This study aimed to estimate the cumulative productivity losses and victim costs incurred between 1975 and 2005 as a result of crimes committed by a cohort of women with a co-occurring substance abuse and mental disorder placed in a compulsory treatment facility for substance abuse between 1997 and 2000. As such, this adds to a prior study estimating the direct criminal justice system costs incurred for crimes committed by the same group during the same period. Official register data were obtained for the period 1975-2005 on a consecutive sample of 227 women. Total productivity losses due to homicide and incarceration as well as victim costs totaled approximately 250,000 Swedish crowns (2010 values, non-discounted) per person. Productivity losses and victim costs as estimated in this study accounted for roughly 19-25% of the societal costs of crimes committed by this group.