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
ObjectivePublic-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 decis...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fpubh.2017.00356/full |
| _version_ | 1828483408600236032 |
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| author | Kelsie H. Okamura Kelsie H. Okamura Courtney L. Benjamin Wolk Christina D. Kang-Yi Rebecca Stewart Ronnie M. Rubin Shawna Weaver Arthur C. Evans Zuleyha Cidav Rinad S. Beidas David S. Mandell |
| author_facet | Kelsie H. Okamura Kelsie H. Okamura Courtney L. Benjamin Wolk Christina D. Kang-Yi Rebecca Stewart Ronnie M. Rubin Shawna Weaver Arthur C. Evans Zuleyha Cidav Rinad S. Beidas David S. Mandell |
| author_sort | Kelsie H. Okamura |
| collection | DOAJ |
| description | ObjectivePublic-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.MethodsTraining, 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.ResultsFindings 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.ConclusionA 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. |
| first_indexed | 2024-12-11T08:36:16Z |
| format | Article |
| id | doaj.art-3ad988d6a0914b1bac01fe880fd23b25 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-11T08:36:16Z |
| publishDate | 2018-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-3ad988d6a0914b1bac01fe880fd23b252022-12-22T01:14:21ZengFrontiers Media S.A.Frontiers in Public Health2296-25652018-01-01510.3389/fpubh.2017.00356322016The 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 MetricKelsie H. Okamura0Kelsie H. Okamura1Courtney L. Benjamin Wolk2Christina D. Kang-Yi3Rebecca Stewart4Ronnie M. Rubin5Shawna Weaver6Arthur C. Evans7Zuleyha Cidav8Rinad S. Beidas9David S. Mandell10Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United StatesState of Hawaii Child and Adolescent Mental Health Division, Honolulu, HI, United StatesDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, United StatesCity of Philadelphia Department of Behavioral Health and Intellectual disAbility Services, Philadelphia, PA, United StatesCity of Philadelphia Department of Behavioral Health and Intellectual disAbility Services, Philadelphia, PA, United StatesAmerican Psychological Association, Washington, DC, United StatesDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, United StatesObjectivePublic-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.MethodsTraining, 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.ResultsFindings 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.ConclusionA 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.http://journal.frontiersin.org/article/10.3389/fpubh.2017.00356/fullevidence-based treatmenttherapisttraining and consultationcost-analysispopulation health |
| spellingShingle | Kelsie H. Okamura Kelsie H. Okamura Courtney L. Benjamin Wolk Christina D. Kang-Yi Rebecca Stewart Ronnie M. Rubin Shawna Weaver Arthur C. Evans Zuleyha Cidav Rinad S. Beidas David S. Mandell 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 Frontiers in Public Health evidence-based treatment therapist training and consultation cost-analysis population health |
| 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 | evidence-based treatment therapist training and consultation cost-analysis population health |
| url | http://journal.frontiersin.org/article/10.3389/fpubh.2017.00356/full |
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