Cost-effectiveness of a school-based emotional health screening program.
BACKGROUND: School-based screening for health conditions can help extend the reach of health services to underserved populations. Screening for mental health conditions is growing in acceptability, but evidence of cost-effectiveness is lacking. This study assessed costs and effectiveness associated...
| Publicado en: | Journal of School Health Vol. 79; no. 6; pp. 277 - 286 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105526569&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105526569 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00224391 JOS jtl: Journal of School Health issn: 00224391 maglogo: Y pubinfo: dt: Jun2009 vid: 79 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105526569 39053821 2010277312 10.1111/j.1746-1561.2009.00410.x NLM19432868 105526569 ppf: 277 ppct: 9 formats: tig: atl: Cost-effectiveness of a school-based emotional health screening program. aug: au: Kuo E Stoep AV McCauley E Kernic MA affil: Project Manager, GHC Center for Health Studies, Seattle, WA, USA sug: subj: Cost Benefit Analysis Health Screening Economics Mental Status Evaluation School Health Services Economics Adolescence Asians Black Persons Child Confidence Intervals Descriptive Statistics Female Health Resource Allocation Hispanic Americans Male Motivational Interviewing Multiple Linear Regression Native Americans Psychological Tests Questionnaires Referral and Consultation Reliability and Validity Scales Schools, Middle Self Report Students, Middle School Summated Rating Scaling Washington White Persons Human Adolescent: 13-18 years Child: 6-12 years Female Male ab: BACKGROUND: School-based screening for health conditions can help extend the reach of health services to underserved populations. Screening for mental health conditions is growing in acceptability, but evidence of cost-effectiveness is lacking. This study assessed costs and effectiveness associated with the Developmental Pathways Screening Program, in which students undergo universal classroom emotional health screening and those who have positive screens are provided with on-site clinical evaluation and referral. METHODS: Costs are enumerated for screening and clinical evaluation in terms of labor and overhead and summarized as cost per enrolled student, per positive screen, and per referral. Cost-effectiveness is summarized as cost per student successfully linked to services. School demographics are used to generate a predictive formula for estimating the proportion of students likely to screen positive in a particular school, which can be used to estimate program cost. RESULTS: Screening costs ranged from $8.88 to $13.64 per enrolled student, depending on the prevalence of positive screens in a school. Of students referred for services, 72% were linked to supportive services within 6 weeks. Cost-effectiveness was estimated to be $416.90 per successful linkage when 5% screened positive and $106.09 when 20% screened positive. A formula to estimate the proportion of students screening positive proved accurate to within 5%. CONCLUSION: Information concerning costs and effectiveness of school-based emotional health screening programs can guide school districts in making decisions concerning resource allocation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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