Family Spillover Effects of Marginal Diagnoses: The Case of ADHD

Petra Persson (), Xinyao Qiu () and Maya Rossin-Slater ()
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Petra Persson: Stanford University
Xinyao Qiu: Stanford University
Maya Rossin-Slater: Stanford University

No 14020, IZA Discussion Papers from IZA Network @ LISER

Abstract: The health care system commonly relies on information about family medical history in the allocation of screenings and in diagnostic processes. At the same time, an emerging literature documents that treatment for "marginally diagnosed" patients often has minimal impacts. This paper shows that reliance on information about relatives' health can perpetuate marginal diagnoses across family members, thereby raising caseloads and health care costs, but without improving patient well-being. We study Attention Deficit Hyperactivity Disorder (ADHD), the most common childhood mental health condition, and document that the younger siblings and cousins of marginally diagnosed children are also more likely to be diagnosed with and treated for ADHD. Moreover, we find that the younger relatives of marginally diagnosed children have no better adult human capital and economic outcomes than the younger relatives of those who are less likely to be diagnosed. Our analysis points to a simple adjustment to physician protocol that can mitigate these marginal diagnosis spillovers.

Keywords: mental health; marginal diagnosis; targeting; ADHD; family spillovers (search for similar items in EconPapers)
JEL-codes: I14 I18 J13 (search for similar items in EconPapers)
Pages: 72 pages
Date: 2021-01
New Economics Papers: this item is included in nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (8)

Forthcoming - forthcoming in: American Economic Journal: Applied Economics

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