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Economic cost of severe antisocial behaviour in children--and who pays it
Renee Romeo1, Martin Knapp, Stephen Scott
1Centre for the Economics of Mental Health Institute of Psychiatry, King's College, London, UK.
Insights
Persistent antisocial behavior in children incurs substantial costs, with families bearing the heaviest financial burden. Early intervention can yield significant economic benefits.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Health Economics
Background:
- Persistent antisocial behavior is a prevalent childhood mental health issue with significant societal impact.
- The economic costs associated with childhood antisocial behavior are not well-understood.
Purpose of the Study:
- To quantify the costs of childhood antisocial behavior in the UK.
- To identify which entities bear these costs.
Main Methods:
- A study involving 80 children aged 3-8 years referred to mental health services.
- Utilized the Client Service Receipt Inventory for Childhood to collect cost data.
Main Results:
- The mean annual total cost was £5960 per child.
- Families incurred the largest cost burden (£4637), followed by the National Health Service, education, and voluntary agencies.
- More severe behavior and male gender predicted higher costs.
Conclusions:
- Childhood antisocial behavior in the UK presents substantial and widespread economic costs, with families facing the greatest financial strain.
- Implementing evidence-based interventions is projected to result in considerable short- and long-term economic advantages.
Background:
Persistent antisocial behaviour is the most common mental health problem in childhood and has widespread effects, yet little is known about what it costs.
Aims:
To identify the costs incurred by children with antisocial behaviour in the UK, and who pays these costs.
Method:
Eighty children aged 3-8 years referred to mental health services were studied using the Client Service Receipt Inventory for Childhood.
Results:
The mean annual total cost was pound 5960 (median 4597, range 48-19 940). The services used were mainly the National Health Service, education and voluntary agencies, but the greatest cost burden, pound 4637, was borne by the family. Higher cost was predicted by more severe behaviour and being male.
Conclusions:
The annual cost of severe antisocial behaviour in childhood in the UK is substantial and widespread, involving several agencies, but the burden falls most heavily on the family. Wider uptake of evidence-based interventions is likely to lead to considerable economic benefits in the short term, and probably even more in the long term.
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