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Trauma's Monetary Costs to Society -- UPDATED 9/1/13*

Annual Cost of Adverse Childhood Experiences

$103,754,017,492.00

Sources: Cost data: 2007 Economic Impact Study (PCAA). Adverse Childhood Experiences Study (CDC and Kaiser Permanente, see www.ACEstudy.org) The Damaging Consequences of Violence and Trauma (see www.NASMHPD.org) and Trauma and Recovery (J Herman). http://kidslinkcares.com/wp-content/uploads/2012/05/ACE-Chart-Apr-2011.pdf

Child abuse and neglect cost the United States $124 billion - CDC

Key findings:

  • The estimated average lifetime cost per victim of nonfatal child maltreatment includes:
    •    
    • $32,648 in childhood health care costs
    •    
    • $10,530 in adult medical costs
    •    
    • $144,360 in productivity losses
    •    
    • $7,728 in child welfare costs
    •    
    • $6,747 in criminal justice costs
    •    
    • $7,999 in special education costs

  • The estimated average lifetime cost per death includes:
    •    
    • $14,100 in medical costs
    •    
    • $1,258,800 in productivity losses

http://www.cdc.gov/media/releases/2012/p0201_child_abuse.html (Feb. 2012)

*Child Abuse costs to Medicaid - CDC

"On average, children who were maltreated or were at risk for maltreatment had Medicaid expenditures more than $2,600 higher annually than children who were not subject to or at risk for maltreatment..." (July 2013).

"A recent article by Centers for Disease Control researchers in the journal Pediatrics found that child maltreatment costs the Medicaid system an estimated $5.9 billion per year." -- Kathleen Sebelius, Secretary of the U.S. Dept. of Health and Human Services, (July 2013).

**Mental Disorders in Children - CDC

"In addition, the financial costs of childhood mental disorders are at least an estimated $247 billion each year."

http://www.cdc.gov/media/dpk/2013/dpk-child-mental-health.html (Jun. 14, 2013)

 


  

Prevent Child Abuse America

Child abuse and neglect affects over 1 million children every year. Child abuse and neglect costs our nation $220 million every day....We will pay a staggering $80 BILLION to address child abuse and neglect in 2012. Child abuse and neglect affect us all. Child abuse and neglect are preventable.

http://www.preventchildabuse.org/downloads/PCAA_Cost_Report_2012_Gelles_Perlman_final.pdf (Apr. 2012)

 


 

Cost of Obesity/Form of self-medicating against toxic stress (self-protective: sexually, physically, socially)

“Obesity and its associated health problems have a significant economic impact on the U.S. health care system. In 2008 dollars, medical care costs for obesity were about $147 billion. On average, medical spending for obese people was $1429 (42%) greater than spending for people of normal weight in 2006.”

Obesity is common, serious, and costly. Center for Disease Control, May 2012. http://www.cdc.gov/media/matte/2012/05_weight_of_nation.pdf

“That would mean an increase of $550 billion in total between now and 2030 due to rising cost of obesity. Another way to think about that number is if we could keep obesity rates flat or if they were flattening, we would save $550 billion.”

CDC Weight of the Nation Press Briefing Transcript. Centers for Disease Control, May 7, 2012. http://www.cdc.gov/media/releases/2012/t0507_weight_nation.html   

 

Cost of Alcohol Consumption, Excessive/Form of self-medicating against toxic stress (relieves stress)

“Drinking too much, including binge drinking…was responsible for more than $223.5 billion in economic costs in 2006. Over half of these deaths result from injuries that disproportionately involve young people.”

Binge drinking is bigger problem than previously thought, Press Release. Centers for Disease Control, Jan. 10, 2012. http://www.cdc.gov/media/releases/2012/p0110_binge_drinking.html

 

 

 

Cost of Smoking/Form of self-medicating against toxic stress (reduces anger, increases focus, relieves depression)

“A smoker costs about $2,000 more in medical care than a non-smoker, every year.”

Tips from Former Smokers Share Harsh Realities, Media Statement. Centers for Disease Control, May 24, 2012.

“Cigarette smoking costs the nation $96 billion in direct medical costs and $97 billion in lost productivity each year. More than 8 million Americans are living with a smoking-related disease, and every day more than 1,000 youth under 18 become daily smokers.”

Calls to quitline hit record high after CDC national tobacco ad campaign launch, Press Release. Centers for Disease Control, Apr. 2, 2012 http://www.cdc.gov/media/releases/2012/p0402_quitline.html

*"...The researchers developed an estimate that each employee who smokes costs an employer an average of $5,816 annually above the cost of a person who never smoked. These annual costs can range from $2,885 to $10,125, according to the research...." (Jun 2013) http://medicalxpress.com/news/2013-06-companies-extra-year-employee.html

 


 
Cost of leaving an abusive/IPV relationship

“Overall, the annual bill for violence rings in at a total of $13,162 (Canada) per woman across health and non-health sectors, and within public and private domains. This estimate represents the use of health, legal and social services.” http://www.medicalnewstoday.com/releases/235874.php

Study: Varcoe, et al. (2011). Attributing Selected Costs to Intimate Partner Violence in a Sample of Women Who Have Left Abusive Partners: A Social Determinants of Health Approach. Canadian Public Policy 37(3), Sept 2011, p 359-380. http://economics.ca/cgi/jab?journal=cpp&article=v37n3p0359

 

 


Cost of Violence Containment

Violence Containment costs the U.S. $2.16 trillion per year.

Report: Violence Containment Spending in the United States. Institute for Economics & Peace. 2012

http://community.nicic.gov/blogs/corrections_headlines/archive/2012/09/20/new-report-on-the-cost-of-containing-violence.aspx

In 2007, around $74 billion was spent on corrections.[99] The total number of inmates in 2007 in federal, state, and local lockups was 2,419,241.[19] That comes to around $30,600 per inmate....

At year-end 2007 the United States had less than 5% of the world's population[30] and 23.4% of the world's prison and jail population (adult inmates).[9]

http://en.wikipedia.org/wiki/Incarceration_in_the_United_States#Comparison_with_other_countries

"The United States leads the world in the number of people incarcerated in federal and state correctional facilities. There are currently more than 2 million people in American prisons or jails. Approximately one-quarter of those people held in U.S. prisons or jails have been convicted of a drug offense. The United States incarcerates more people for drug offenses than any other country. With an estimated 6.8 million Americans struggling with drug abuse or dependence, the growth of the prison population continues to be driven largely by incarceration for drug offenses."

Source: Justice Policy Institute, "Substance Abuse Treatment and Public Safety," (Washington, DC: January 2008), p. 1. http://www.justicepolicy.org/images/upload/08_01_REP_DrugTx_AC-PS.pdf

 


   

Cost of dropouts

"The report puts the collective cost to the nation over the working life of each high school dropout at $292,000."

http://www.nytimes.com/2009/10/09/education/09dropout.html?_r=0



 

Child Abuse - Australia

"In 2007 alone, the cost of child abuse to the Australian community is conservatively estimated to be at least $10.7 billion, and is almost certainly far higher."

http://acesconnection.com/profiles/blogs/australia-releases-national-guidelines-for-trauma-informed-care-c

Short link to this page: http://tiny.cc/acecosts

 

*Recent additions to this post. This post updated  9/1/13 by ce.

**Previous additions to this post updated 7/1/13 by ce.

 

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Hidden Costs in Health Care:

In 1992 Koss and Heslet suggested that individuals with an abuse history accessed health care services 2-2.5 times more frequently than non-abused individuals. If you assume, for the sake of the argument, that you can average out costs for all events of access to health care, that the annual cost of healthcare services is approximately $2 trillion, and the population is roughly 300 million, and then assume that between 20-40% of the population has experienced significant abuse (based on the ACEs work and more), then the annual incremental cost to healthcare alone from adversity is between $333 billion and $750 billion.

Hidden Costs in Health Care: The Economic Impact of Violence and Abuse, Dolezal, et al, Academy on Violence and Abuse, 2009.

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