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A Benefit-Cost Analysis of BackTrack, a Multi-Component, Community-Based Intervention for High-Risk Young People in a Rural Australian Setting

Author

Listed:
  • Simon Deeming

    (Health Research Economics, Hunter Medical Research Institute (HMRI), Newcastle, NSW 2305, Australia
    Faculty of Medicine and Health Sciences, University of Newcastle, Newcastle, NSW 2300, Australia)

  • Kim Edmunds

    (Health Research Economics, Hunter Medical Research Institute (HMRI), Newcastle, NSW 2305, Australia
    Faculty of Medicine and Health Sciences, University of Newcastle, Newcastle, NSW 2300, Australia)

  • Alice Knight

    (Sax Institute, Glebe, NSW 2037, Australia)

  • Andrew Searles

    (Health Research Economics, Hunter Medical Research Institute (HMRI), Newcastle, NSW 2305, Australia
    Faculty of Medicine and Health Sciences, University of Newcastle, Newcastle, NSW 2300, Australia)

  • Anthony P. Shakeshaft

    (National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Syndey, NSW 2502, Australia)

  • Christopher M. Doran

    (Cluster for Resilience and Wellbeing, Appleton Institute, Central Queensland University, Brisbane, QLD 4000, Australia)

Abstract

BackTrack is a multi-component, community-based program designed to build capacity amongst high-risk young people. The aim of this study was to conduct a benefit-cost analysis of BackTrack, which was implemented in Armidale, a rural town in New South Wales, Australia. Costs and benefits were identified, measured and valued in 2016 Australian dollars. Costs were estimated from program financial and administrative records. Benefits were estimated using a pre-post design and conservative economic assumptions. Benefits included education attendance or completion; employment; engagement with health service providers; reduced homelessness; economic productivity; reduced vandalism to local infrastructure; reduced youth crime; reduced engagement with the justice system; and program income generated by participants. The counterfactual baseline was zero educational outcome, based on discussions with BackTrack staff and expert informants. We tested this assumption compared to the assumption that participants had a Year 8 education. There was evidence of significant quantifiable improvements in several outcomes: high school attendance or completion, vocational education attendance or completion, unskilled or vocationally qualified employment and economic productivity. Reduced homelessness, engagement with health services and acquisition of job readiness skills, as well as reduced local infrastructure vandalism and reduced crime were further quantifiable improvements. The net social benefit of BackTrack was estimated at $3,267,967 with a benefit-cost ratio of 2.03, meaning that every dollar invested in BackTrack would return $2.03 in benefits. BackTrack represents a viable funding option for a government interested in addressing the needs of high-risk young people.

Suggested Citation

  • Simon Deeming & Kim Edmunds & Alice Knight & Andrew Searles & Anthony P. Shakeshaft & Christopher M. Doran, 2022. "A Benefit-Cost Analysis of BackTrack, a Multi-Component, Community-Based Intervention for High-Risk Young People in a Rural Australian Setting," IJERPH, MDPI, vol. 19(16), pages 1-12, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10273-:d:891518
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    References listed on IDEAS

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    1. Productivity Commission, 2003. "Evaluation of the Pharmaceutical Industry Investment Program," Microeconomics 0305001, University Library of Munich, Germany.
    2. Balestra, Simone & Backes-Gellner, Uschi, 2017. "Heterogeneous returns to education over the wage distribution: Who profits the most?," Labour Economics, Elsevier, vol. 44(C), pages 89-105.
    3. Emily Lancsar & Jordan Louviere, 2008. "Conducting Discrete Choice Experiments to Inform Healthcare Decision Making," PharmacoEconomics, Springer, vol. 26(8), pages 661-677, August.
    4. Don Husereau & Michael Drummond & Stavros Petrou & Chris Carswell & David Moher & Dan Greenberg & Federico Augustovski & Andrew Briggs & Josephine Mauskopf & Elizabeth Loder, 2013. "Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(3), pages 367-372, June.
    5. Caroline Vass & Dan Rigby & Katherine Payne, 2017. "The Role of Qualitative Research Methods in Discrete Choice Experiments," Medical Decision Making, , vol. 37(3), pages 298-313, April.
    6. Steve Gibbons, 2004. "The Costs of Urban Property Crime," Economic Journal, Royal Economic Society, vol. 114(499), pages 441-463, November.
    7. Irina Kinchin & Christopher M. Doran, 2018. "The Cost of Youth Suicide in Australia," IJERPH, MDPI, vol. 15(4), pages 1-11, April.
    8. Donald B. Rubin, 2005. "Causal Inference Using Potential Outcomes: Design, Modeling, Decisions," Journal of the American Statistical Association, American Statistical Association, vol. 100, pages 322-331, March.
    9. Klaus Eichler & Simon Wieser & Urs Brügger, 2009. "The costs of limited health literacy: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(5), pages 313-324, October.
    10. Heckman, James J. & Moon, Seong Hyeok & Pinto, Rodrigo & Savelyev, Peter A. & Yavitz, Adam, 2010. "A New Cost-Benefit and Rate of Return Analysis for the Perry Preschool Program: A Summary," IZA Policy Papers 17, Institute of Labor Economics (IZA).
    11. Alice Knight & Alys Havard & Anthony Shakeshaft & Myfanwy Maple & Mieke Snijder & Bernie Shakeshaft, 2017. "The Feasibility of Embedding Data Collection into the Routine Service Delivery of a Multi-Component Program for High-Risk Young People," IJERPH, MDPI, vol. 14(2), pages 1-15, February.
    12. Kim Edmunds & Laura Wall & Scott Brown & Andrew Searles & Anthony P. Shakeshaft & Christopher M. Doran, 2021. "Exploring Community-Based Options for Reducing Youth Crime," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    13. Emma McIntosh, 2006. "Using Discrete Choice Experiments within a Cost-Benefit Analysis Framework," PharmacoEconomics, Springer, vol. 24(9), pages 855-868, September.
    14. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884.
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