the most cost-effective treatment when taken as additional treatment for those children whose response to monotherapy is suboptimal. In Ireland and Italy, gabapentin is the most cost-effective option. Our additional scenario analysis presents the aggregate cost to families with autistic children who are being treated for epilepsy: this cost is considerably higher than healthcare provider expenditure. En ligne : https://doi.org/10.1007/s10803-023-05941-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=533 [article] Economic Evaluation of anti-epileptic Medicines for Autistic Children with Epilepsy [Texte imprimé et/ou numérique] / Aine RODDY, Auteur ; Martin KNAPP, Auteur ; Celso ARANGO, Auteur ; Maria Andreina MENDEZ, Auteur ; James CUSACK, Auteur ; Declan MURPHY, Auteur ; Roberto CANITANO, Auteur ; Bethany OAKLEY, Auteur ; Vinciane QUOIDBACH, Auteur . - p.2733-2741. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 54-7 (July 2024) . - p.2733-2741 Index. décimale : PER Périodiques Résumé : We examine the cost-effectiveness of treating epilepsy with anti-epileptic medicines in autistic children, looking at impacts on healthcare providers (in England, Ireland, Italy and Spain) and children?s families (in Ireland). We find carbamazepine to be the most cost-effective drug to try first in children with newly diagnosed focal seizures. For England and Spain, oxcarbazepine is the most cost-effective treatment when taken as additional treatment for those children whose response to monotherapy is suboptimal. In Ireland and Italy, gabapentin is the most cost-effective option. Our additional scenario analysis presents the aggregate cost to families with autistic children who are being treated for epilepsy: this cost is considerably higher than healthcare provider expenditure. En ligne : https://doi.org/10.1007/s10803-023-05941-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=533

Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data / Tom SNELL in Journal of Child Psychology and Psychiatry, 54-9 (September 2013)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 54-9 (September 2013) . - p.977-985 Titre : Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data Type de document : Texte imprimé et/ou numérique Auteurs : Tom SNELL, Auteur ; Martin KNAPP, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur Article en page(s) : p.977-985 Langues : Anglais (eng) Mots-clés : Cost  economic impact  child  adolescent  mental health  psychiatric  hyperactivity  conduct  emotional  disorder Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1111/jcpp.12055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212 [article] Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data [Texte imprimé et/ou numérique] / Tom SNELL, Auteur ; Martin KNAPP, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur . - p.977-985. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 54-9 (September 2013) . - p.977-985 Mots-clés : Cost  economic impact  child  adolescent  mental health  psychiatric  hyperactivity  conduct  emotional  disorder Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1111/jcpp.12055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212

How do child and adolescent mental health problems influence public sector costs? Interindividual variations in a nationally representative British sample / Martin KNAPP in Journal of Child Psychology and Psychiatry, 56-6 (June 2015)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 56-6 (June 2015) . - p.667-676 Titre : How do child and adolescent mental health problems influence public sector costs? Interindividual variations in a nationally representative British sample Type de document : Texte imprimé et/ou numérique Auteurs : Martin KNAPP, Auteur ; Tom SNELL, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur Article en page(s) : p.667-676 Langues : Anglais (eng) Mots-clés : Psychiatric practice  education  social work  economic evaluation Index. décimale : PER Périodiques Résumé : Background Policy and practice guidelines emphasize that responses to children and young people with poor mental health should be tailored to needs, but little is known about the impact on costs. We investigated variations in service-related public sector costs for a nationally representative sample of children in Britain, focusing on the impact of mental health problems. Methods Analysis of service uses data and associated costs for 2461 children aged 5–15 from the British Child and Adolescent Mental Health Surveys. Multivariate statistical analyses, including two-part models, examined factors potentially associated with interindividual differences in service use related to emotional or behavioural problems and cost. We categorized service use into primary care, specialist mental health services, frontline education, special education and social care. Results Marked interindividual variations in utilization and costs were observed. Impairment, reading attainment, child age, gender and ethnicity, maternal age, parental anxiety and depression, social class, family size and functioning were significantly associated with utilization and/or costs. Conclusions Unexplained variation in costs could indicate poor targeting, inequality and inefficiency in the way that mental health, education and social care systems respond to emotional and behavioural problems. En ligne : http://dx.doi.org/10.1111/jcpp.12327 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260 [article] How do child and adolescent mental health problems influence public sector costs? Interindividual variations in a nationally representative British sample [Texte imprimé et/ou numérique] / Martin KNAPP, Auteur ; Tom SNELL, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur . - p.667-676. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 56-6 (June 2015) . - p.667-676 Mots-clés : Psychiatric practice  education  social work  economic evaluation Index. décimale : PER Périodiques Résumé : Background Policy and practice guidelines emphasize that responses to children and young people with poor mental health should be tailored to needs, but little is known about the impact on costs. We investigated variations in service-related public sector costs for a nationally representative sample of children in Britain, focusing on the impact of mental health problems. Methods Analysis of service uses data and associated costs for 2461 children aged 5–15 from the British Child and Adolescent Mental Health Surveys. Multivariate statistical analyses, including two-part models, examined factors potentially associated with interindividual differences in service use related to emotional or behavioural problems and cost. We categorized service use into primary care, specialist mental health services, frontline education, special education and social care. Results Marked interindividual variations in utilization and costs were observed. Impairment, reading attainment, child age, gender and ethnicity, maternal age, parental anxiety and depression, social class, family size and functioning were significantly associated with utilization and/or costs. Conclusions Unexplained variation in costs could indicate poor targeting, inequality and inefficiency in the way that mental health, education and social care systems respond to emotional and behavioural problems. En ligne : http://dx.doi.org/10.1111/jcpp.12327 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260

Parent- and teacher-reported associations from adolescent bifactor models of psychopathology: an outcome-wide association study of 26 outcomes in mid-life / Mauricio SCOPEL HOFFMANN in Journal of Child Psychology and Psychiatry, 64-3 (March 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-3 (March 2023) . - p.397-407 Titre : Parent- and teacher-reported associations from adolescent bifactor models of psychopathology: an outcome-wide association study of 26 outcomes in mid-life Type de document : Texte imprimé et/ou numérique Auteurs : Mauricio SCOPEL HOFFMANN, Auteur ; Sara EVANS-LACKO, Auteur ; Stephan COLLISHAW, Auteur ; Martin KNAPP, Auteur ; Andrew PICKLES, Auteur ; Christina SHEARER, Auteur ; Barbara MAUGHAN, Auteur Article en page(s) : p.397-407 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Adolescent mental health problems have lasting impacts on health and social functioning later in life. Evidence to date mostly comes from studies of specific diagnostic categories/dimensions, but hierarchical models can elucidate associations with general as well as specific dimensions of psychopathology. We provide evidence on long-term outcomes of general and specific dimensions of adolescent psychopathology using both parent and teacher reports. Methods Parents and teachers from the Isle of Wight study completed Rutter behaviour scales when participants were 14-15 years old (n=2,275), assessing conduct, emotional and hyperactivity problems. Metric-invariant bifactor models for parents and teachers were used to test domain-specific and domain-general associations with 26 self-reported psychosocial outcomes at mid-life (age 44-45 years, n=1,423). Analyses examined the individual and joint contributions of parent and teacher reports of adolescent psychopathology. All analyses were adjusted for covariates (gender, IQ and family social class) and weighted to adjust for the probability of nonresponse. Results Parent- and teacher-reported general factors of psychopathology (GFP) were associated with 15 and 12 outcomes, respectively, across the socioeconomic, relationship, health and personality domains, along with an index of social exclusion. Nine outcomes were associated with both parent- and teacher-reported GFP, with no differences in the strength of the associations across reporters. Teacher-reported specific factors (conduct, emotional and hyperactivity) were associated with 21 outcomes, and parent-reported specific factors were associated with seven. Five outcomes were associated with the same specific factors from both reporters; only one showed reporter differences in the strength of the associations. Conclusions These findings confirm the relevance of the GFP and the utility of teacher as well as parent reports of adolescent mental health in predicting psychosocial outcomes later in the life course. En ligne : https://doi.org/10.1111/jcpp.13707 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=493 [article] Parent- and teacher-reported associations from adolescent bifactor models of psychopathology: an outcome-wide association study of 26 outcomes in mid-life [Texte imprimé et/ou numérique] / Mauricio SCOPEL HOFFMANN, Auteur ; Sara EVANS-LACKO, Auteur ; Stephan COLLISHAW, Auteur ; Martin KNAPP, Auteur ; Andrew PICKLES, Auteur ; Christina SHEARER, Auteur ; Barbara MAUGHAN, Auteur . - p.397-407. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-3 (March 2023) . - p.397-407 Index. décimale : PER Périodiques Résumé : Background Adolescent mental health problems have lasting impacts on health and social functioning later in life. Evidence to date mostly comes from studies of specific diagnostic categories/dimensions, but hierarchical models can elucidate associations with general as well as specific dimensions of psychopathology. We provide evidence on long-term outcomes of general and specific dimensions of adolescent psychopathology using both parent and teacher reports. Methods Parents and teachers from the Isle of Wight study completed Rutter behaviour scales when participants were 14-15 years old (n=2,275), assessing conduct, emotional and hyperactivity problems. Metric-invariant bifactor models for parents and teachers were used to test domain-specific and domain-general associations with 26 self-reported psychosocial outcomes at mid-life (age 44-45 years, n=1,423). Analyses examined the individual and joint contributions of parent and teacher reports of adolescent psychopathology. All analyses were adjusted for covariates (gender, IQ and family social class) and weighted to adjust for the probability of nonresponse. Results Parent- and teacher-reported general factors of psychopathology (GFP) were associated with 15 and 12 outcomes, respectively, across the socioeconomic, relationship, health and personality domains, along with an index of social exclusion. Nine outcomes were associated with both parent- and teacher-reported GFP, with no differences in the strength of the associations across reporters. Teacher-reported specific factors (conduct, emotional and hyperactivity) were associated with 21 outcomes, and parent-reported specific factors were associated with seven. Five outcomes were associated with the same specific factors from both reporters; only one showed reporter differences in the strength of the associations. Conclusions These findings confirm the relevance of the GFP and the utility of teacher as well as parent reports of adolescent mental health in predicting psychosocial outcomes later in the life course. En ligne : https://doi.org/10.1111/jcpp.13707 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=493

The Economic Impact of Autism in Britain / Krister JARBRINK in Autism, 5-1 (March 2001)  

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