Social Psychiatry and Psychiatric Epidemiology

, Volume 30, Issue 5, pp 196–205 | Cite as

An economic evaluation of schizophrenia-1991

  • R. J. Wyatt
  • I. Henter
  • M. C. Leary
  • E. Taylor
Original Paper


In 1991, the costs for schizophrenia, which has a lifetime prevalence of 1.5% among adult Americans, totaled $65 billion. Costs were broken down into their direct and indirect components. Direct costs, which totaled $19 billion dollars, consisted of treatment-related expenditures such as those for inpatients and outpatients, as well as nontreatment-related expen-ditures such as those for the criminal justice system used by individuals with schizophrenia. The direct costs were fairly similar to those of other recent estimates of the cost of schizophrenia. Indirect costs, which were $46 billion dollars, included the lost productivity of both wage earners ($24 billion) and homemakers ($4.5 billion), individuals who were in institutions ($4.5 billion) or who had committed suicide ($7 billion), and caregivers who took care of schizophrenic family members ($7 billion). Our method for calculating the indirect costs was slightly different than methods used in prior studies, which may account for our estimates being higher. The method for determining each expenditure is provided, and the implications of these stag-gering costs are discussed.


Public Health Family Member Schizophrenia Economic Evaluation Criminal Justice 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • R. J. Wyatt
    • 1
  • I. Henter
    • 1
  • M. C. Leary
    • 1
  • E. Taylor
    • 2
  1. 1.Neuropsychiatry BranchNational Institute of Mental Health, Neuroscience Research Center at St. ElizabethsWashingtonUSA
  2. 2.Department of PsychiatryUniversity of North Carolina Medical SchoolChapel HillUSA

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