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Cost-Effectiveness of Interventions for Children and Adolescents with Psychiatric Disorders

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Abstract

The objective of this chapter is to provide an overview of the cost-effectiveness of interventions for the major burdensome mental health disorders occurring during childhood and adolescence: autism spectrum disorders, attention-deficit/hyperactivity disorder, and conduct disorders. Interventions in childhood have a great impact on society as a whole, not just the children and their families. The costs of psychiatric disorders in children and adolescents are reflected in education, justice, and productivity over their lifetime. However, cost-effectiveness evaluations of mental health interventions in children are more rare than in adults.

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References

  1. Beecham J. Annual research review: child and adolescent mental health interventions: a review of progress in economic studies across different disorders. J Child Psychol Psychiatry. [Internet]. 2014 [cited 20 Nov 2016];55:714–32. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4657502&tool=pmcentrez&rendertype=abstract

  2. Suhrcke M, Pillas D, Selai C. Economic aspects of mental health in children and adolescents [Internet]. Who.backgr. Pap. 2007. p. 43–64. Available from: http://www.euro.who.int/__data/assets/pdf_file/0003/76485/Hbsc_Forum_2007_economic_aspects.pdf

  3. Shah A, Jenkins R. Mental health economic studies from developing countries reviewed in the context of those from developed countries. Acta Psychiatr Scand [Internet]. 2000 [cited 11 Dec 2016];101:87–103. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10706008

  4. Roberts RE, Attkisson CC, Rosenblatt A. Prevalence of psychopathology among children and adolescents. Am J Psychiatry [Internet]. 1998 [cited 20 Nov 2016];155:715–25. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9619142

  5. Skovgaard AM. Mental health problems and psychopathology in infancy and early childhood. An epidemiological study. Dan Med Bull [Internet]. 2010 [cited 11 Dec 2016];57:B4193. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21040689

  6. Gustavsson A, Svensson M, Jacobi F, Allgulander C, Alonso J, Beghi E, et al. Cost of disorders of the brain in Europe 2010. Eur Neuropsychopharmacol [Internet]. 2011 [cited 11 Dec 2016];21:718–79. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21924589

  7. Barrett B, Byford S, Chitsabesan P, Kenning C. Mental health provision for young offenders: service use and cost. Br J Psychiatry [Internet]. 2006 [cited 11 Dec 2016];188:541–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16738344

  8. Minnis H, Everett K, Pelosi AJ, Dunn J, Knapp M. Children in foster care: mental health, service use and costs. Eur Child Adolesc Psychiatry [Internet]. 2006 [cited 11 Dec 2016];15:63–70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16523249

  9. Romeo R, Knapp M, Scott S. Economic cost of severe antisocial behaviour in children – and who pays it. Br J Psychiatry [Internet]. 2006 [cited 10 Oct 2016];188:547–53. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16738345

  10. Clark AF, O’Malley A, Woodham A, Barrett B, Byford S. Children with complex mental health problems: needs, costs and predictors over one year. Child Adolesc Ment Health [Internet]. 2005 [cited 11 Dec 2016];10:170–8. Available from: http://doi.wiley.com/10.1111/j.1475-3588.2005.00349.x

  11. Muntz R, Hutchings J, Edwards R-T, Hounsome B, O’Céilleachair A. Economic evaluation of treatments for children with severe behavioural problems. J Ment Health Policy Econ [Internet]. 2004 [cited 11 Dec 2016];7:177–89. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15701933

  12. Järbrink K, Fombonne E, Knapp M. Measuring the parental, service and cost impacts of children with autistic spectrum disorder: a pilot study. J Autism Dev Disord [Internet]. 2003 [cited 11 Dec 2016];33:395–402. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12959418

  13. Beecham J, Chadwick O, Fidan D, Bernard S. Children with severe learning disabilities: needs, services and costs. Child. Soc. [Internet]. 2002 [cited 11 Dec 2016];16:168–81. Available from: http://doi.wiley.com/10.1002/chi.690

  14. Chisholm D, Knapp MR, Knudsen HC, Amaddeo F, Gaite L, van Wijngaarden B. Client socio-demographic and service receipt inventory – European version: development of an instrument for international research. EPSILON Study 5. European psychiatric services: inputs linked to outcome domains and needs. Br. J. Psychiatry. Suppl. [Internet]. 2000 [cited 22 Nov 2014];s28–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10945075

  15. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Press; 2013.

    Book  Google Scholar 

  16. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th-Revise ed. Washington, DC: APA; 2000.

    Google Scholar 

  17. Center for Disease Control and Prevention. Autism spectrum disorder (ASD) [Internet]. 2016. Available from: http://www.cdc.gov/ncbddd/autism/index.html

  18. Mandell DS, Morales KH, Xie M, Lawer LJ, Stahmer AC, Marcus SC. Age of diagnosis among medicaid-enrolled children with autism, 2001–2004. Psychiatr. Serv. [Internet]. 2010 [cited 17 Dec 2016];61:822–9. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2966012&tool=pmcentrez&rendertype=abstract

  19. Horsman J, Furlong W, Feeny D, Torrance G. The Health Utilities Index (HUI): concepts, measurement properties and applications. Health Qual. Life Outcomes [Internet]. 2003 [cited 18 Dec 2016];1:54. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=293474&tool=pmcentrez&rendertype=abstract

  20. Wille N, Badia X, Bonsel G, Burström K, Cavrini G, Devlin N, et al. Development of the EQ-5D-Y: a child-friendly version of the EQ-5D. Qual. Life Res. [Internet]. 2010 [cited 18 Dec 2016];19:875–86. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2892611&tool=pmcentrez&rendertype=abstract

  21. Stevens K. The child health utility 9D (CHU9D). A new, paediatric, preference-based measure of health related quality of life. Patient Rep. Outcomes [Internet]. Lyon; 2010;43:11–2. Available from: http://www.pro-newsletter.com/images/PDF/pron43-final.pdf

  22. National Collaborating Centre for Mental Health. Autism: the management and support of children and young people on the autism spectrum. [Internet]. Nice Clinical Guidelines, editor. Leicester: British Psychological Society; 2013. Available from: https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0078143/

  23. Payakachat N, Tilford JM, Kovacs E, Kuhlthau K. Autism spectrum disorders: a review of measures for clinical, health services and cost-effectiveness applications. Expert Rev. Pharmacoecon. Outcomes Res. [Internet]. 2012 [cited 17 Dec 2016];12:485–503. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3502071&tool=pmcentrez&rendertype=abstract

  24. Rogers SJ, Vismara LA. Evidence-based comprehensive treatments for early autism. J Clin Child Adolesc Psychol. 2010;37:8–38.

    Article  Google Scholar 

  25. Horlin C, Falkmer M, Parsons R, Albrecht MA, Falkmer T. The cost of autism spectrum disorders. PLoS One [Internet]. 2014 [cited 27 Nov 2016];9:e106552. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4156354&tool=pmcentrez&rendertype=abstract

  26. Allen-Meares P, MacDonald M, McGee K. Autism spectrum disorder updates – relevant information for early interventionists to consider. Front. Public Health. [Internet]. 2016 [cited 1 Dec 2016];4:236. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=5083851&tool=pmcentrez&rendertype=abstract

  27. Dawson G, Rogers S, Munson J, Smith M, Winter J, Greenson J, et al. Randomized, controlled trial of an intervention for toddlers with autism: the early start Denver Model. Pediatrics [Internet]. 2010 [cited 29 Nov 2016];125:e17–23. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4951085&tool=pmcentrez&rendertype=abstract

  28. Chasson GS, Harris GE, Neely WJ. Cost comparison of early intensive behavioral intervention and special education for children with autism. J. Child Fam. Stud. [Internet]. 2007;16:401–13. Available from: http://dx.doi.org/10.1007/s10826-006-9094-1

  29. Motiwala SS, Gupta S, Lilly MB, Ungar WJ, Coyte PC. The cost-effectiveness of expanding intensive behavioural intervention to all autistic children in Ontario: in the past year, several court cases have been brought against provincial governments to increase funding for Intensive Behavioural Intervention. Healthc. Policy [Internet]. 2006 [cited 18 Dec 2016];1:135–51. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2585334&tool=pmcentrez&rendertype=abstract

  30. Penner M, Rayar M, Bashir N, Roberts SW, Hancock-Howard RL, Coyte PC. Cost-effectiveness analysis comparing pre-diagnosis autism spectrum disorder (ASD)-targeted intervention with Ontario’s autism intervention program. J. Autism Dev. Disord. [Internet]. 2015 [cited 17 Dec 2016];45:2833–47. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25936527

  31. Farmer C, Thurm A, Grant P. Pharmacotherapy for the core symptoms in autistic disorder: current status of the research. Drugs [Internet]. 2013 [cited 17 Dec 2016];73:303–14. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3632301&tool=pmcentrez&rendertype=abstract

  32. Accordino RE, Kidd C, Politte LC, Henry CA, McDougle CJ. Psychopharmacological interventions in autism spectrum disorder. Expert Opin. Pharmacother. [Internet]. 2016 [cited 27 Nov 2016];17:937–52. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26891879

  33. Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am. J. Psychiatry [Internet]. 2007 [cited 27 Nov 2016];164:942–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17541055

  34. Thomas R, Sanders S, Doust J, Beller E, Glasziou P. Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics [Internet]. 2015 [cited 18 Dec 2016];135:e994–1001. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25733754

  35. Küpper T, Haavik J, Drexler H, Ramos-Quiroga JA, Wermelskirchen D, Prutz C, et al. The negative impact of attention-deficit/hyperactivity disorder on occupational health in adults and adolescents. Int. Arch. Occup. Environ. Health [Internet]. 2012 [cited 18 Dec 2016];85:837–47. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22752312

  36. Dalsgaard S, Østergaard SD, Leckman JF, Mortensen PB, Pedersen MG. Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: a nationwide cohort study. Lancet. London [Internet]. 2015 [cited 18 Dec 2016];385:2190–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25726514

  37. Wu EQ, Hodgkins P, Ben-Hamadi R, Setyawan J, Xie J, Sikirica V, et al. Cost effectiveness of pharmacotherapies for attention-deficit hyperactivity disorder: a systematic literature review. CNS Drugs [Internet]. 2012 [cited 20 Dec 2016];26:581–600. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22712698

  38. Catalá-López F, Ridao M, Sanfélix-Gimeno G, Peiró S. Cost-effectiveness of pharmacological treatment of attention deficit hyperactivity disorder in children and adolescents: qualitative synthesis of scientific evidence. Rev. Psiquiatr. Salud Ment. [Internet]. [cited 20 Nov 2016];6:168–77. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23453596

  39. Sikirica V, Haim Erder M, Xie J, Macaulay D, Diener M, Hodgkins P, et al. Cost effectiveness of guanfacine extended release as an adjunctive therapy to a stimulant compared with stimulant monotherapy for the treatment of attention-deficit hyperactivity disorder in children and adolescents. Pharmacoeconomics [Internet]. 2012 [cited 18 Dec 2016];30:e1–15. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3576910&tool=pmcentrez&rendertype=abstract

  40. Foster EM, Jensen PS, Schlander M, Pelham WE, Hechtman L, Arnold LE, et al. Treatment for ADHD: is more complex treatment cost-effective for more complex cases? Health Serv. Res. [Internet]. 2007 [cited 18 Dec 2016];42:165–82. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1955245&tool=pmcentrez&rendertype=abstract

  41. Gilmore A, Milne R. Methylphenidate in children with hyperactivity: review and cost-utility analysis. Pharmacoepidemiol. Drug Saf. [Internet]. [cited 18 Dec 2016];10:85–94. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11499858

  42. Dretzke J, Frew E, Davenport C, Barlow J, Stewart-Brown S, Sandercock J, et al. The effectiveness and cost-effectiveness of parent training/education programmes for the treatment of conduct disorder, including oppositional defiant disorder, in children. Health Technol. Assess. [Internet]. 2005 [cited 20 Nov 2016];9:iii, ix–x, 1–233. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16336845

  43. Foster EM, Jones DE. The high costs of aggression: public expenditures resulting from conduct disorder. Am. J. Public Health [Internet]. 2005 [cited 19 Dec 2016];95:1767–72. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1449434&tool=pmcentrez&rendertype=abstract

  44. Foster EM, Jones D. Can a costly intervention be cost-effective?: An analysis of violence prevention. Arch. Gen. Psychiatry [Internet]. 2006 [cited 27 Nov 2016];63:1284–91. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2753445&tool=pmcentrez&rendertype=abstract

  45. Furlong M, McGilloway S, Bywater T, Hutchings J, Smith SM, Donnelly M. Cochrane review: behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years (Review). Evid. Based. Child Health [Internet]. 2013 [cited 27 Nov 2016];8:318–692. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23877886

  46. Edwards RT, Céilleachair A, Bywater T, Hughes DA, Hutchings J. Parenting programme for parents of children at risk of developing conduct disorder: cost effectiveness analysis. BMJ [Internet]. 2007 [cited 20 Nov 2016];334:682. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1839236&tool=pmcentrez&rendertype=abstract

  47. O’Neill D, McGilloway S, Donnelly M, Bywater T, Kelly P. A cost-effectiveness analysis of the incredible years parenting programme in reducing childhood health inequalities. Eur J Health Econ [Internet]. 2013;14:85–94. Available from: http://dx.doi.org/10.1007/s10198-011-0342-y

    Article  Google Scholar 

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Kayo, M. (2017). Cost-Effectiveness of Interventions for Children and Adolescents with Psychiatric Disorders. In: Razzouk, D. (eds) Mental Health Economics. Springer, Cham. https://doi.org/10.1007/978-3-319-55266-8_23

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  • DOI: https://doi.org/10.1007/978-3-319-55266-8_23

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