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Your Environment. Your Health.

The economic impact of attention-deficit/hyperactivity disorder in children and adolescents

Environmental Health Economic Analysis Annotated Bibliography

Details

Review Cost analysis (CA)
Authors
Pelham WE, Foster EM, and Robb JA
Journal
Ambulatory Pediatrics
Summary
The economic impact of attention-deficit/hyperactivity disorder (ADHD) in childhood and adolescence was estimated to be $14,576 per individual for an annual societal estimate of $52.4 billion, according to this review article. The results highlighted the public health importance of ADHD, and the authors argued for expansion of and additional research on evidence-based interventions for ADHD.
Population
Children and adolescents (≤ 17 years)

Health Outcomes

  • Reviewed publications that examined — neurological/cognitive outcomes (ADHD)

Environmental Agents

List of Environmental Agents: (Not available)

Source of Environmental Agents: (Not available)

Economic Evaluation / Methods and Source

Type:

  • Cost analysis (CA)

Cost Measured:

  • Reviewed publications that examined the following costs — healthcare costs (inpatient, outpatient)
  • treatment costs (pharmacological treatment costs, psychosocial mental health treatment)
  • educational costs (special education services)
  • costs related to crime and delinquency (juvenile justice system utilization)

Potential Cost Measures:

  • Impacts of ADHD children on parental and family function (e.g., distress depression, substance use)
  • costs associated with disability/welfare for individuals within ADHD families
  • costs associated with substance abuse/use
  • costs associated with risky behaviors

Benefits Measures: (Not available)

Potential Benefits: (Not available)

Location: (Not available)

Models Used: (Not available)

Methods Used:

  • The authors performed a review of aggregated data from recently published articles that studied the economic costs of ADHD. The authors — 1) selected thirteen studies based on their relevance to the economic costs associated with ADHD; and 2) provided a summed estimate of total ADHD costs across different sectors (e.g., health/mental health, education, crime and delinquency).

Sources Used:

  • Utilization and cost of health care services for children with attention-deficit/hyperactivity disorder (Guevera et al., 2001); Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder (Leibson et al., 2001); Health care use and costs for children with attention-deficit/hyperactivity disorder — national estimates from the Medical Expenditure Panel Survey (Chan et al., 2002); The attention-deficit hyperactivity disorder paradox — 2. Phenotypic variability in prevalence and cost of comorbidity (Burd et al., 2003a,b); Medical expenditures among children with psychiatric disorders in a Medicaid population (Mandell et al., 2003); Incidence and costs of accidents among attention-deficit/hyperactivity disorder patients (Swensen et al., 2004); Cost-effectiveness of ADHD treatments — findings from the Multimodal Treatment Study of Children with ADHD (Jensen et al., 2005); Consumer Price Index (2005); additional sources cited in publication

Economic Evaluation / Methods and Source

Citation:

  • Pelham WE, Foster EM, and Robb JA. 2007. The economic impact of attention-deficit/hyperactivity disorder in children and adolescents. Ambulatory Pediatrics.

Pubmed:

DOI:

NIEHS Funding: (Not available)

Other Funding: (Not available)

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