The economic impact of subthreshold and clinical childhood mental disorders
Abstract
BACKGROUND: Mental disorders are common health problems associated with serious impairment and economic impact. AIMS: To estimate the costs of clinical and subthreshold mental disorders in a sample of Brazilian children. METHOD: The High Risk Cohort Study is a community study conducted in two major Brazilian cities. Subjects were 6-14 years old children being registered at school. From an initial pool of 9937 children, two subgroups were further investigated using a random-selection (n = 958) and high-risk group selection procedure (n = 1554), resulting in a sample of 2512 subjects. Mental disorder assessment was made using the Development and Well-Being Assessment. Costs for each child were estimated from the following components: mental health and social services use, school problems and parental loss of productivity. RESULTS: Child subthreshold and clinical mental disorders showed lifetime mean total cost of $1750.9 and $3141.2, respectively. National lifetime cost estimate was $9.9 billion for subthreshold mental disorders and $11.6 billion for clinical mental disorders (values in US$ purchasing power parity). CONCLUSIONS: This study provides evidence that child mental disorders have a great economic impact on society. There is an urgent need to plan an effective system of care with cost-effective programs of treatment and prevention to reduce economic burden.
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Subclinical symptoms lead to high healthcare costs and reduced economic productivity.
“lead to high healthcare costs and reduced economic productivity [11, 12]”
From Efficacy of a transdiagnostic Internet prevention approach in adolescents (EMPATIA study): study protocol of a randomized controlled trial (2024) · cites this paper as [11]
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- Authors
- Fatori, D., Salum, G., Itria, A., Pan, P., Alvarenga, P., Rohde, L. A., Bressan, R., Gadelha, A., de Jesus Mari, J., Conceição do Rosário, M., Manfro, G., Polanczyk, G., Miguel, E. C., & Graeff-Martins, A. S.
- Affiliations
- Universidade de São Paulo (BR)
- Universidade Federal do Rio Grande do Sul (BR)
- Universidade Federal de Goiás (BR)
- Universidade Federal de São Paulo (BR)
- Department of Psychiatry, University of Sao Paulo Medical School, Sao Paulo, Brazil,
- Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil
- Department of Psychiatry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil,
- Corresponding author
- Fatori, Daniel
- ORCID
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2018-04-28
- Volume
- 27
- Issue
- 6
- Pages
- 588-594
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- OpenAlex
- W2800387399
- Cited by
- 47
- References
- 56
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 12 · 2023: 3 · 2022: 7 · 2021: 9 · 2020: 6
- FWCI
- 5.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- child psychopathology, economic burden, lifetime costs, mental health service utilization, school problems, vulnerable children, Brazil
- MeSH terms
- Adolescent, Mental Disorders, Brazil, Child, Efficiency, Female, Humans, Male, Mental Health Services, Social Work, Cohort Studies, Health Care Costs, Cost of Illness
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