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Economic Impact of the Statewide Implementation of an Evidence-Based Treatment: Multisystemic Therapy in New Mexico.
Dopp, Alex R; Coen, Anita Saranga; Smith, Allison B; Reno, Jessica; Bernstein, David H; Kerns, Suzanne E U; Altschul, Deborah.
Afiliação
  • Dopp AR; University of Arkansas. Electronic address: dopp@uark.edu.
  • Coen AS; Focus Research & Evaluation.
  • Smith AB; University of Arkansas.
  • Reno J; University of New Mexico Health Sciences Center.
  • Bernstein DH; University of Denver.
  • Kerns SEU; University of Denver.
  • Altschul D; University of New Mexico Health Sciences Center.
Behav Ther ; 49(4): 551-566, 2018 07.
Article em En | MEDLINE | ID: mdl-29937257
Several states have made considerable investments into large-scale implementation of evidence-based treatments (EBTs), yet little is known about key success indicators for these implementation efforts such as cost and sustainability. To that end, the present study examined the economic impact of statewide implementation of multisystemic therapy (MST; Henggeler, Schoenwald, Borduin, Rowland, & Cuningham, 2009), a family- and community-based behavioral EBT for serious juvenile offenders in New Mexico. Participants were 1,869 youth who received MST across 23 teams during the study period. We conducted a cost-benefit analysis using metrics from state data sources that compared the cost of MST to its benefits (i.e., avoided expenses from pre- to posttreatment) in two domains: (a) behavioral health services (i.e., Medicaid claims) and (b) juvenile crime (i.e., taxpayer expenses, tangible and intangible expenses to crime victims). MST costs were based on Medicaid claims, which were reimbursed at an enhanced billing rate that was intended to cover expenses for both clinical and implementation (e.g., training, quality assurance) activities. Results suggest that implementation of MST in New Mexico over the 7-year study period may have produced net benefits, through 2 years posttreatment, of more than $4,643 per youth in avoided behavioral health claims and $15,019 per youth through reductions in juvenile crime. Stated differently, every dollar that New Mexico spent on MST appeared to have returned $3.34 for a total benefit of $64.2 million over the course of the study. We discuss implications of these findings for policymakers, administrators, and researchers who are interested in increasing the sustainability of complex EBTs in community settings.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicoterapia / Análise Custo-Benefício / Medicina Baseada em Evidências / Delinquência Juvenil Tipo de estudo: Health_economic_evaluation Limite: Adolescent / Female / Humans / Male País/Região como assunto: America do norte / Mexico Idioma: En Revista: Behav Ther Ano de publicação: 2018 Tipo de documento: Article País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicoterapia / Análise Custo-Benefício / Medicina Baseada em Evidências / Delinquência Juvenil Tipo de estudo: Health_economic_evaluation Limite: Adolescent / Female / Humans / Male País/Região como assunto: America do norte / Mexico Idioma: En Revista: Behav Ther Ano de publicação: 2018 Tipo de documento: Article País de publicação: Reino Unido