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The Price per Prospective Consumer of Providing Therapist Training and Consultation in Seven Evidence-Based Treatments within a Large Public Behavioral Health System: An Example Cost-Analysis Metric

OBJECTIVE: Public-sector behavioral health systems seeking to implement evidence-based treatments (EBTs) may face challenges selecting EBTs given their limited resources. This study describes and illustrates one method to calculate cost related to training and consultation to assist system-level dec...

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Autores principales: Okamura, Kelsie H., Benjamin Wolk, Courtney L., Kang-Yi, Christina D., Stewart, Rebecca, Rubin, Ronnie M., Weaver, Shawna, Evans, Arthur C., Cidav, Zuleyha, Beidas, Rinad S., Mandell, David S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5766669/
https://www.ncbi.nlm.nih.gov/pubmed/29359126
http://dx.doi.org/10.3389/fpubh.2017.00356
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author Okamura, Kelsie H.
Benjamin Wolk, Courtney L.
Kang-Yi, Christina D.
Stewart, Rebecca
Rubin, Ronnie M.
Weaver, Shawna
Evans, Arthur C.
Cidav, Zuleyha
Beidas, Rinad S.
Mandell, David S.
author_facet Okamura, Kelsie H.
Benjamin Wolk, Courtney L.
Kang-Yi, Christina D.
Stewart, Rebecca
Rubin, Ronnie M.
Weaver, Shawna
Evans, Arthur C.
Cidav, Zuleyha
Beidas, Rinad S.
Mandell, David S.
author_sort Okamura, Kelsie H.
collection PubMed
description OBJECTIVE: Public-sector behavioral health systems seeking to implement evidence-based treatments (EBTs) may face challenges selecting EBTs given their limited resources. This study describes and illustrates one method to calculate cost related to training and consultation to assist system-level decisions about which EBTs to select. METHODS: Training, consultation, and indirect labor costs were calculated for seven commonly implemented EBTs. Using extant literature, we then estimated the diagnoses and populations for which each EBT was indicated. Diagnostic and demographic information from Medicaid claims data were obtained from a large behavioral health payer organization and used to estimate the number of covered people with whom the EBT could be used and to calculate implementation-associated costs per consumer. RESULTS: Findings suggest substantial cost to therapists and service systems related to EBT training and consultation. Training and consultation costs varied by EBT, from Dialectical Behavior Therapy at $238.07 to Cognitive Behavioral Therapy at $0.18 per potential consumer served. Total cost did not correspond with the number of prospective consumers served by an EBT. CONCLUSION: A cost-metric that accounts for the prospective recipients of a given EBT within a given population may provide insight into how systems should prioritize training efforts. Future policy should consider the financial burden of EBT implementation in relation to the context of the population being served and begin a dialog in creating incentives for EBT use.
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spelling pubmed-57666692018-01-22 The Price per Prospective Consumer of Providing Therapist Training and Consultation in Seven Evidence-Based Treatments within a Large Public Behavioral Health System: An Example Cost-Analysis Metric Okamura, Kelsie H. Benjamin Wolk, Courtney L. Kang-Yi, Christina D. Stewart, Rebecca Rubin, Ronnie M. Weaver, Shawna Evans, Arthur C. Cidav, Zuleyha Beidas, Rinad S. Mandell, David S. Front Public Health Public Health OBJECTIVE: Public-sector behavioral health systems seeking to implement evidence-based treatments (EBTs) may face challenges selecting EBTs given their limited resources. This study describes and illustrates one method to calculate cost related to training and consultation to assist system-level decisions about which EBTs to select. METHODS: Training, consultation, and indirect labor costs were calculated for seven commonly implemented EBTs. Using extant literature, we then estimated the diagnoses and populations for which each EBT was indicated. Diagnostic and demographic information from Medicaid claims data were obtained from a large behavioral health payer organization and used to estimate the number of covered people with whom the EBT could be used and to calculate implementation-associated costs per consumer. RESULTS: Findings suggest substantial cost to therapists and service systems related to EBT training and consultation. Training and consultation costs varied by EBT, from Dialectical Behavior Therapy at $238.07 to Cognitive Behavioral Therapy at $0.18 per potential consumer served. Total cost did not correspond with the number of prospective consumers served by an EBT. CONCLUSION: A cost-metric that accounts for the prospective recipients of a given EBT within a given population may provide insight into how systems should prioritize training efforts. Future policy should consider the financial burden of EBT implementation in relation to the context of the population being served and begin a dialog in creating incentives for EBT use. Frontiers Media S.A. 2018-01-08 /pmc/articles/PMC5766669/ /pubmed/29359126 http://dx.doi.org/10.3389/fpubh.2017.00356 Text en Copyright © 2018 Okamura, Benjamin Wolk, Kang-Yi, Stewart, Rubin, Weaver, Evans, Cidav, Beidas and Mandell. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Okamura, Kelsie H.
Benjamin Wolk, Courtney L.
Kang-Yi, Christina D.
Stewart, Rebecca
Rubin, Ronnie M.
Weaver, Shawna
Evans, Arthur C.
Cidav, Zuleyha
Beidas, Rinad S.
Mandell, David S.
The Price per Prospective Consumer of Providing Therapist Training and Consultation in Seven Evidence-Based Treatments within a Large Public Behavioral Health System: An Example Cost-Analysis Metric
title The Price per Prospective Consumer of Providing Therapist Training and Consultation in Seven Evidence-Based Treatments within a Large Public Behavioral Health System: An Example Cost-Analysis Metric
title_full The Price per Prospective Consumer of Providing Therapist Training and Consultation in Seven Evidence-Based Treatments within a Large Public Behavioral Health System: An Example Cost-Analysis Metric
title_fullStr The Price per Prospective Consumer of Providing Therapist Training and Consultation in Seven Evidence-Based Treatments within a Large Public Behavioral Health System: An Example Cost-Analysis Metric
title_full_unstemmed The Price per Prospective Consumer of Providing Therapist Training and Consultation in Seven Evidence-Based Treatments within a Large Public Behavioral Health System: An Example Cost-Analysis Metric
title_short The Price per Prospective Consumer of Providing Therapist Training and Consultation in Seven Evidence-Based Treatments within a Large Public Behavioral Health System: An Example Cost-Analysis Metric
title_sort price per prospective consumer of providing therapist training and consultation in seven evidence-based treatments within a large public behavioral health system: an example cost-analysis metric
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5766669/
https://www.ncbi.nlm.nih.gov/pubmed/29359126
http://dx.doi.org/10.3389/fpubh.2017.00356
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