Service use and costs of care for depressed adolescents: Who uses and who pays?

Marisa Elena Domino, Barbara J. Burns, Jeremy Mario, Mark A. Reinecke, Benedetto Vitiello, Elizabeth B. Weller, Christopher J. Kratochvil, Diane E. May, Norah C. Feeny, Michele Robins, Mary J. Hallin, Susan G. Silva, John S. March

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Major depressive disorder is common in adolescence and is associated with significant morbidity and family burden. Little is known about service use by depressed adolescents. The purpose of this article is to report the patterns of services use and costs for participants in the Treatment for Adolescents with Depression Study sample during the 3 months before randomization. Costs were assigned across three categories of payors: families, private insurance, and the public sector. We examined whether costs from payors varied by baseline covariates, such as age, gender, insurance status, and family income. The majority (71%) of depressed youth sought services during the 3-month period. Slightly more than one-fifth had contact with a behavioral health specialist. The average participant had just under $300 (SD=$437.67, range=$0-$3,747.71) in treatment-related costs, with most of these costs borne by families and private insurers.

Original languageEnglish (US)
Pages (from-to)826-836
Number of pages11
JournalJournal of Clinical Child and Adolescent Psychology
Issue number6
StatePublished - 2009

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology


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