Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

One year of health and social services for adults 40–50 years old with Down's syndrome

A calculation of costs in a delimited area of Denmark


The costs of the public health and social security system supporting adults 40–50 years old with Down's syndrome during one year (1984) have been investigated in the county of Aarhus, representing about 10% of the Danish population. 77% of the probands live in institutions, the rest in private homes or sheltered residences. The average yearly price of an institutionalized adult is DKr. 237,900 =US$ 21,128 = £ 18,174. If the person lives in a private home, the same figures are DKr. 107,239 =US$ 9,524=↬ 8,393. Average for all probands: DKr. 207,587 = US$18,436 = £ 15,858, which is 127% of a skilled worker's salary.

This is a preview of subscription content, log in to check access.


  1. Andreano RL, McCollum DW (1983) A benefit-cost analysis of amniocentesis. Soc Biol 30: 347–373

  2. Dupont A (1975) Mentally retarded in Denmark. An epidemiological study of 21,000 registered cases. Some results of a census, May 1974. Dan Med Bull 22: 243–251

  3. Dupont A (1980) Study concerning the time-related and other burdens when severely handicapped children are reared at home. Acta Psychiatr Scand [Suppl 285162

  4. Dupont A (1986) Socio-psychiatric aspects of the young severely mentally retarded and the family. Br J Psychiatry 148: 227–234

  5. Dupont A, Vaeth M, Videbech P (1986) Mortality and life expectancy of Down's syndrome in Denmark. J Ment Defc Res 30: 111–120

  6. Goldstein H, Philip J, Dupont A (1986) One year of health and social services for children 3–7 years old with Down syndrome. A calculation of costs in two Danish counties. Soc Psychiatry 21: 134–138

  7. Hagard S, Carter FA (1976) Preventing the birth of infants with Down's syndrome: a cost benefit analysis. Br Med J 1: 753–756

  8. Hook EB, Chambers GM (1977) Estimated rates of Down syndrome in live births by one maternal age intervals for mothers aged 20–49 in a New York State study - implications of the risk figures for genetic counseling and cost-benefit analysis of prenatal diagnosis programs. Birth Defects 13: 123–141

  9. Mikkelsen M, Nielsen G (1976) Cost-benefit analysis of prevention of Down's syndrome. Prenatal Diagnosis. In: Boue A (ed) INSERM, vol 61, 283–289

  10. Nielsen J (ed) (1980) The Danish cytogenetic central register, organization and results. Thieme, Stuttgart New York

  11. Rasmussen K, Nielsen J, Dahl G (1982) The prevalence of chromosome abnormalities among mentally retarded persons in a geographically delimited area of Denmark. Clin Genet 22: 244–255

  12. Sinex FM, Merril CR (eds) (1982) Alzheimer's disease, Down's syndrome, and aging. Ann NY Acad Sci 396

  13. Stein Z, Susser M, Guterman AV (1973) Screening programme for prevention of Down's syndrome. Lancet I: 305–310

Download references

Author information

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Goldstein, H. One year of health and social services for adults 40–50 years old with Down's syndrome. Soc Psychiatry Psychiatr Epidemiol 23, 126–131 (1988).

Download citation


  • Public Health
  • Social Security
  • Social Service
  • Security System
  • Skilled Worker