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An updated assessment of program costs and cost-effectiveness
Khavjou, O., Forehand, R., Loiselle, R., Turner, P., Buell, N., & Jones, D. J. (2020). Helping the noncompliant child: An updated assessment of program costs and cost-effectiveness. Children and Youth Services Review, 114, Article 105050. https://doi.org/10.1016/j.childyouth.2020.105050
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.