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Evaluation Review, Vol. 28, No. 1, 3-27 (2004)
DOI: 10.1177/0193841X03257531

Cost-Effectiveness Analysis of the New South Wales Adult Drug Court Program

Marian Shanahan

National Drug and Alcohol Research Centre University of New South Wales

Emily Lancsar

Marion Haas

Centre for Health Economics Research and Evaluation University of Technology, Sydney

Bronwyn Lind

Don Weatherburn

Shuling Chen

Bureau of Crime Statistics and Research, Sydney

In New South Wales, Australia, a cost-effectiveness evaluation was conducted of an adult drug court (ADC) program as an alternative to jail for criminal offenders addicted to illicit drugs. This article describes the program, the cost-effectiveness analysis, and the results. The results of this study reveal that, for the 23-month period of the evaluation, the ADC was as cost-effective as were conventional sanctions in delaying the time to the first offense and more cost-effective in reducing the frequency of offending for those outcome measures selected. Although the evaluation was conducted using the traditional steps of a cost-effectiveness analysis, because of the complexity of the program and data limitations it was not always possible to adhere to textbook procedures. As such, each step involved in undertaking the cost-effectiveness analysis is discussed, highlighting the key issues faced in the evaluation.

Key Words: drug court • heroin • cost-effectiveness • coerced treatment


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