The economic analysis of prevention

An illustration involving children's behavior problems

E. Michael Foster, Damon Evan Jones

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Economic analyses of programs to prevent or treat behavioral health problems among children and youth are an important component of intervention research. Aims of the Study: This study examines the cost-effectiveness of the Fast Track intervention, a multi-year, multi-component intervention designed to reduce violence in at-risk children. Analytic models estimate intervention cost-effectiveness allowing for sampling variation and considering alternative policy-maker willingness to pay levels. Methods: Costs of the intervention were estimated using program budgets. The probability of intervention effectiveness is mapped against willingness to pay using cost-effectiveness acceptability curves (CEAC). Cost-effectiveness is gauged using three outcomes measured in grade 9: diagnosis of conduct disorder; acts of interpersonal violence avoided; index criminal offense avoided. Results: Evaluation of the total sample shows that the intervention was not cost-effective at anticipated levels of policy maker's willingness to pay. For those most at-risk, however, the intervention was likely cost-effective. Discussion: Outcome measures are based on parent reports and so may be subject to respondent bias. Future costs related to conditions such as conduct disorder are speculative based on previous research. Implications for Health Care Provision and Use: Researchers must consider the population targeted for delivery of intervention services when evaluating cost-effectiveness of their intervention. This study indicates that the intervention was cost-effective only for youth most at-risk for behavioral problems. This result implies that overall cost-effectiveness would be improved by better targeting. Implications for Health Policies: The intervention is cost-effective for the highest risk children. From a policy standpoint, this finding is encouraging since such children are likely to generate high costs for taxpayers and society over their lifetimes. Nonetheless, the initial outlay required to finance the program is substantial. Implications for Further Research: Interventionists should consider program costs in designing interventions in order to better balance feasibility with efficacy.

Original languageEnglish (US)
Pages (from-to)165-175
Number of pages11
JournalJournal of Mental Health Policy and Economics
Volume10
Issue number4
StatePublished - Dec 1 2007

Fingerprint

Child Behavior
Economics
Cost-Benefit Analysis
Costs and Cost Analysis
Conduct Disorder
Administrative Personnel
Violence
Research
Budgets
Health Policy
Research Personnel
Outcome Assessment (Health Care)
Delivery of Health Care
Health
Population

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

@article{875fdcffaf3e467cb015ae6c2813bff9,
title = "The economic analysis of prevention: An illustration involving children's behavior problems",
abstract = "Background: Economic analyses of programs to prevent or treat behavioral health problems among children and youth are an important component of intervention research. Aims of the Study: This study examines the cost-effectiveness of the Fast Track intervention, a multi-year, multi-component intervention designed to reduce violence in at-risk children. Analytic models estimate intervention cost-effectiveness allowing for sampling variation and considering alternative policy-maker willingness to pay levels. Methods: Costs of the intervention were estimated using program budgets. The probability of intervention effectiveness is mapped against willingness to pay using cost-effectiveness acceptability curves (CEAC). Cost-effectiveness is gauged using three outcomes measured in grade 9: diagnosis of conduct disorder; acts of interpersonal violence avoided; index criminal offense avoided. Results: Evaluation of the total sample shows that the intervention was not cost-effective at anticipated levels of policy maker's willingness to pay. For those most at-risk, however, the intervention was likely cost-effective. Discussion: Outcome measures are based on parent reports and so may be subject to respondent bias. Future costs related to conditions such as conduct disorder are speculative based on previous research. Implications for Health Care Provision and Use: Researchers must consider the population targeted for delivery of intervention services when evaluating cost-effectiveness of their intervention. This study indicates that the intervention was cost-effective only for youth most at-risk for behavioral problems. This result implies that overall cost-effectiveness would be improved by better targeting. Implications for Health Policies: The intervention is cost-effective for the highest risk children. From a policy standpoint, this finding is encouraging since such children are likely to generate high costs for taxpayers and society over their lifetimes. Nonetheless, the initial outlay required to finance the program is substantial. Implications for Further Research: Interventionists should consider program costs in designing interventions in order to better balance feasibility with efficacy.",
author = "Foster, {E. Michael} and Jones, {Damon Evan}",
year = "2007",
month = "12",
day = "1",
language = "English (US)",
volume = "10",
pages = "165--175",
journal = "Journal of Mental Health Policy and Economics",
issn = "1091-4358",
publisher = "ICMPE",
number = "4",

}

The economic analysis of prevention : An illustration involving children's behavior problems. / Foster, E. Michael; Jones, Damon Evan.

In: Journal of Mental Health Policy and Economics, Vol. 10, No. 4, 01.12.2007, p. 165-175.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The economic analysis of prevention

T2 - An illustration involving children's behavior problems

AU - Foster, E. Michael

AU - Jones, Damon Evan

PY - 2007/12/1

Y1 - 2007/12/1

N2 - Background: Economic analyses of programs to prevent or treat behavioral health problems among children and youth are an important component of intervention research. Aims of the Study: This study examines the cost-effectiveness of the Fast Track intervention, a multi-year, multi-component intervention designed to reduce violence in at-risk children. Analytic models estimate intervention cost-effectiveness allowing for sampling variation and considering alternative policy-maker willingness to pay levels. Methods: Costs of the intervention were estimated using program budgets. The probability of intervention effectiveness is mapped against willingness to pay using cost-effectiveness acceptability curves (CEAC). Cost-effectiveness is gauged using three outcomes measured in grade 9: diagnosis of conduct disorder; acts of interpersonal violence avoided; index criminal offense avoided. Results: Evaluation of the total sample shows that the intervention was not cost-effective at anticipated levels of policy maker's willingness to pay. For those most at-risk, however, the intervention was likely cost-effective. Discussion: Outcome measures are based on parent reports and so may be subject to respondent bias. Future costs related to conditions such as conduct disorder are speculative based on previous research. Implications for Health Care Provision and Use: Researchers must consider the population targeted for delivery of intervention services when evaluating cost-effectiveness of their intervention. This study indicates that the intervention was cost-effective only for youth most at-risk for behavioral problems. This result implies that overall cost-effectiveness would be improved by better targeting. Implications for Health Policies: The intervention is cost-effective for the highest risk children. From a policy standpoint, this finding is encouraging since such children are likely to generate high costs for taxpayers and society over their lifetimes. Nonetheless, the initial outlay required to finance the program is substantial. Implications for Further Research: Interventionists should consider program costs in designing interventions in order to better balance feasibility with efficacy.

AB - Background: Economic analyses of programs to prevent or treat behavioral health problems among children and youth are an important component of intervention research. Aims of the Study: This study examines the cost-effectiveness of the Fast Track intervention, a multi-year, multi-component intervention designed to reduce violence in at-risk children. Analytic models estimate intervention cost-effectiveness allowing for sampling variation and considering alternative policy-maker willingness to pay levels. Methods: Costs of the intervention were estimated using program budgets. The probability of intervention effectiveness is mapped against willingness to pay using cost-effectiveness acceptability curves (CEAC). Cost-effectiveness is gauged using three outcomes measured in grade 9: diagnosis of conduct disorder; acts of interpersonal violence avoided; index criminal offense avoided. Results: Evaluation of the total sample shows that the intervention was not cost-effective at anticipated levels of policy maker's willingness to pay. For those most at-risk, however, the intervention was likely cost-effective. Discussion: Outcome measures are based on parent reports and so may be subject to respondent bias. Future costs related to conditions such as conduct disorder are speculative based on previous research. Implications for Health Care Provision and Use: Researchers must consider the population targeted for delivery of intervention services when evaluating cost-effectiveness of their intervention. This study indicates that the intervention was cost-effective only for youth most at-risk for behavioral problems. This result implies that overall cost-effectiveness would be improved by better targeting. Implications for Health Policies: The intervention is cost-effective for the highest risk children. From a policy standpoint, this finding is encouraging since such children are likely to generate high costs for taxpayers and society over their lifetimes. Nonetheless, the initial outlay required to finance the program is substantial. Implications for Further Research: Interventionists should consider program costs in designing interventions in order to better balance feasibility with efficacy.

UR - http://www.scopus.com/inward/record.url?scp=38649134225&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=38649134225&partnerID=8YFLogxK

M3 - Article

VL - 10

SP - 165

EP - 175

JO - Journal of Mental Health Policy and Economics

JF - Journal of Mental Health Policy and Economics

SN - 1091-4358

IS - 4

ER -