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Addiction. 2003 Dec;98(12):1647-59.

The relative contribution of outcome domains in the total economic benefit of addiction interventions: a review of first findings.

Author information

1
Health Services Research Center and Department of Epidemiology and Public Health (D93), University of Miami, Miami, FL 33136, USA. kmccolli@med.miami.edu

Abstract

AIMS:

This paper provides a focused summary of the relative contribution of addiction intervention outcomes to total economic benefit, based upon a compilation of published economic studies from the United States.

DESIGN:

The relevant literature was searched extensively, and 11 economic studies were selected for review.

SETTING:

The selected addiction interventions address both alcohol use/abuse and illicit drug use/abuse and represent various treatment modalities, including a brief physician intervention and long-term residential programs.

PARTICIPANTS:

Study participants included community-based drug users, pregnant and/or parenting women, problem drinkers, and criminal offenders.

MEASUREMENTS:

These studies estimated the economic benefits of an addiction intervention(s) in terms of one or more of the following outcome domains: criminal activity, health services utilization, employment earnings, and expenditures on illicit drugs and alcohol.

FINDINGS:

The primary finding of this review was that avoided criminal activity was the greatest economic benefit of addiction interventions and contributed more, as a separate outcome domain, to the total economic benefit of addiction interventions than any other outcome domain. Reduced utilization of health care services was also a noteworthy economic benefit of addiction interventions.

CONCLUSIONS:

This study provides a detailed exposition of economic benefits estimation and highlights the potential impact of individual outcomes, thus providing a useful resource for substance abuse researchers and administrators as they design and evaluate future interventions.

PMID:
14651494
[Indexed for MEDLINE]
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