Treatment paths and costs for young adults with acquired brain injury in the United Kingdom.
OBJECTIVE
To identify the health and social care services used by young adults aged 18-25 years with acquired brain injury (ABI) and the costs of these supports.


METHODS
A review of existing literature and databases and contact with academics and stakeholders working with people with ABI.


RESULTS
The likely care pathways of young adults with ABI were mapped over a notional 1-year period after presentation at hospital accident and emergency departments. Most young adults with ABI will use minimal health and social care support following injury but those with subsequent disabilities may cost the health and social care budget in excess of pound47.2 million per year.


CONCLUSIONS
Lack of available data mean the service use and cost estimates draw from a range of sources. However, the costs may under-estimate the true impact on budgets as incidence rates may be higher than identified and conservative values were selected for unit costs. The model estimates the cost of treatment and support as provided today, but high levels of unmet need remain.
Beecham
Jennifer
J
Personal Social Services Research Unit, London School of Economics, London, UK. j.k.beecham@kent.ac.uk
Perkins
Margaret
M
Snell
Tom
T
Knapp
Martin
M
D000293:Adolescent; D000328:Adult; D001930:Brain Injuries / Q000191:economics* / Q000628:therapy; D002985:Clinical Protocols; D019091:Critical Pathways / Q000191:economics*; D005260:Female; D017048:Health Care Costs; D006296:Health Services / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D017059:Models, Econometric; D012947:Social Work / Q000191:economics; D006113:United Kingdom; D055815:Young Adult