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Cited by 164Substance Abuse Treatment and OutcomesHealth Systems, Economic Evaluations, Quality of LifeHomelessness and Social Issues

The DOI matches its Crossref record; 44 of the 45 references it cites were found in a registry or an index.

Benefit-cost in the California treatment outcome project: Does substance abuse treatment “pay for itself”?

Open access
Ettner, Susan L., Huang, David, Evans, Elizabeth, Rose Ash, Danielle, Hardy, Mary, Jourabchi, Mickel, Hser, Yih‐Ing·2006·Health Services Research
DOI 10.1111/j.1475-6773.2005.00466.xPMC PMC1681530
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Abstract

Objective. To examine costs and monetary benefits associated with substance abuse treatment. Data Sources. Primary and administrative data on client outcomes and agency costs from 43 substance abuse treatment providers in 13 counties in California during 2000–2001. Study Design. Using a social planner perspective, the estimated direct cost of treatment was compared with the associated monetary benefits, including the client's costs of medical care, mental health services, criminal activity, earnings, and (from the government's perspective) transfer program payments. The cost of the client's substance abuse treatment episode was estimated by multiplying the number of days that the client spent in each treatment modality by the estimated average per diem cost of that modality. Monetary benefits associated with treatment were estimated using a pre–posttreatment admission study design, i.e., each client served as his or her own control. Data Collection. Treatment cost data were collected from providers using the Drug Abuse Treatment Cost Analysis Program instrument. For the main sample of 2,567 clients, information on medical hospitalizations, emergency room visits, earnings, and transfer payments was obtained from baseline and 9‐month follow‐up interviews, and linked to information on inpatient and outpatient mental health services use and criminal activity from administrative databases. Sensitivity analyses examined administrative data outcomes for a larger cohort (N=6,545) and longer time period (1 year). Principal Findings. On average, substance abuse treatment costs $1,583 and is associated with a monetary benefit to society of $11,487, representing a greater than 7:1 ratio of benefits to costs. These benefits were primarily because of reduced costs of crime and increased employment earnings. Conclusions. Even without considering the direct value to clients of improved health and quality of life, allocating taxpayer dollars to substance abuse treatment may be a wise investment.

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Research works printed but not linked: 12

  1. California State Auditor., 1998, California Department of Corrections: The Cost of Incarcerating Inmates in State‐Run Prisons is Higher Than the Department's Published Cost
  2. 10.1023/A:1013630710518 · DOI
  3. Harwood H., 1998, The Economic Costs of Alcohol and Drug Abuse in the United States, 1992
  4. Hser Y., 2003, The California Treatment Outcome Project Supplement to the Final Report. Submitted to the California Department of Alcohol and Drug Programs
  5. Hser Y., 2002, The California Treatment Outcome Project (CalTOP) Final Report Submitted to the California Department of Alcohol and Drug Programs
  6. Koenig L., 2000, Do the Benefits of More Intensive Substance Abuse Treatment Offset the Costs? (Caliber/NEDS Contract No. 270‐97‐7016)
  7. Miller T., 1996, Victim Costs and Consequences: A New Look. Final Summary Report Presented to the National Institute of Justice, January, 1996
  8. Office of National Drug Control Policy., 2001, The Economic Costs of Drug Abuse in the United States, 1992‐1998. (Publication No. NCJ‐190636.)
  9. Sturm R., 2001, The Costs of Covering Mental Health and Substance Abuse as Medical Care in Private Insurance Plans (RAND Health Publication No. CT‐180)
  10. Urada D., 2000, California State Treatment Needs Assessment Program Existing Service Utilization, and Outcomes: Interim Report (Under Contract No. 270‐98‐7052)
  11. Vencill C., 2001, Allocation of the California War Costs, Justice Policy Journal, 1, 1
  12. Weisner C., 2000, The Outcome and Cost of Alcohol and Drug Treatment in an HMO, Health Services Research, 35, 791

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Metadata

Authors
Ettner, S. L., Huang, D., Evans, E., Rose Ash, D., Hardy, M., Jourabchi, M., & Hser, Y.
Affiliations
University of California, Los Angeles (US)
Corresponding author
Ettner, Susan L.
ORCID
Venue
Health Services Research
Publisher
Wiley
Published
2005-10-20
Volume
41
Issue
1
Pages
192-213
ISSN
  • 0017-9124 (ISSN-L)
  • 1475-6773
DOI
10.1111/j.1475-6773.2005.00466.x
PMC
PMC1681530
OpenAlex
W2156116126
Cited by
164
References
45
Citations by year
2026: 2 · 2025: 2 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 6 · 2020: 10 · 2019: 8 · 2018: 13 · 2017: 10 · 2016: 8 · 2015: 12 · 2014: 7 · 2013: 13 · 2012: 5
FWCI
5.76
Type
journal article
Language
en
Update notices
erratum (2006-03-09)
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Health Services Research (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Robert Wood Johnson Foundation
  • California Department of Alcohol and Drug Programs
  • AcademyHealth
  • National Institute on Drug Abuse
  • Center for Substance Abuse Treatment
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Keywords
addiction treatment, cost-benefit analysis, treatment costs, monetary rewards, crime costs, employment income, mental health service utilization, health care costs, transfer payments
MeSH terms
California, Cost-Benefit Analysis, Humans, Surveys and Questionnaires, Cohort Studies, Substance Abuse Treatment Centers, Treatment Outcome, Episode of Care, Efficiency, Organizational, Substance-Related Disorders

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