Healey, Andrew Thomas
(2005)
Economic implications of psychosocial development in childhood: Long-term outcomes and the costs of intervention.
PhD thesis, London School of Economics and Political Science.
Abstract
This thesis explores two issues: 1. the relationship between emotional and behavioural difficulties in childhood and adult economic attainment; and 2. the costs arising from the public service response to child and adolescent psychosocial difficulties. After a review of the relevant literature, longitudinal data are used to examine the first of these issues. The relationship between psychosocial development and labour market outcomes are examined for a cohort of British males of predominantly working class origin. Similar longitudinal analyses are then repeated in a national and more socially representative British birth cohort born in 1970 who were most recently followed-up at age 30. Econometric estimations relating to age 30 earnings within the 1970 cohort are combined with cross-sectional earnings data from a large survey of the UK labour force to arrive at a series of lifecycle earnings projections for workers who experienced childhood psychosocial problems. Potential justifications for public intervention are examined followed by an outline of current service arrangements in the UK and a discussion of recent policy developments towards child and adolescent psychosocial problems. Service utilisation data from a major epidemiological survey of the mental health of children and adolescents in Britain are then used to derive new empirical estimates of the costs to the National Health Service and education system arising from child and adolescent psychopathology. Individual variations in costs are then examined in more detail using multivariate statistical methods with a view to assessing the extent to which services are responsive to psychosocial problems that are more socially and academically disabling.
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