Cookies?
Library Header Image
LSE Research Online LSE Library Services

How do child and adolescent mental health problems influence public sector costs? Interindividual variations in a nationally representative British sample

Knapp, Martin and Snell, Tom and Healey, Andrew and Guglani, Sacha and Evans-Lacko, Sara and Fernández, José-Luis and Meltzer, Howard and Ford, Tamsin (2015) How do child and adolescent mental health problems influence public sector costs? Interindividual variations in a nationally representative British sample. Journal of Child Psychology and Psychiatry, 56 (6). pp. 667-676. ISSN 0021-9630

[img]
Preview
PDF - Published Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (598kB) | Preview

Identification Number: 10.1111/jcpp.12327

Abstract

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.

Item Type: Article
Official URL: http://onlinelibrary.wiley.com/journal/10.1111/(IS...
Additional Information: © 2014 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.
Subjects: H Social Sciences > HJ Public Finance
R Medicine > RA Public aspects of medicine
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Sets: Departments > Social Policy
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > NIHR School for Social Care Research
Date Deposited: 11 Nov 2014 10:36
Last Modified: 13 Aug 2015 10:52
Projects: Department of Health Grant: 035/0045, Wellcome Clinical Fellowship Grant: GR056900MA
Funders: Department of Health (England), Wellcome Trust, Lundbeck
URI: http://eprints.lse.ac.uk/id/eprint/60131

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics