Assessing the Costs, Benefits, Cost-Benefit Ratio, and Cost-Effectiveness of Marital and Family Treatments: Why We Should and How We Can.

Fals‐Stewart, William; Yates, Brian T.; Klostermann, Keith

doi:10.1037/0893-3200.19.1.28

Cited by 37 publications

(46 citation statements)

References 27 publications

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“…These sorts of outcomes typically are not tracked in most efficacy studies, but they are the very outcomes that will be critical to stakeholders in the decision-making process (e.g., Fiore et al, 2008; Murray, Burns, See, Lai, & Nazareth, 2005). Efficacy effects are highly persuasive to decision makers when they reflect direct impact on the health care system or purchaser and are objective and denominated in tangibles (Fals-Stewart, Yates, & Klostermann, 2005). …”

Section: Criteria For Data-driven Decision Making In Mental Health Carementioning

confidence: 99%

Current Status and Future Prospects of Clinical Psychology

Baker

McFall

Shoham

2008

Psychol Sci Public Interest

281

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SUMMARYThe escalating costs of health care and other recent trends have made health care decisions of great societal import, with decision-making responsibility often being transferred from practitioners to health economists, health plans, and insurers. Health care decision making increasingly is guided by evidence that a treatment is efficacious, effective-disseminable, cost-effective, and scientifically plausible. Under these conditions of heightened cost concerns and institutional-economic decision making, psychologists are losing the opportunity to play a leadership role in mental and behavioral health care: Other types of practitioners are providing an increasing proportion of delivered treatment, and the use of psychiatric medication has increased dramatically relative to the provision of psychological interventions.Research has shown that numerous psychological interventions are efficacious, effective, and costeffective. However, these interventions are used infrequently with patients who would benefit from them, in part because clinical psychologists have not made a convincing case for the use of these interventions (e.g., by supplying the data that decision makers need to support implementation of such interventions) and because clinical psychologists do not themselves use these interventions even when given the opportunity to do so.Clinical psychologists' failure to achieve a more significant impact on clinical and public health may be traced to their deep ambivalence about the role of science and their lack of adequate science training, which leads them to value personal clinical experience over research evidence, use assessment practices that have dubious psychometric support, and not use the interventions for which there is the strongest evidence of efficacy. Clinical psychology resembles medicine at a point in its history when practitioners were operating in a largely prescientific manner. Prior to the scientific reform of medicine in the early 1900s, physicians typically shared the attitudes of many of today's clinical psychologists, such as valuing personal experience over scientific research. Medicine was reformed, in large part, by a principled effort by the American Medical Association to increase the science base of medical school education. Substantial evidence shows that many clinical psychology doctoral training programs, especially PsyD and for-profit programs, do not uphold high standards for graduate admission, have high student-faculty ratios, deemphasize science in their training, and produce students who fail to apply or generate scientific knowledge.A promising strategy for improving the quality and clinical and public health impact of clinical psychology is through a new accreditation system that demands highquality science training as a central feature of doctoral training in clinical psychology. Just as strengthening training standards in NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript medicine markedly enhanced the quality of health care, improved tra...

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Section: Criteria For Data-driven Decision Making In Mental Health Carementioning

confidence: 99%

Current Status and Future Prospects of Clinical Psychology

Baker

McFall

Shoham

2008

Psychol Sci Public Interest

281

View full text Add to dashboard Cite

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“…Fals-Stewart et al, 2005; Kaplan & Groessl, 2002). A brief overview of these methods is provided to orient the reader regarding the primary decision points for the present research.…”

Section: Methodologies For Cost Evaluationsmentioning

confidence: 99%

“…Economic evaluations have been conducted only for a handful of substance abuse or mental health interventions, such as Behavioral Couples Therapy (Fals-Stewart, O'Farrell, & Birchler, 1997), Assertive Community Treatment (Clark et al, 1998; Essock, Frisman, & Kontos, 1998; Latimer, 1999; Lehman et al, 1999; Rosenheck & Neale, 1998; Wolff, Helminiak, & Diamond, 1995), Cannabis Youth Treatments (French et al, 2002), and Multisystemic Therapy (Sheidow et al, 2004). Reviewers, consequently, have called for more extensive economic evaluations of clinical interventions, and recent articles present economic evaluation methodologies for use in treatment research audiences (e.g., Fals-Stewart, Yates, & Klostermann, 2005; Kaplan & Groessl, 2002). …”

mentioning

confidence: 99%

“…Furthermore, multiple methods have been developed for evaluating cost effectiveness, and different methods can result in conflicting conclusions. Nevertheless, economic constraints often are a determining factor in “real world” treatment and services decisions, and therefore, economic evaluations of clinically effective programs are needed to support their transport to community settings (Eddy, 1992; Fals-Stewart, et al, 2005; Lombard, et al, 1998). …”

mentioning

confidence: 99%

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Money Matters: Cost-Effectiveness of Juvenile Drug Court with and without Evidence-Based Treatments

Sheidow

Jayawardhana

Bradford

et al. 2012

Journal of Child & Adolescent Substance Abuse

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The 12-month cost effectiveness of juvenile drug court and evidence-based treatments within Court were compared with traditional Family Court for 128 substance abusing/dependent juvenile offenders participating in a four-condition randomized trial. Intervention conditions included Family Court with community services (FC), Drug Court with community services (DC), Drug Court with Multisystemic Therapy (DC/MST), and Drug Court with MST enhanced with a contingency management program (DC/MST/CM). Average cost effectiveness ratios for substance use and criminal behavior outcomes revealed that economic efficiency in achieving outcomes generally improved from FC to DC, with the addition of evidence-based treatments improving efficiency in obtaining substance use outcomes.

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“…The critical issue to be addressed is: Does the money saved by providing family therapy cover the cost of therapy and lead to a significant total cost-offset in the short, medium and long-term. Guidance on collecting and analysing cost data are given by FalsStewart, Yates and Klostermann (2005).…”

Section: For What Problems Is Family Therapy Cost-effective?mentioning

confidence: 99%

Ten Research Questions for Family Therapy

Carr

2010

ANZ J of Family Therapy

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A growing evidence-base shows that family therapy works, but many gaps in our knowledge remain about the conditions under which family therapy is effective and how it works. In this paper, ten critical research questions about family therapy that need to be addressed are considered. In short these are:1. Is family therapy as effective in community settings as it is in specialist clinics?2. For what problems is family therapy cost-effective?

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Assessing the Costs, Benefits, Cost-Benefit Ratio, and Cost-Effectiveness of Marital and Family Treatments: Why We Should and How We Can.

Cited by 37 publications

References 27 publications

Current Status and Future Prospects of Clinical Psychology

Current Status and Future Prospects of Clinical Psychology

Money Matters: Cost-Effectiveness of Juvenile Drug Court with and without Evidence-Based Treatments

Ten Research Questions for Family Therapy

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