Burden of mental health problems: quality of life and cost-of-illness in youth consulting Dutch walk-in youth health centres

S. M. J. Leijdesdorff*, C. E. M. Huijs, R. M. C. Klaassen, A. Popma, T. A. M. J. van Amelsvoort, S. M. A. A. Evers

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Web of Science)


Background Little is known about the burden of (sub-threshold) mental health problems in youth. Aim To examine the burden of mental health problems in terms of health-related quality of life (HRQoL) and cost-of-illness, for first visitors of the Dutch youth walk-in centres (@ease). Method A bottom-up, prevalence-based burden of disease study from a societal perspective. HRQoL was assessed through the EuroQoL (EQ-5D-5L), and cost-of-illness via items about truancy and health care utilization. Results Participants (N = 80) showed a decreased HRQoL compared to the general population of Dutch youth. In the three months prior to their 1st attendance, participants skipped on average 4.11 days of school and had 1.03 health care visits, leading to total costs of euro512.64 per person. Females had significantly higher health care costs and lower HRQoL. Health care use was lower in those not speaking the Dutch language. Living alone was a significant predictor of truancy (costs), and therefore total costs. Conclusions Mental health problems in youth consulting @ease have a considerable impact on the individual's HRQoL, and an economic impact on society, yet almost 75% is not receiving care. A lack of interventions in this critical period in life may have major lifelong consequences.

Original languageEnglish
Pages (from-to)150–157
Number of pages8
JournalJournal of Mental Health
Issue number1
Early online date21 Oct 2020
Publication statusPublished - 2 Jan 2023


  • Youth mental health
  • mental health problems
  • young people
  • burden of disease
  • cost-of-illness
  • quality of life
  • early detection
  • EQ-5D

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