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Evaluation Review
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Outpatient Marijuana Treatment for Adolescents

Economic Evaluation of a Multisite Field Experiment

Michael T. French

University of Miami, frenchm{at}musc.edu

M. Christopher Roebuck

AdvancePCS

Michael L. Dennis

Chestnut Health Systems

Susan H. Godley

Chestnut Health Systems

Howard A. Liddle

University of Miami

Frank M. Tims

University of South Florida

An economic evaluation of five outpatient adolescent treatment approaches (12 total site-by-conditions) was conducted. The economic cost of each of the 12 site-specific treatment conditions was determined by the Drug Abuse Treatment Cost Analysis Program (DATCAP). Economic benefits of treatment were estimated by first monetizing a series of treatment outcomes and then analyzing the magnitude of these monetized outcomes from baseline through the 12-month follow-up. The average economic costs ranged from $90 to $313 per week and from $839 to $3,279 per episode. Relative to the quarter before intake, the average quarterly cost to society for the next 12 months (including treatment costs) significantly declined in 4 of the 12 site-by-treatment conditions, remained unchanged in 6 conditions, and increased in 2 treatment conditions (both in the same site). These results suggest that some types of substance-abuse intervention for adolescents can reduce social costs immediately after treatment.

Key Words: benefit-cost analysis • adolescent cannabis use • addiction treatment

Evaluation Review, Vol. 27, No. 4, 421-459 (2003)
DOI: 10.1177/0193841X03254349
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I. Popovici, M. T. French, and J. R. McKay
Economic Evaluation of Continuing Care Interventions in the Treatment of Substance Abuse: Recommendations for Future Research
Eval Rev, December 1, 2008; 32(6): 547 - 568.
[Abstract] [PDF]