The economic consequences of attention-deficit hyperactivity disorder in the Scottish prison system

BMC Psychiatry

Table 4 Three-month Medical and Prison Costs for All 390 Inmates

	Cost(£)/unit	Median cost over 3 months (£)	Inter-quartile range (£)
Medical costs per inmate
General practitioner	121	242	242
Physical health nurse	74.3	74.3	74.3
Mental health nurse	78.5	78.5	78.5
Addiction nurse	78.5	78.5	78.5
Nursing other^a	74.3	0	0
Psychiatrist	148.6	0	0
Psychologist	142.2	0	0
Podiatrist	34	0	0
Oral health	87	0	0
Other health visit^b	87	0	0
Hospital outpatient	125	0	0
Prison costs per inmate
Activities non-attendance^c	38.2	0	76.4
Observation level^d	13.3	0	0
Adjudications^e	21.4	0	0
Critical incidents^d	13.3	0	0
Overall medical costs	–	464.9	488.3
Overall prison costs	–	34.7	76.4
Overall medical and prison costs	–	503.1	532.6

Notes: Cost per unit is defined as cost per inmate for each visit. Median medical costs were calculated from data collected from medical records covering the 3 months prior to interview
^aIncludes Hepatitis C, Harm reduction, and Smoking cessation nursing staff
^bIncludes any other recorded health visits, e.g. Well-man clinic
^cIncludes all missed prison therapeutic and other activities per inmate
^dCalculated by time spent and number of prison staff involved (based on average hourly pay rate)
^eCalculated by time spent and number of prison staff involved in any adjudication process (estimated 15 min. Per process)

ISSN: 1471-244X