Open AccessCommunity-based implementation of trauma-focused interventions for youth: Economic impact of the learning collaborative model.
Author(s) -
Alex R. Dopp,
Rochelle F. Hanson,
Benjamin E. Saunders,
Clara E. Dismuke,
Angela D. Moreland
Publication year - 2017
Publication title -
psychological services
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.855
H-Index - 45
eISSN - 1939-148X
pISSN - 1541-1559
DOI - 10.1037/ser0000131
Subject(s) - psycinfo , psychological intervention , mental health , cognitive behavioral therapy , clinical psychology , competence (human resources) , psychology , psychopathology , cognitive therapy , medicine , psychiatry , cognition , medline , social psychology , political science , law
This study investigated the economics of the learning collaborative (LC) model in the implementation of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), an evidence-based intervention for traumatic stress in youth. We evaluated the cost-effectiveness of the LC model based on data from 13 LCs completed in the southeastern United States. Specifically, we calculated cost-effectiveness ratios (CERs) for 2 key service outcomes: (a) clinician TF-CBT competence, based on pre- and post-LC self-ratings (n = 574); and (b) trauma-related mental health symptoms (i.e., traumatic stress and depression), self- and caregiver-reported, for youth who received TF-CBT (n = 1,410). CERs represented the cost of achieving 1 standard unit of change on a measure (i.e., d = 1.0). The results indicated that (a) costs of $18,679 per clinician were associated with each unit increase in TF-CBT competency and (b) costs from $5,318 to $6,548 per youth were associated with each unit decrease in mental health symptoms. Thus, although the impact of LC participation on clinician competence did not produce a favorable CER, subsequent reductions in youth psychopathology demonstrated high cost-effectiveness. Clinicians and administrators in community provider agencies should consider these findings in their decisions about implementation of evidence-based interventions for youth with traumatic stress disorders. (PsycINFO Database Record