IDEAS home Printed from https://ideas.repec.org/a/eee/epplan/v52y2015icp96-106.html
   My bibliography  Save this article

Cost analysis of long-term outcomes of an urban mental health court

Author

Listed:
  • Kubiak, Sheryl
  • Roddy, Juliette
  • Comartin, Erin
  • Tillander, Elizabeth

Abstract

Multiple studies have demonstrated decreased recidivism and increased treatment engagement for individuals with serious mental illness involved in Mental Health Courts (MHC). However, the limited availability of social and fiscal resources requires an analysis of the relationship between a program's effectiveness and its costs. Outcome costs associated with a sample of 105 participants discharged for more than 1 year – and grouped by completion status – were compared to an eligible sample not enrolled (n=45). Transactional costs analysis (TCA) was used to calculate outcomes associated with treatment, arrest, and confinement in the 12-month post-MHC. Total outcome costs for the Successful Group ($16,964) significantly differed from the Unsuccessful ($32,258) and Compare Groups ($39,870). Costs associated with the higher number of arrests for those in the Compare Group created the largest differences. Total cost savings between Successful and Compare (M=$22,906) equated to $916,240 and savings between Unsuccessful and Compare (M=$7612) were $494,708. The total combined cost savings for participants in the 12-month post-MHC period was $1,411,020. While it is important to understand that MHCs and the individuals that they serve vary and these results are for a felony-level court, policy makers and researchers can use these results to guide their decision-making.

Suggested Citation

  • Kubiak, Sheryl & Roddy, Juliette & Comartin, Erin & Tillander, Elizabeth, 2015. "Cost analysis of long-term outcomes of an urban mental health court," Evaluation and Program Planning, Elsevier, vol. 52(C), pages 96-106.
    • Handle: RePEc:eee:epplan:v:52:y:2015:i:c:p:96-106
    DOI: 10.1016/j.evalprogplan.2015.04.002
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0149718915000476
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.evalprogplan.2015.04.002?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Sarteschi, Christine M. & Vaughn, Michael G. & Kim, Kevin, 2011. "Assessing the effectiveness of mental health courts: A quantitative review," Journal of Criminal Justice, Elsevier, vol. 39(1), pages 12-20, January.
    2. Weiss, L.J. & Blustein, J., 1996. "Faithful patients: The effect of long-term physician-patient relationships on the costs and use of health care by older Americans," American Journal of Public Health, American Public Health Association, vol. 86(12), pages 1742-1747.
    3. Sarteschi, Christine M. & Vaughn, Michael G. & Kim, Kevin, 2011. "Assessing the effectiveness of mental health courts: A quantitative review," Journal of Criminal Justice, Elsevier, vol. 39(1), pages 12-20.
    4. Richard O. Zerbe, 1998. "Is cost-benefit analysis legal? Three rules," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 17(3), pages 419-456.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Moody, Myles D. & Browning, Wesley R. & Hossain, Monir & Clay, Olivio J., 2023. "Vicarious experiences of major discrimination, anxiety symptoms, and mental health care utilization among Black Adults," Social Science & Medicine, Elsevier, vol. 316(C).
    2. Trood, Michael D. & Spivak, Benjamin L. & Ogloff, James R.P., 2021. "A systematic review and meta-analysis of the effects of judicial supervision on recidivism and well-being factors of criminal offenders," Journal of Criminal Justice, Elsevier, vol. 74(C).
    3. Christine M. Sarteschi, 2013. "Mentally Ill Offenders Involved With the U.S. Criminal Justice System," SAGE Open, , vol. 3(3), pages 21582440134, July.
    4. Deborah Peikes & Grace Anglin & Stacy Dale & Erin Fries Taylor & Ann O'Malley & Arkadipta Ghosh & Kaylyn Swankoski & Jesse Crosson & Rosalind Keith & Anne Mutti & Sheila Hoag & Pragya Singh & Ha Tu & , "undated". "Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report," Mathematica Policy Research Reports 31b437e81685456388e78e18b, Mathematica Policy Research.
    5. Roll, Kathrin, 2012. "The influence of regional health care structures on delay in diagnosis of rare diseases: The case of Marfan Syndrome," Health Policy, Elsevier, vol. 105(2), pages 119-127.
    6. Hong, Jae-Seok & Kang, Hee-Chung, 2013. "Continuity of ambulatory care and health outcomes in adult patients with type 2 diabetes in Korea," Health Policy, Elsevier, vol. 109(2), pages 158-165.
    7. Zhang, Xuan, 2022. "The effects of physician retirement on patient outcomes: Anticipation and disruption," Journal of Public Economics, Elsevier, vol. 207(C).
    8. David L. Weimer & Aidan R. Vining & Randall K. Thomas, 2009. "Cost–benefit analysis involving addictive goods: contingent valuation to estimate willingness‐to‐pay for smoking cessation," Health Economics, John Wiley & Sons, Ltd., vol. 18(2), pages 181-202, February.
    9. Torre, Andrew & Scarborough, Helen, 2017. "Reconsidering the estimation of the economic impact of cultural tourism," Tourism Management, Elsevier, vol. 59(C), pages 621-629.
    10. Sarah M. Hofmann & Andrea M. Muehlenweg, 2016. "Gatekeeping in German Primary Health Care - Impacts on Coordination of Care, Quality Indicators and Ambulatory Costs," CINCH Working Paper Series 1605, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Sep 2016.
    11. Kyoung Hee Cho & Young Sam Kim & Chung Mo Nam & Tae Hyun Kim & Sun Jung Kim & Kyu-Tae Han & Eun-Cheol Park, 2015. "The Association between Continuity of Care and All-Cause Mortality in Patients with Newly Diagnosed Obstructive Pulmonary Disease: A Population-Based Retrospective Cohort Study, 2005-2012," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-13, November.
    12. Kyoung Hee Cho & Eun-Cheol Park & Young Soon Nam & Seon-Heui Lee & Chung Mo Nam & Sang Gyu Lee, 2016. "Impact of Market Competition on Continuity of Care and Hospital Admissions for Asthmatic Children: A Longitudinal Analysis of Nationwide Health Insurance Data 2009-2013," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-13, March.
    13. GIULIANO, Genevieve & KNATZ, Geraldine & HUDSON, Nathan & SYS, Christa & VANELSLANDER, Thierry & CARLAN, Valentin, 2016. "Decison-making for maritime innovation investments: The significance of cost benefit and cost effectiveness analysis," Working Papers 2016001, University of Antwerp, Faculty of Business and Economics.
    14. Easter, K. William & Archibald, Sandra O., 1998. "Benefit-Cost Analysis In U.S. Environmental Regulatory Decisions," Conference Papers 14475, University of Minnesota, Center for International Food and Agricultural Policy.
    15. Nam, Young Soon & Cho, Kyoung Hee & Kang, Hee-Chung & Lee, Kwang-Sig & Park, Eun-Cheol, 2016. "Greater continuity of care reduces hospital admissions in patients with hypertension: An analysis of nationwide health insurance data in Korea, 2011–2013," Health Policy, Elsevier, vol. 120(6), pages 604-611.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:52:y:2015:i:c:p:96-106. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/evalprogplan .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.