Economic value of community-based services for problematic sexual behaviors in youth: A mixed-method cost-effectiveness analysis
| Autor: | Alex R. Dopp, Peter Mundey, Alexandra Slemaker, Michael D. Hunter, Jane F. Silovsky |
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| Rok vydání: | 2018 |
| Předmět: |
Male
050103 clinical psychology medicine.medical_specialty Evidence-based practice Adolescent Cost-Benefit Analysis Sexual Behavior Applied psychology Poison control Suicide prevention Occupational safety and health Indirect costs Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Community Health Services Child Problem Behavior Cost–benefit analysis Cognitive Behavioral Therapy Public health 05 social sciences Human factors and ergonomics United States Psychiatry and Mental health Adolescent Behavior Research Design Pediatrics Perinatology and Child Health Female Psychology 050104 developmental & child psychology Program Evaluation |
| Zdroj: | Child abuseneglect. 105 |
| ISSN: | 1873-7757 |
| Popis: | Background Problematic sexual behavior in youth represents a significant public health problem in need of evidence-based treatments. Unfortunately, such treatments are not available in most communities. Objective This study used a mixed quantitative-qualitative approach to investigate the economics of the implementation of Problematic Sexual Behavior – Cognitive-Behavioral Therapy (PSB-CBT), an evidence-based treatment for problem sexual behaviors in youth. Participants and setting Youth (N = 413) participated in PSB-CBT at six program sites in youth service agencies across the United States. Method We used cost-effectiveness ratios (CERs) to compare the direct and indirect costs of PSB-CBT to self- and caregiver-reported youth clinical outcomes (i.e., problem sexual behavior as well as secondary behavioral health problems). CERs represented the cost of achieving one standard unit of change on a measure (i.e., d = 1.0). The design and interpretation of those quantitative analyses were informed by qualitative themes about program costs and benefits that were derived from interviews with 59 therapists, administrators, and stakeholders. Results CERs (i.e., $ per SD) were $1,772 per youth for problem sexual behavior and ranged from $2,867 to $4,899 per youth for secondary outcomes. These quantitative results, considered alongside the qualitative perspectives of interviewees, suggested that the implementation of PSB-CBT was cost-effective. The results were robust to uncertainty in key parameters under most, but not all, conditions. Conclusions The results have important implications for decisions made by administrators, policymakers, and therapists regarding use of community-based approaches to address problematic sexual behavior of youth. |
| Databáze: | OpenAIRE |
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