Skip to main content
Top
Published in: Administration and Policy in Mental Health and Mental Health Services Research 5/2018

01-09-2018 | Original Article

Cost-Effectiveness of a Behavioral Psychosocial Treatment Integrated Across Home and School for Pediatric ADHD-Inattentive Type

Authors: Jennifer L. A. Tran, Rena Sheng, Allyson Beaulieu, Miguel Villodas, Keith McBurnett, Linda J. Pfiffner, Leslie Wilson

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 5/2018

Login to get access

Abstract

We conducted a cost-effectiveness analysis (CEA) of two behavioral psychosocial interventions for children with ADHD-inattentive type: Child Life and Attention Skills (CLAS) program and parent-focused treatment (PFT) compared to community-based treatment as usual (TAU). The CEA evaluated cost per ADHD case resolved measured by parent and teacher reports of ADHD inattentive symptoms. Total cost per patient for CLAS, PFT, and TAU were $1559, $710, and $0. CLAS, the costliest treatment, was more effective than PFT and TAU. The incremental cost-effectiveness ratios (ICER) per disordered case resolved are: $3997 for CLAS versus TAU, $3227 for PFT versus TAU, and $4994 for CLAS versus PFT. PFT is the more cost-effective option based on initial CEA. However, CLAS may be comparably cost-effective by streamlining the model, which resulted in an ICER of $29 compared to PFT. Notably, cost for CLAS is substantially below the annual cost for unresolved ADHD.
Literature
go back to reference Abikoff, H., Gallagher, R., & Wells, K. (2013). Remediating organizational functioning in children with ADHD: Immediate and long-term effects from a randomized controlled trial. Journal of Consulting and Clinical Psychology, 81(1), 113–128.CrossRefPubMed Abikoff, H., Gallagher, R., & Wells, K. (2013). Remediating organizational functioning in children with ADHD: Immediate and long-term effects from a randomized controlled trial. Journal of Consulting and Clinical Psychology, 81(1), 113–128.CrossRefPubMed
go back to reference Diagnostic and statistical manual of mental disorders: DSM-5. (2013). Arlington, VA: American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. (2013). Arlington, VA: American Psychiatric Association.
go back to reference Doshi, J. A., Hodgkins, P., Kahle, J., Sikirica, V., Cangelosi, M. J., Setyawan, J., & Neumann, P. J. (2012). Economic impact of childhood and adult attention-deficit/hyperactivity disorder in the United States. Journal of the American Academy of Child & Adolescent Psychiatry, 51(10), 990–1002. https://doi.org/10.1016/j.jaac.2012.07.008.CrossRef Doshi, J. A., Hodgkins, P., Kahle, J., Sikirica, V., Cangelosi, M. J., Setyawan, J., & Neumann, P. J. (2012). Economic impact of childhood and adult attention-deficit/hyperactivity disorder in the United States. Journal of the American Academy of Child & Adolescent Psychiatry, 51(10), 990–1002. https://​doi.​org/​10.​1016/​j.​jaac.​2012.​07.​008.CrossRef
go back to reference Mullins, C. D. (2006). Double counting and the reporting of cost per event avoided. Clinical Therapeutics, 28(4), 602–603.CrossRefPubMed Mullins, C. D. (2006). Double counting and the reporting of cost per event avoided. Clinical Therapeutics, 28(4), 602–603.CrossRefPubMed
go back to reference Pfiffner, L. J., Rooney, M., Haack, L., Villodas, M., Delucchi, K., & Mcburnett, K. (2016). A randomized controlled trial of a school-implemented school–home intervention for attention-deficit/hyperactivity disorder symptoms and impairment. Journal of the American Academy of Child & Adolescent Psychiatry, 55(9), 762–770. https://doi.org/10.1016/j.jaac.2016.05.023.CrossRef Pfiffner, L. J., Rooney, M., Haack, L., Villodas, M., Delucchi, K., & Mcburnett, K. (2016). A randomized controlled trial of a school-implemented school–home intervention for attention-deficit/hyperactivity disorder symptoms and impairment. Journal of the American Academy of Child & Adolescent Psychiatry, 55(9), 762–770. https://​doi.​org/​10.​1016/​j.​jaac.​2016.​05.​023.CrossRef
go back to reference Webster-Stratton, C., Reid, M. J., & Beauchaine, T. P. (2013). One-year follow-up of combined parent and child intervention for young children with ADHD. Journal of Clinical Child and Adolescent Psychology, 42, 251–261.CrossRefPubMed Webster-Stratton, C., Reid, M. J., & Beauchaine, T. P. (2013). One-year follow-up of combined parent and child intervention for young children with ADHD. Journal of Clinical Child and Adolescent Psychology, 42, 251–261.CrossRefPubMed
Metadata
Title
Cost-Effectiveness of a Behavioral Psychosocial Treatment Integrated Across Home and School for Pediatric ADHD-Inattentive Type
Authors
Jennifer L. A. Tran
Rena Sheng
Allyson Beaulieu
Miguel Villodas
Keith McBurnett
Linda J. Pfiffner
Leslie Wilson
Publication date
01-09-2018
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 5/2018
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-018-0857-y

Other articles of this Issue 5/2018

Administration and Policy in Mental Health and Mental Health Services Research 5/2018 Go to the issue