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Cost Effectiveness of Treatment for People on Probation

Cost Effectiveness of Treatment for People on Probation. Farrokh Alemi, Ph.D. Faye Taxman, Ph.D. Jee Vang Meridith Thanner Victoria Doyon. Treatment Could Help Probation. Over 4 million people on probation with little effect on recidivism Treatment and employment reduces recidivism

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Cost Effectiveness of Treatment for People on Probation

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  1. Cost Effectiveness of Treatment for People on Probation Farrokh Alemi, Ph.D. Faye Taxman, Ph.D. Jee VangMeridith ThannerVictoria Doyon

  2. Treatment Could Help Probation • Over 4 million people on probation with little effect on recidivism • Treatment and employment reduces recidivism • Does the benefits justify the cost? • The Office of National Drug Control Policy (ONDCP) • High Intensity Drug Trafficking Areas (HIDTA) • Demonstration of a seamless probation program in the Baltimore-Washington, DC corridor

  3. Perspective • Government agencies costs • Others • Clinician • Clients • Payers and insurers • Victims • Society

  4. Population Examined

  5. Source of Data • Self-report • We interviewed offenders at baseline and at 12 months • Treatment & probation utilization • Drug testing • Re-arrest from FBI records • Unit costs • Budget of the agencies • Literature review

  6. Analytical Model

  7. Probability of Participating in Treatment

  8. Probability of Reduced Drug use

  9. Daily Probability of Supervision

  10. Probability of Recidivism

  11. Probability of Conviction & Length of Prison

  12. Probability of Unemployment

  13. Probability of Mental Illness

  14. Probability of Physical Hospitalization

  15. Probability of Homelessness

  16. Cost of a Day of Probation

  17. Cost of Day of Treatment

  18. Cost of Arrest & Criminal Justice

  19. Cost of Prison • The Bureau of Justice Statistics: • Cost of a day in prison to be $62.01 in 2001. • 6.2% inflation in prison costs in prior years • Cost of a day in prison in 2004 to be $74.27

  20. Cost of Day of Hospitalization • Secretary of Health’s report to Congress inflated to 2004: $1,163.59 • Maryland’s hospital cost reports: $1,868 per day of hospitalization in 2004

  21. Cost of Day of Homelessness • Fair Market rent set by U.S. Department of Housing & Urban Development as part of Section 8 Housing Assistance: • 2004 for Washington DC- Maryland –Virginia-West Virginia metropolitan area: $30.43 per day for an efficiency apartment

  22. Cost of Day of Employment

  23. So what? • Expected costs • Does treatment pay for itself? • What if we have better treatment? • What if supervision is longer?

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