Long term economic impact of childhood emotional and behavioural problems

儿童情绪和行为问题的长期经济影响

• 批准号: ES/P002889/1
• 负责人: Sara Evans-Lacko
• 金额: $ 20.57万
• 依托单位: London School of Economics and Political Science
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2017
• 资助国家: 英国
• 起止时间: 2017 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FP002889%2F1
• 关键词: Long; term; economic; impact; childhood

This study will evaluate the economic impacts in adulthood of mental health problems experienced by children and young people. Mental health problems are common among children and young people and it is known that they can have long lasting effects into adulthood. These effects have economic consequences, both in the short term (e.g., through the costs of health care and educational support) and into adulthood and across the life-span (e.g. service use in adulthood due to continued difficulties, loss of earnings and unemployment). There is only limited information on the relationship between early difficulties and economic impacts in adulthood. Existing studies only look at short-term impacts, or focus on specific communities or types of mental disorder.Data from three British birth cohorts will be used, providing detailed information on people born in 1946, 1958 and 1970. Data have been collected from these groups of people from birth throughout their lives, including information on their mental health, use of mental health services, education, employment and income.These data will be analysed to understand how mental health problems among children and young people are linked to different outcomes during adulthood. Our study has four parts:First, we will analyse the economic impacts up to mid and later adulthood associated with childhood mental health problems, by looking at how childhood difficulties are linked to specific events in adulthood (for example, using services for mental health problems, having been in contact with the criminal justice system, a person's level of income, whether they have received benefits) and work out the costs of these outcomes. Second, we will investigate whether the effects of having a mental health problem early in life influence various economic impacts over the lifespan. At what ages are costs greatest? How do these cost patterns differ among individuals, for example by gender, ethnicity or socioeconomic group? Do some types of mental health problem have higher costs later in life? We will also look at how changes in educational, health and social care policies have influenced costs.Third, we plan to understand and assess the potential for the long term economic effects of early intervention for mental health problems and the impact needed for early interventions to be cost saving. Finally, we plan to use the findings from this research as a basis for more detailed studies in the future. By taking into account the new information this research provides about the relationship between childhood difficulties and their economic impact during mid and later adulthood, future studies can investigate these associations in more detail (for example, types of childhood difficulties, costs associated with these over the life course, causal pathways for these costs and benefits of various mental health interventions).

这项研究将评估儿童和年轻人在成年后经历的心理健康问题的经济影响。心理健康问题在儿童和年轻人中很常见，众所周知，这些问题可能会对成年产生长期的影响。这些影响在短期内(例如，通过保健和教育支助的费用)、成年期和整个生命周期(例如，由于持续困难、收入损失和失业而在成年期使用服务)产生了经济后果。关于成年后早期困难与经济影响之间的关系的信息有限。现有的研究只着眼于短期影响，或者专注于特定的社区或精神障碍类型。将使用来自三个英国出生队列的数据，提供1946年、1958年和1970年出生的人的详细信息。这些人从出生起就收集了他们一生中的数据，包括他们的精神健康、精神健康服务的使用情况、教育、就业和收入。这些数据将被分析，以了解儿童和年轻人的精神健康问题如何与成年后的不同结果联系在一起。我们的研究分为四个部分：首先，我们将分析与儿童心理健康问题有关的成年中后期的经济影响，看看儿童困难与成年期间的特定事件(例如，使用心理健康服务、是否与刑事司法系统接触、一个人的收入水平、他们是否接受过福利)是如何联系起来的，并计算出这些结果的成本。其次，我们将调查早年有心理健康问题的影响是否会影响对寿命的各种经济影响。什么年龄段的成本最高？这些成本模式在个人之间有何不同，例如按性别、种族或社会经济群体？某些类型的心理健康问题是否会在以后的生活中付出更高的代价？我们还将研究教育、医疗和社会保健政策的变化如何影响成本。第三，我们计划了解和评估精神健康问题早期干预的长期经济影响的潜力，以及早期干预所需的成本节约的影响。最后，我们计划将这项研究的结果作为未来更详细研究的基础。通过考虑到这项研究提供的关于儿童困难与其在成年中后期的经济影响之间关系的新信息，未来的研究可以更详细地调查这些联系(例如，儿童困难的类型，与之相关的生命过程中的成本，这些成本的因果路径以及各种心理健康干预措施的好处)。

项目成果

Health Service Costs in Adulthood Associated with Adolescent Mental Health Problems in Three British Cohorts

英国三个群体中与青少年心理健康问题相关的成年期医疗服务费用

• 发表时间: 2022
• 期刊: The Journal of Mental Health Policy and Economics
• 作者: Gronholm P