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

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