Societal Costs of Child and Adolescent Mental Health Disorders
Costs related to mental health and neurodevelopmental conditions (MHNCs) in childhood are experienced by multiple groups, including families, public and private service systems, and society as a whole. This chapter provides a conceptual model of MHNC-related costs, reviews estimates of short-term and long-term costs, and discusses the role of economic evaluation of services. Our conceptual model suggests that it is critical to consider costs from a broad point of view, but current literature on cost of MHNCs is uneven, with significant focus on short-term health system costs and very little emphasis on long-term costs or costs outside the health system, such as costs to families. There is a growing body of literature on MHNC costs, but more emphasis is needed in areas where there is little data to ensure that decision-makers have comprehensive data on the impact of MHNCs in order to manage scarce resources equitably and efficiently.