Service Use Patterns for Adolescents with ADHD and Comorbid Conduct Disorder

  • Damon E. Jones
  • E. Michael Foster
  • Conduct Problems Prevention Research Group
Regular Article


Service use patterns and costs of youth diagnosed with attention-deficit/hyperactivity disorder (ADHD) and comorbid conduct disorder (CD) were assessed across adolescence (ages 12 through 17). Featured service sectors include mental health, school services, and the juvenile justice system. Data are provided by three cohorts from the Fast Track evaluation and are based on parent report. Diagnostic groups are identified through a structured assessment. Results show that public costs for youth with ADHD exceed $40,000 per child on average over a 6-year period, more than doubling service expenditures for a non-ADHD group. Public costs for children with comorbid ADHD and CD double the costs of those with ADHD alone. Varying patterns by service sector, diagnosis, and across time indicate different needs for youth with different conditions and at different ages and can provide important information for prevention and treatment researchers.


service use ADHD comorbidity economics 



This work was supported by National Institute of Mental Health (NIMH) grants R18 MH48043, R18 MH50951, R18 MH50952, and R18 MH50953. The Center for Substance Abuse Prevention and the National Institute on Drug Abuse also have provided support for Fast Track through a memorandum of agreement with the NIMH. This work was also supported in part by the Department of Education grant S184U30002 and NIMH grants K05MH00797 and K05MH01027. The economic analysis of the Fast Track project is supported through R01MH62988. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute On Drug Abuse or the National Institutes of Health.


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Copyright information

© National Council for Community Behavioral Healthcare 2008

Authors and Affiliations

  • Damon E. Jones
    • 1
  • E. Michael Foster
    • 2
  • Conduct Problems Prevention Research Group
  1. 1.Penn State UniversityUniversity ParkUSA
  2. 2.University of North Carolina-Chapel HillChapel HillUSA

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