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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Scaling-Up Evidence-Based Programs Using a Public Funding Stream: a Randomized Trial of Functional Family Therapy for Court-Involved Youth
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Scaling-Up Evidence-Based Programs Using a Public Funding Stream: a Randomized Trial of Functional Family Therapy for Court-Involved Youth

机译：使用公共资金流扩展基于证据的计划：对法庭涉及青年的功能性家庭治疗的随机试验

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摘要

The Affordable Care Act expanded access to Medicaid programs and required them to provide essential health benefits, which can include prevention services. This study assesses the costs and benefits to using Medicaid funding to implement a well-known evidence-based program, Functional Family Therapy (FFT), with a sample of juvenile justice-involved youth. The study also provides a rigorous test of FFT accommodated for a contemporary urban population that is gang at risk or gang-involved. One hundred twenty-nine predominantly minority and low income families were randomly assigned to receive an enhanced version of FFT or an alternative family therapy. Data from pre- and post-intervention interviews with youth and parents, court records of contacts with the justice system and residential placements, official records of community services, and the costs of placements and services are summarized. The intervention was implemented with fidelity to the FFT model using Medicaid funding. Treatment and control subjects received a wide range of community and residential services in addition to FFT. A higher percentage of treatment subjects than controls received services following random assignment, but the cost per youth served was lower for treatment than control youth, primarily because control youth were more often placed in residential facilities. Recidivism during the 18-month follow-up period was lower for FFT than for control youth. The combination of cost savings realized from avoiding more costly services and the expected future savings due to recidivism reduction suggest the expanded use of evidence-based practices using public funding streams such as Medicaid is warranted.
机译：经济实惠的护理法案扩大了对医疗补助计划的获取，并要求他们提供必要的健康福利，这可能包括预防服务。本研究评估了使用医疗补助商实施的成本和益处，以实施着名的基于证据的计划，功能性家庭疗法（FFT），其中少年司法杂志的样本。该研究还提供了对适用于当代城市人口的FFT严格的FFT测试，该人口在风险或涉及的携带群岛。随机分配一百二十九个主要是少数群体和低收入家庭，以获得增强版的FFT或替代家庭治疗。从青年和父母的介入后和介入后，法院与司法制度和住宅展示，社区服务的正式记录以及展示和服务成本的法院记录。使用医疗补助资金，通过保真于FFT模型实施干预。除FFT外，治疗和控制受试者还收到了广泛的社区和住宅服务。较高百分比的治疗科目比控制在随机分配后获得的服务，但治疗的每年中费用低于控制青年，主要是因为控制青年更常被放在住宅设施中。 FFT的18个月随访期间的累犯比控制青年更低。从避免更昂贵的服务和由于累犯减少而实现的成本节约的组合，并促成了累官减少的预期节省表明，有保证使用医疗补助等公共资金流的依据基于循证实践的扩大使用。

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