TY - JOUR
T1 - Italian regional health service costs for diagnosis and 1-year treatment of ADHD in children and adolescents
AU - Casadei, Gianluigi
AU - Cartabia, Massimo
AU - Reale, Laura
AU - Costantino, Antonella
AU - Bonati, Maurizio
AU - Conte, Stefano
AU - Renzetti, Valeria
AU - Salvoni, Laura
AU - Molteni, Massimo
AU - Trabattoni, Sara
AU - Effedri, Paola
AU - Filippini, Elena
AU - Pedercini, Elisabetta
AU - Zanetti, Edda
AU - Fteita, Nadia
AU - Arisi, Daniele
AU - Mapelli, Roberta
AU - Frassica, Simona
AU - Oriani, Simonetta
AU - Trevisan, Christian
AU - Acquistapace, Susanna
AU - Martinelli, Ottaviano
AU - Villani, Davide
AU - Binaghi, Emanuela
AU - Deriu, Andrea
AU - Ricotta, Ernesta
AU - Borchia, Arianna
AU - Morosini, Paola
AU - Breviglieri, Maddalena
AU - Capovilla, Giuseppe
AU - Segala, Roberto
AU - Bissoli, Claudio
AU - Canevini, Maria Paola
AU - Costantino, Antonella
AU - Cropanese, Isabella
AU - Didoni, Anna
AU - Fornaro, Emiddio
AU - Merati, Silvia
AU - Ottolini, Alberto
AU - Saccani, Monica
AU - Vaccari, Roberto
AU - Valenti, Vera
AU - Valentino, Alessandra
AU - Balottin, Umberto
AU - Chiappedi, Matteo
AU - Vlacos, Elena
AU - Meraviglia, Corrado
AU - Palmieri, Maria Grazia
AU - Ruffoni, Gianpaolo
AU - Rossi, Giorgio
AU - Lombardy ADHD Group
PY - 2017/4/28
Y1 - 2017/4/28
N2 - The main aim of this study was to estimate the costs associated with diagnostic assessment and 1-year therapy in children and adolescents enrolled in 18 ADHD reference centres. Data concerning 1887 children and adolescents from the mandatory ADHD registry database during the 2012-2014 period were analysed. The overall diagnostic and treatment costs per patient amounts to €574 and €830, respectively. The ADHD centre, the school as sender, and the time to diagnosis constitute cost drivers. Non-pharmacological therapy resulted as being more expensive for patients concomitantly treated with drugs (€929) compared to those treated with psychological interventions alone (€590; p=0.006). This study gives the first and reliable estimate of the costs associated with both diagnosis and treatment of ADHD in Italy. Although costs associated with mental disorders are difficult to estimate, continuing efforts are need to define costs and resources to guarantee appropriate care, also for ADHD.
AB - The main aim of this study was to estimate the costs associated with diagnostic assessment and 1-year therapy in children and adolescents enrolled in 18 ADHD reference centres. Data concerning 1887 children and adolescents from the mandatory ADHD registry database during the 2012-2014 period were analysed. The overall diagnostic and treatment costs per patient amounts to €574 and €830, respectively. The ADHD centre, the school as sender, and the time to diagnosis constitute cost drivers. Non-pharmacological therapy resulted as being more expensive for patients concomitantly treated with drugs (€929) compared to those treated with psychological interventions alone (€590; p=0.006). This study gives the first and reliable estimate of the costs associated with both diagnosis and treatment of ADHD in Italy. Although costs associated with mental disorders are difficult to estimate, continuing efforts are need to define costs and resources to guarantee appropriate care, also for ADHD.
KW - Ambulatory/outpatient care
KW - Child and adolescent health
KW - Health care costs
KW - Mental health
UR - http://www.scopus.com/inward/record.url?scp=85018450195&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85018450195&partnerID=8YFLogxK
U2 - 10.1186/s13033-017-0140-8
DO - 10.1186/s13033-017-0140-8
M3 - Article
SN - 1752-4458
VL - 11
JO - International Journal of Mental Health Systems
JF - International Journal of Mental Health Systems
IS - 1
M1 - 33
ER -