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Cooperative efforts and collateral effects: The cost-benefit analysis of a statewide substance abuse treatment system

机译：合作努力和附带影响：全州范围内药物滥用治疗系统的成本效益分析

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摘要

Idaho is presently facing major budget shortfalls. Social services, such as those associated with substance abuse treatment, are often considered ripe grounds for trimming costs. Currently, there is a growing demand to target cuts in funding through the use of cost-benefit research. In response to this demand, this study employed cost-benefit methods to estimate the economic costs and benefits associated with the provision of substance abuse treatment in Idaho. Taking methodological advantage of a naturalistic study design, this study was able to compare treatment group outcomes such as criminal recidivism, client monetary earnings, and correctional system involvement with those of a propensity score matched comparison group.;Outcomes tied to client monetary earnings and involvement in the Idaho Department of Correction did not strongly indicate a difference in patterns in favor of the treatment group. In regard to criminal recidivism, however, the outcomes fell significantly in favor of the treatment group. Findings indicated that a one-dollar investment in treatment saved $1.46 in the fifteen-month study period following discharge from treatment. Therefore, it is clear that treatment, compared to the absence of treatment, has a positive overall effect on economic outcomes.;To lend context to the cost-benefit findings, this research utilized theoretical concepts from the fields of public policy, criminal justice, and criminology. In recognizing that the provision of substance abuse treatment is a valid form of social support, this study expands our understanding of the role of policy-makers within treatment systems. Specifically, this study details the impact that the network, collaborative capacity, and wicked problem concepts have on the criminal justice and treatment fields. Findings related to a collaborative capacity survey indicate a need for: (1) improvement in the relationships among treatment network partners; (2) the identification of sustainable financial and intellectual support; (3) the formation of a stable network structure that can handle the ongoing research needs of the system; and, (4) the creation of information on evidence-based practices and their short and long-term consequences for the health and safety of the people of Idaho.
机译：爱达荷州目前面临重大预算短缺。社会服务，例如与滥用药物相关的服务，通常被认为是削减成本的成熟理由。当前，越来越需要通过成本效益研究来削减资金。针对这一需求，本研究采用成本效益方法来估算与爱达荷州提供药物滥用治疗相关的经济成本和收益。利用自然主义研究设计的方法优势，该研究能够将治疗组的结果（例如犯罪累犯，客户金钱收益和惩教系统参与）与倾向得分匹配的比较组进行比较;与顾客金钱收益和参与有关的结果爱达荷州矫正部门的研究没有强烈表明治疗组的模式差异。但是，在刑事累犯方面，治疗组的结果明显下降。研究结果表明，出院后的15个月研究期内，对疗法的一美元投资节省了1.46美元。因此，很明显，与不进行治疗相比，治疗对经济成果具有积极的总体影响。为了使成本效益研究具有背景意义，本研究利用了公共政策，刑事司法，和犯罪学。在认识到提供滥用药物治疗是一种有效的社会支持形式之后，本研究扩大了我们对政策制定者在治疗系统中的作用的理解。具体而言，本研究详细介绍了网络，协作能力和邪恶问题概念对刑事司法和治疗领域的影响。与协作能力调查有关的发现表明，需要：（1）改善治疗网络合作伙伴之间的关系； （2）确定可持续的财务和智力支持； （3）形成稳定的网络结构，可以处理系统的持续研究需求； （4）创建有关循证实践及其对爱达荷州人民健康和安全的短期和长期后果的信息。

著录项

  • 作者

    Collins, Peter Alan.;

  • 作者单位

    Washington State University.;

  • 授予单位 Washington State University.;
  • 学科 Criminology.;Public policy.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 200 p.
  • 总页数 200
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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