Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Family Costs Associated With Severe Mental Illness and Substance Use
Robin E. Clark
Psychiatric Services 1994; doi:
View Author and Article Information

This project was partly supported by grant RO1-MH47567 from the National Institute of Mental Health. The author thanks Robert Drake, Tom McGuire, and Mark Kamlet for comments on an earlier draft and Maian Wheeler for help with data collection.

Dartmouth Medical School, Strasenburgh 7250, Hanover, New Hampshire 03755

1994 by the American Psychiatric Association

text A A A
PDF of the full text article.

The study's aim was to document the economic assistance in the form of money, in-kind contributions, and time spent in caregiving by families of adults with both severe mental illness and substance use disorders.Methods: A total of 1l9 families of adults with dual disorders were compared with a similar group of 127 families whose adult children had no chronic illnesses. in telephone interviews, parents reported the amount of money, goods, and direct care family members gave to a designated adult child. Two methods were used to estimate the value of family time: opportunity costs, based on the average wage for production workers in the study area, and the cost of paid substitutes for the task being performed.Results: Parents of adults with dual disorders reported that family members gave significantly more money and time to the adult child than did parents of adults with no chronic illnesses. The estimated value of family assistance in the dual disorder group was $9,703 using the opportunity-cost method and $13,891 using the substitution method, compared with costs of $2,421 and $3,547 for the group with no chronic illnesses.Conclusions: Dual disorders impose a significant economic burden on families. Direct support that families provide to adult children with dual disorders should be considered carefully in treatment planning and policy decisions.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Related Content
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 34.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 33.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 6.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 9.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 1.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles