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Helping the noncompliant child: An updated assessment of program costs and cost-effectiveness

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  • Khavjou, Olga
  • Forehand, Rex
  • Loiselle, Raelyn
  • Turner, Patrick
  • Buell, Naomi
  • Jones, Deborah J.

Abstract

Behavior disorders (BD) in children can lead to delinquency, antisocial behavior, and mental disorders in adulthood. Evidence-based behavioral parent training (BPT) programs have been developed to treat early-onset BDs, yet cost analyses of BPT are deficient. We provide updated estimates of cost and cost-effectiveness of Helping the Noncompliant Child (HNC), a mastery-based BPT, delivered to low-income families. The cost of research-specific activities was $1152 per family. HNC program delivery costs were $293 per family from a payer perspective, including the cost of therapist time ($275 per family) and non-labor resources, such as supplies and toys ($18 per family). It costs an average of $6 to improve the Eyberg Child Behavior Inventory intensity score by each additional point or $171 to improve it by one standard deviation. The cost of delivering the HNC program appears to compare favorably with the costs of similar BPT programs.

Suggested Citation

  • Khavjou, Olga & Forehand, Rex & Loiselle, Raelyn & Turner, Patrick & Buell, Naomi & Jones, Deborah J., 2020. "Helping the noncompliant child: An updated assessment of program costs and cost-effectiveness," Children and Youth Services Review, Elsevier, vol. 114(C).
    • Handle: RePEc:eee:cysrev:v:114:y:2020:i:c:s0190740919315038
    DOI: 10.1016/j.childyouth.2020.105050
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    1. Glick, Henry A. & Doshi, Jalpa A. & Sonnad, Seema S. & Polsky, Daniel, 2014. "Economic Evaluation in Clinical Trials," OUP Catalogue, Oxford University Press, edition 2, number 9780199685028.
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    3. Bonin, Eva-Maria & Stevens, Madeleine & Beecham, Jennifer & Byford, Sarah & Parsonage, Michael, 2011. "Costs and longer-term savings of parenting programmes for the prevention of persistent conduct disorder: a modelling study," LSE Research Online Documents on Economics 39432, London School of Economics and Political Science, LSE Library.
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