Skip to main content

Total Cost of FASD Including the Economics of FASD Associated with Crimes

  • Chapter
  • First Online:
Ethical and Legal Perspectives in Fetal Alcohol Spectrum Disorders (FASD)

Part of the book series: International Library of Ethics, Law, and the New Medicine ((LIME,volume 75))

  • 642 Accesses

Abstract

This chapter reports a systematic review of studies of the economics of fetal alcohol spectrum disorder (FASD) with a focus on costs that are associated with crimes. It shows that the total cost of FASD for Canadian society is $9.4 billion per year (2015 price level), of which crimes account for the largest share (42% or $3.9 billion), followed by health care (21%), indirect costs (19%), social services (9%), and special education (9%). Of the costs of FASD associated with crimes ($3.9 billion), Criminal Justice System (CJS) accounts for the largest share (54% or $2.1 billion), followed by victims of crime (41%), and third-party (5%). Of the cost for CJS ($2.1 billion), police services accounts for the largest share (57%), followed by correctional services (23%) and court services (20%).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    Also published in Appendix of Chap. 17 in this book.

  2. 2.

    See: Statistics Canada. Adult and youth correctional services: Key indicators, 2008/2009 (correction). Available at: http://www.statcan.gc.ca/daily-quotidien/091208/dq091208a-eng.htm (Accessed March 3, 2016).

  3. 3.

    See: Alberta Innovates Health Solutions. Preventing the Preventable: New study uses technology to tackle Fetal Alcohol Spectrum Disorder. Available at http://www.aihealthsolutions.ca/news-and-events/media-centre/preventing-the-preventable/ (Accessed August 24, 2016).

References

  • Alberta Innovates Health Solutions (AIHS). Preventing the preventable: New study uses technology to tackle fetal alcohol spectrum disorder. Available at: http://www.aihealthsolutions.ca/news-and-events/media-centre/preventing-the-preventable/. Accessed 24 Aug 2016.

  • Amendah, D.D., S.D. Grosse, and J. Bertrand. 2011. Medical expenditures of children in the United States with fetal alcohol syndrome. Neurotoxicology and Teratology 33 (2): 322–324.

    Article  Google Scholar 

  • Easton, B., L. Burd, A. Sarnocinska-Hart, J. Rehm, and S. Popova. 2014. Productivity losses because of morbidity attributable to fetal alcohol spectrum disorder in Canada: A demographic approach. Journal of Studies on Alcohol and Drugs 75 (6): 1011–1017.

    Article  Google Scholar 

  • ———. 2015. The cost of lost productivity due to fetal alcohol spectrum disorder-related premature mortality. Journal of Population Therapeutics and Clinical Pharmacology 22 (1): e3–e8.

    Google Scholar 

  • Fast, D.K., J. Conry, and C.A. Loock. 1999. Identifying fetal alcohol syndrome among youth in the criminal justice system. Journal of Developmental and Behavioral Pediatrics 20 (5): 370–372.

    Article  Google Scholar 

  • Institute of Health Economics. 2013. Consensus statement on legal issues of FASD. Institute of Health Economics Consensus Statement, Volume 5 – September 18–20, 2013. Edmonton: Institute of Health Economics. Available at: www.ihe.ca. Accessed 9 Mar 2016.

  • Jonsson, E., A. Salmon, and K.R. Warren. 2014. The international charter on prevention of fetal alcohol spectrum disorder. The Lancet Global Health 2 (3): e135–e137.

    Article  Google Scholar 

  • Jonsson, E., A. Salmon, S. Clarren, and J. Moffatt, eds. 2015. Preventing Harm from Alcohol Use during Pregnancy: The Case of Fetal Alcohol Spectrum Disorder (FASD). Plenary Presentations from The first international conference on prevention of FASD. Edmonton: Institute of Health Economics. Available at: www.ihe.ca. Accessed 22 Aug 2016.

  • Lang, S., J. Rehm, D. Bekmurakov, A. Mihic, and S. Popova. 2012. Risk of incarceration for individuals with fetal alcohol exposure. American Journal of Epidemiology 176 (1): 80–82.

    Article  Google Scholar 

  • MacPherson, P., and A.E. Chudley. 2007. Fetal alcohol spectrum disorder (FASD): Screening and estimating incidence in an adult correctional population. Presented at the 2nd international conference on Fetal Alcohol Spectrum Disorder: Research, Policy, and Practice around the World, Victoria, BC, March 7–10, 2007. Available at: events.onlinebroadcasting.com/fas/090707/ppts/correctional.ppt. Accessed 3 Mar 2016.

  • Murphy, A., M. Chittenden, and The McGeary Centre Society. 2005. Time out II: A profile of BC youth in custody. Vancouver: The McCreary Centre Society. Available at: http://www.mcs.bc.ca/pdf/time_out_2.pdf. Accessed 3 Mar 2016.

    Google Scholar 

  • Nordlie, E. 2016. Experience in involuntary hospitalization of drug and alcohol addicted mothers during their pregnanbcies at Borgestadklinikken, Norway. In Fetal alcohol spectrum disorders in adults; ethical and legal perspectives, ed. M. Nelson and M. Trussler, 49–64. Cham: Springer.

    Chapter  Google Scholar 

  • Popova, S., S. Lange, L. Burd, and J. Rehm. 2012. Health care burden and cost associated with fetal alcohol syndrome: Based on official Canadian data. PLoS ONE 7 (8): e43024.

    Article  Google Scholar 

  • Popova, S., S. Lange, L. Burd, A.E. Chudley, S.K. Clarren, et al. 2013a. Cost of fetal alcohol spectrum disorder diagnosis in Canada. PLoS ONE 8 (4): e60434.

    Article  Google Scholar 

  • Popova, S., S. Lange, L. Burd, K. Urbanoski, and J. Rehm. 2013b. Cost of specialized addiction treatment of clients with fetal alcohol spectrum disorder in Canada. BMC Public Health 13: 570.

    Article  Google Scholar 

  • Popova, S., S. Lange, L. Burd, and J. Rehm. 2014a. Canadian children and youth in care: The cost of fetal alcohol spectrum disorder. Child & Youth Care Forum 43: 83–96.

    Article  Google Scholar 

  • Popova, S., S. Lange, L. Burd, K. Shield, and J. Rehm. 2014b. Cost of speech-language interventions for children and youth with foetal alcohol spectrum disorder in Canada. International Journal of Speech-Language Pathology 16 (6): 571–581.

    Article  Google Scholar 

  • Popova, S., S. Lange, L. Burd, and J. Rehm. 2015a. Cost attributable to fetal alcohol spectrum disorder in the Canadian correctional system. International Journal of Law and Psychiatry 41: 76–81.

    Article  Google Scholar 

  • ———. 2015b. The economic burden of fetal alcohol spectrum disorder in Canada in 2013. Alcohol and Alcoholism 51: 367–375.

    Article  Google Scholar 

  • Rojas, E.Y., and H.M. Gretton. 2007. Background, offence characteristics, and criminal outcomes of aboriginal youth who sexually offend: A closer look at aboriginal youth intervention needs. Sexual Abuse: A Journal of Research and Treatment 19 (3): 257–283.

    Article  Google Scholar 

  • Stade, B., S. Camera, M. Sgro, C. Bishop, D. Bennett, M. Parkes, et al. 2010. Fetal alcohol spectrum disorder diagnostic telemedicine program: Measurement of cost and client satisfaction. Journal of Population Therapeutics and Clinical Pharmacology 17 (2): e284–e301.

    Google Scholar 

  • Statistics Canada. Adult and youth correctional services: Key indicators, 2008/2009 (correction). Available at: http://www.statcan.gc.ca/daily-quotidien/091208/dq091208a-eng.htm. Accessed 3 Mar 2016.

  • Story, R., and T.R. Yalkin. 2013. Expenditure analysis of criminal justice in Canada. Office of the Parliamentary Budget Officer, Ottawa, Canada, March 20, 2013. Available at: http://www.pbo-dpb.gc.ca/files/files/Crime_Cost_EN.pdf. Accessed 3 Mar 2016.

  • Streissguth, A.P., F.L. Bookstein, H.M. Barr, P.D. Sampson, D. O’Mally, and J.K. Young. 2004. Risk factors for adverse life outcomes in fetal alcohol syndrome and fetal alcohol effects. Journal of Developmental and Behaviour Pediatrics 25: 228–238.

    Article  Google Scholar 

  • ———. 2015. The costs of fetal alcohol spectrum disorder (FASD) in the Canadian criminal justice system. Journal of Population Therapeutics and Clinical Pharmacology 22 (1): e125–e131.

    Google Scholar 

  • Thanh, N.X., E. Jonsson, L. Dennett, and P. Jacobs. 2010. Costs of FASD. In Fetal alcohol spectrum disorder: Management and policy perspectives of FASD, ed. P.R. Edward, S. Clarren, J. Weinberg, and E. Jonsson. Weinheim: Wiley-Blackwell.

    Google Scholar 

  • Thanh, N.X., J. Moffatt, P. Jacobs, A. Chuck, and E. Jonsson. 2013. potential impacts of the alberta fetal alcohol spectrum disorder service networks on secondary disabilities: A cost-benefit analysis. Journal of Population Therapeutics and Clinical Pharmacology 20 (2): e193–e200.

    Google Scholar 

  • Thanh, N.X., E. Jonsson, A. Salmon, and M. Sebastienski. 2014a. Incidence and prevalence of fetal alcohol spectrum disorder by sex and age group in Alberta, Canada. Journal of Population Therapeutics and Clinical Pharmacology 21 (3): e395–e404.

    Google Scholar 

  • Thanh, N.X., and E. Jonsson. 2014b. Costs of health services utilization of people with fetal alcohol spectrum disorder by sex and age group in Alberta, Canada. Journal of Population Therapeutics and Clinical Pharmacology 21 (3): e421–e430.

    Google Scholar 

  • Thanh, N.X., E. Jonsson, J. Moffatt, L. Dennett, A. Chuck, and S. Birchard. 2014c. An economic evaluation of the parent–child assistance program for preventing fetal alcohol spectrum disorder in Alberta, Canada. Administration and Policy in Mental Health and Mental Health Services Research 42 (1): 10–18

    Google Scholar 

  • Zhang, T. 2008. Costs of crime in Canada, 2008. Department of Justice Canada. Available at: http://www.justice.gc.ca/eng/rp-pr/csj-sjc/crime/rr10_5/rr10_5.pdf. Accessed 3 Mar 2016.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Egon Jonsson .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Thanh, N.X., Jonsson, E. (2018). Total Cost of FASD Including the Economics of FASD Associated with Crimes. In: Jonsson, E., Clarren, S., Binnie, I. (eds) Ethical and Legal Perspectives in Fetal Alcohol Spectrum Disorders (FASD). International Library of Ethics, Law, and the New Medicine, vol 75. Springer, Cham. https://doi.org/10.1007/978-3-319-71755-5_4

Download citation

Publish with us

Policies and ethics