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Benefit-Cost Analysis of Residential and Outpatient Addiction Treatment in the State of Washington

Author

Listed:
  • Michael T. French

    (University of Miami, Miami)

  • Helena J. Salomé

    (University of Miami, Miami)

  • Antoinette Krupski

    (State of Washington, Olympia)

  • James R. Mckay

    (University of Pennsylvania, and DeltraMetrics, Philadelphia)

  • Dennis M. Donovan

    (University of Washington, Seattle)

  • A. Thomas Mclellan

    (University of Pennsylvania, and DeltraMetrics, Philadelphia)

  • Jack Durell

    (DeltaMetrics, Philadelphia)

Abstract

A benefit-cost analysis of full continuum (FC) and partial continuum (PC) care was conducted on a sample of substance abusers from the State of Washington. Economic benefits were derived from client self-reported information at treatment entry and at 9 months postadmission using an augmented version of the Addiction Severity Index (ASI). Average (i.e., per client) economic benefits of treatment from baseline to follow-up for both FC and PC were statistically significant for most variables and in the aggregate. The overall difference in average economic benefit between FC and PC was positive ($8,053) and statistically significant, favoring FC over PC. The average cost of treatment amounted to $2,530 for FC and $1,138 for PC ( p

Suggested Citation

  • Michael T. French & Helena J. Salomé & Antoinette Krupski & James R. Mckay & Dennis M. Donovan & A. Thomas Mclellan & Jack Durell, 2000. "Benefit-Cost Analysis of Residential and Outpatient Addiction Treatment in the State of Washington," Evaluation Review, , vol. 24(6), pages 609-634, December.
    • Handle: RePEc:sae:evarev:v:24:y:2000:i:6:p:609-634
    DOI: 10.1177/0193841X0002400603
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    References listed on IDEAS

    as
    1. Kenkel, Don, 1997. "On valuing morbidity, cost-effectiveness analysis, and being rude," Journal of Health Economics, Elsevier, vol. 16(6), pages 749-757, December.
    2. French, Michael T., 2000. "Economic evaluation of alcohol treatment services," Evaluation and Program Planning, Elsevier, vol. 23(1), pages 27-39, February.
    3. zarkin, Gary A. & French, Michael T. & Anderson, Donald W. & Bradley, Cathy J., 1994. "A conceptual framework for the economic evaluation of substance abuse interventions," Evaluation and Program Planning, Elsevier, vol. 17(4), pages 409-418.
    4. Tolley, George & Kenkel, Donald & Fabian, Robert (ed.), 1994. "Valuing Health for Policy," University of Chicago Press Economics Books, University of Chicago Press, edition 1, number 9780226807133, December.
    5. Michael T. French & Kerry Anne McGeary, 1997. "Letter: Estimating the economic cost of substance abuse treatment," Health Economics, John Wiley & Sons, Ltd., vol. 6(5), pages 539-544, September.
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    Cited by:

    1. Dennis, Michael & Scott, Christy K. & Funk, Rod, 2003. "An experimental evaluation of recovery management checkups (RMC) for people with chronic substance use disorders," Evaluation and Program Planning, Elsevier, vol. 26(3), pages 339-352, August.
    2. Logan, TK & Hoyt, William H. & McCollister, Kathryn E. & French, Michael T. & Leukefeld, Carl & Minton, Lisa, 2004. "Economic evaluation of drug court: methodology, results, and policy implications," Evaluation and Program Planning, Elsevier, vol. 27(4), pages 381-396, November.
    3. Salome, Helena J. & French, Michael T. & Scott, Chris & Foss, Mark & Dennis, Michael, 2003. "Investigating variation in the costs and benefits of addiction treatment: econometric analysis of the Chicago Target Cities Project," Evaluation and Program Planning, Elsevier, vol. 26(3), pages 325-338, August.
    4. Jody L. Sindelar & Todd Olmstead, 2012. "Illicit Drugs and Drug-related Crime," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 8, Edward Elgar Publishing.

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