Scaling-Up Evidence-Based Programs Using a Public Funding Stream: a Randomized Trial of Functional Family Therapy for Court-Involved Youth.
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...
| Publicado en: | Prevention Science Vol. 19; no. 7; pp. 939 - 954 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Oct2018
|
| 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=132222949&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132222949 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13894986 N9P jtl: Prevention Science issn: 13894986 maglogo: N pubinfo: dt: Oct2018 vid: 19 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 132222949 132222949 NLM30056615 132222949 10.1007/s11121-018-0936-z NLM30056615 132222949 ppf: 939 ppct: 15 formats: tig: atl: Scaling-Up Evidence-Based Programs Using a Public Funding Stream: a Randomized Trial of Functional Family Therapy for Court-Involved Youth. aug: au: Gottfredson, Denise C. Kearley, Brook Thornberry, Terence P. Slothower, Molly Devlin, Deanna Fader, Jamie J. affil: Department of Criminology & Criminal Justice, 2220 LeFrak Hall, University of Maryland, 20742, College Park, MD, USA sug: subj: Professional Practice, Evidence-Based Economics Financing, Government Family Therapy Economics Juvenile Delinquency Legislation and Jurisprudence Human Health Care Costs Pennsylvania Adolescence Validation Studies Comparative Studies Evaluation Research Multicenter Studies Adolescent: 13-18 years ab: 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. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|