@article{ref1,
title="Community-based implementation of trauma-focused interventions for youth: economic impact of the learning collaborative model",
journal="Psychological services",
year="2017",
author="Dopp, Alex R. and Hanson, Rochelle F. and Saunders, Benjamin E. and Dismuke, Clara E. and Moreland, Angela D.",
volume="14",
number="1",
pages="57-65",
abstract="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 (c) 2017 APA, all rights reserved)<p /> <p>Language: en</p>",
language="en",
issn="1541-1559",
doi="10.1037/ser0000131",
url="http://dx.doi.org/10.1037/ser0000131"
}