Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-04-30T17:31:51.509Z Has data issue: false hasContentIssue false

22 - Economic Methods Used to Evaluate Recovery Programs for Alcohol Use Disorder

from Part III - Macro Level

Published online by Cambridge University Press:  23 December 2021

Jalie A. Tucker
Affiliation:
University of Florida
Katie Witkiewitz
Affiliation:
University of New Mexico
Get access

Summary

The economic costs associated with alcohol consumption are tremendous both in terms of negative health effects and negative societal outcomes. While there are many policies and treatment programs that can reduce these costs, determining which recovery programs are the most effective use of societal dollars is a complex task. This chapter summarizes the economic burden associated with alcohol use disorder (AUD) and explains why an economic perspective is important in understanding AUD recovery. The three most common types of analysis used to evaluate AUD interventions to promote recovery are reviewed: cost, cost-effective and benefit-cost analysis. The types of data typically used for economic analysis and when each type of analysis is appropriate are described. Also discussed are the general methods for each type of analysis, underlying modeling assumptions, and how economic analysis can be conducted from different perspectives.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Cancer Society (2020, October 30). Economic impact of cancer. www.cancer.org/cancer/cancer-basics/economic-impact-of-cancer.htmlGoogle Scholar
Bala, M. V., & Zarkin, G. A. (2002). Application of cost-effectiveness analysis to multiple products: A practical guide. American Journal of Managed Care, 8(3), 211220. PMID: 11915971Google Scholar
Barbosa, C., Cowell, A., Bray, J., & Aldridge, A. (2015). The cost-effectiveness of alcohol screening, brief intervention, and referral to treatment (SBIRT) in emergency and outpatient medical settings. Journal of Substance Abuse Treatment, 53, 18. https://doi.org/10.1016/j.jsat.2015.01.003Google Scholar
Barbosa, C., Cowell, A. J., Landwehr, J., Dowd, W., & Bray, J. W. (2016). Cost of screening, brief intervention, and referral to treatment in health care settings. Journal of Substance Abuse Treatment, 60, 5461. https://doi.org/10.1016/j.jsat.2015.06.005Google Scholar
Barbosa, C., Wedehase, B., Dunlap, L., Mitchell, S. G., Dusek, K., Schwartz, R. P., Gryzcynski, J., Kirk, A. S., Oros, M., & Hosler, C. (2018). Start-up costs of SBIRT implementation for adolescents in urban US federally qualified health centers. Journal of Studies on Alcohol and Drugs, 79(3), 447454. https://doi.org/10.15288/jsad.2018.79.447CrossRefGoogle ScholarPubMed
Bardach, A. E., Alcaraz, A. O., Ciapponi, A., Garay, O. U., Riviere, A. P., Palacios, A., Cremonte, M., & Augustovski, F. (2019). Alcohol consumption’s attributable disease burden and cost-effectiveness of targeted public health interventions: A systematic review of mathematical models. BMC Public Health, 19(1), 1378. https://doi.org/10.1186/s12889–019-7771-4CrossRefGoogle Scholar
Barrett, B., Byford, S., Crawford, M. J., Patton, R., Drummond, C., Henry, J. A., & Touquet, R. (2006). Cost-effectiveness of screening and referral to an alcohol health worker in alcohol misusing patients attending an accident and emergency department: A decision-making approach. Drug and Alcohol Dependence, 81(1), 4754. https://doi.org/10.1016/j.drugalcdep.2005.05.015CrossRefGoogle Scholar
Baumberg, B. (2006). The global economic burden of alcohol: A review and some suggestions. Drug and Alcohol Review, 25(6), 537551. https://doi.org/10.1080/09595230600944479Google Scholar
Becker, U., Deis, A., Sorensen, T. I., Gronbaek, M., Borch‐Johnsen, K., Muller, C. F., Schnohr, P., & Jensen, G. (1996). Prediction of risk of liver disease by alcohol intake, sex, and age: A prospective population study. Hepatology, 23(5), 10251029. https://doi.org/10.1002/hep.510230513CrossRefGoogle ScholarPubMed
Boffetta, P., & Hashibe, M. (2006). Alcohol and cancer. The Lancet Oncology, 7(2), 149156. https://doi.org/10.1016/s1470–2045(06)70577-0Google Scholar
Bray, J. W., & Zarkin, G. A. (2006). Economic evaluation of alcoholism treatment. Alcohol Research & Health, 29(1), 2733.Google Scholar
Bray, J. W., Zarkin, G. A., Miller, W. R., Mitra, D., Kivlahan, D. R., Martin, D. J., Couper, D. J., & Cisler, R. A. (2007). Measuring economic outcomes of alcohol treatment using the Economic Form 90. Journal of Studies on Alcohol and Drugs, 68(2), 248255. https://doi.org/10.15288/jsad.2007.68.248CrossRefGoogle ScholarPubMed
Caliendo, M., & Kopeinig, S. (2008). Some practical guidance for the implementation of propensity score matchingJournal of Economic Surveys22(1), 3172. https://doi.org/10.1111/j.1467-6419.2007.00527.xGoogle Scholar
Dingwall, G. (2013). Alcohol and crime. Routledge.Google Scholar
Fleming, M. F., Mundt, M. P., French, M. T., Manwell, L. B., Stauffacher, E. A., & Barry, K. L. (2000). Benefit-cost analysis of brief physician advice with problem drinkers in primary care settings. Medical Care, 38(1), 718. https://doi.org/10.1097/00005650-200001000-00003Google Scholar
French, M. T. (2000). Economic evaluation of alcohol treatment services. Evaluation and Program Planning, 23(1), 2739.Google Scholar
French, M. T., Dunlap, L. J., Zarkin, G. A., McGeary, K. A., & McLellan, A. T. (1997). A structured instrument for estimating the economic cost of drug abuse treatment: The drug abuse treatment cost analysis program (DATCAP). Journal of Substance Abuse Treatment, 14(5), 445455. https://doi.org/10.1016/s0740–5472(97)00132-3Google Scholar
French, M. T., Popovici, I., & Tapsell, L. (2008). The economic costs of substance abuse treatment: Updated estimates and cost bands for program assessment and reimbursement. Journal of Substance Abuse Treatment, 35(4), 462469. https://doi.org/10.1016/j.jsat.2007.12.008CrossRefGoogle ScholarPubMed
Greenfeld, L. A. (1998). Alcohol and crime: An analysis of national data on the prevalence of alcohol involvement in crime. US Department of Justice, Office of Justice Programs, Bureau of Justice Statistics.Google Scholar
Hainmueller, J. (2012). Entropy balancing for causal effects: A multivariate reweighting method to produce balanced samples in observational studies. Political Analysis, 20(1), 2546. https://doi.org/https://doi.org/10.1093/pan/mpr025Google Scholar
Horn, B. P., Barragan, G. N., Fore, C., & Bonham, C. A. (2016). A cost comparison of travel models and behavioral telemedicine for rural, Native American populations in New Mexico. Journal of Telemedicine and Telecare, 22(1), 4755. https://doi.org/10.1177/1357633X15587171.Google Scholar
Horn, B. P., Crandall, C., Forcehimes, A., French, M. T., & Bogenschutz, M. (2017). Benefit-cost analysis of SBIRT interventions for substance using patients in emergency departments. Journal of Substance Abuse Treatment, 79, 611. https://doi.org/10.1016/j.jsat.2017.05.003Google Scholar
Horn, B. P., Li, X., Mamun, S., McCrady, B., & French, M. T. (2018). The economic costs of jail-based methadone maintenance treatment. American Journal of Drug and Alcohol Abuse, 44(6), 611618. https://doi.org/10.1080/00952990.2018.1491048CrossRefGoogle ScholarPubMed
Horn, B. P., Li, X., McCrady, B., Guerin, P., & French, M. T. (2020). Cost-effectiveness analysis of a large jail-based methadone maintenance treatment continuation program in New MexicoJournal of Substance Abuse Treatment, 115, [108042]. https://doi.org/10.1016/j.jsat.2020.108042Google Scholar
Humphreys, K., & Moos, R. H. (1996). Reduced substance-abuse-related health care costs among voluntary participants in Alcoholics AnonymousPsychiatric Services, 47(7), 709713. https://doi.org/10.1176/ps.47.7.709Google ScholarPubMed
Hutchinson, A. B., Farnham, P. G., Dean, H. D., Ekwueme, D. U., Del Rio, C., Kamimoto, L., & Kellerman, S. E. (2006). The economic burden of HIV in the United States in the era of highly active antiretroviral therapy: Evidence of continuing racial and ethnic differences. JAIDS Journal of Acquired Immune Deficiency Syndromes, 43(4), 451457. https://doi.org/10.1097/01.qai.0000243090.32866.4eGoogle Scholar
Jyani, G., Prinja, S., Ambekar, A., Bahuguna, P., & Kumar, R. (2019). Health impact and economic burden of alcohol consumption in India. International Journal of Drug Policy, 69, 3442. https://doi.org/10.1016/j.drugpo.2019.04.005.Google Scholar
Kunz, F. M. Jr., French, M. T., & Bazargan-Hejazi, S. (2004). Cost-effectiveness analysis of a brief intervention delivered to problem drinkers presenting at an inner-city hospital emergency department. Journal of Studies on Alcohol, 65(3), 363370. https://doi.org/10.15288/jsa.2004.65.363Google Scholar
Laramée, P., Kusel, J., Leonard, S., Aubin, H.-J., François, C., & Daeppen, J.-B. (2013). The economic burden of alcohol dependence in Europe. Alcohol and Alcoholism, 48(3), 259269. https://doi.org/10.1093/alcalc/agt004Google Scholar
Magnus, A., Cadilhac, D., Sheppard, L., Cumming, T., Pearce, D., & Carter, R. (2012). The economic gains of achieving reduced alcohol consumption targets for AustraliaAmerican Journal of Public Health102(7), 13131319. https://doi.org/10.2105/AJPH.2011.300453Google Scholar
McCollister, K., Yang, X., Sayed, B., French, M. T., Leff, J. A., & Schackman, B. R. (2017). Monetary conversion factors for economic evaluations of substance use disorders. Journal of Substance Abuse Treatment, 81, 2534. https://doi.org/10.1016/jGoogle Scholar
Miller, T. R. (1996). Victim costs and consequences: A new look. US Department of Justice, Office of Justice Programs, National Institute of Justice.Google Scholar
Mullahy, J., & Sindelar, J. (1996). Employment, unemployment, and problem drinking. Journal of Health Economics, 15(4), 409434. https://doi.org/10.1016/s0167–6296(96)00489-4Google Scholar
Mundt, M. P., French, M. T., Roebuck, M. C., Manwell, L. B., & Barry, K. L. (2005). Brief physician advice for problem drinking among older adults: An economic analysis of costs and benefits. Journal of Studies on Alcohol, 66(3), 389394. https://doi.org/10.15288/jsa.2005.66.389CrossRefGoogle ScholarPubMed
Pidd, K. J., Berry, J. G., Roche, A. M., & Harrison, J. E. (2006). Estimating the cost of alcohol‐related absenteeism in the Australian workforce: The importance of consumption patterns. Medical Journal of Australia, 185(11–12), 637641. https://doi.org/10.5694/j.1326-5377.2006.tb00738.xCrossRefGoogle ScholarPubMed
Polsky, D., & Glick, H. (2009). Costing and cost analysis in randomized controlled trials: Caveat emptor. Pharmacoeconomics, 27(3), 179188. https://doi.org/10.2165/00019053-200927030-00001Google Scholar
Sacks, J. J., Gonzales, K. R., Bouchery, E. E., Tomedi, L. E., & Brewer, R. D. (2015). 2010 national and state costs of excessive alcohol consumption. American Journal of Preventive Medicine, 49(5), e73e79. https://doi.org/10.1016/j.amepre.2015.05.031Google Scholar
Tonigan, J. S., Miller, W. R., & Brown, J. M. (1997). The reliability of Form 90: An instrument for assessing alcohol treatment outcome. Journal of Studies on Alcohol, 58(4), 358364. https://psycnet.apa.org/doi/10.15288/jsa.1997.58.358Google Scholar
Wine Institute (2020, October 10). Economic impact of California wine. http://wine-economy.comGoogle Scholar
Wood, A. M., Kaptoge, S., Butterworth, A. S., Willeit, P., Warnakula, S., Bolton, T., Paige, E., Paul, D. S., Sweeting, M., … & Danesh, J. (2018). Risk thresholds for alcohol consumption: Combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies. The Lancet, 391(10129), 15131523. https://doi.org/10.1016/S0140–6736(18)30134-XCrossRefGoogle ScholarPubMed
Yilmaz, S. K., Horn, B. P., Fore, C., & Bonham, C. A. (2018). An economic cost analysis of an expanding, multi-state behavioral telehealth intervention. Journal of Telemedicine and Telecare25(6), 353364. https://doi.org/10.1177/1357633X18774181Google Scholar
Zarkin, G. A., Bray, J. W., Aldridge, A., Mitra, D., Mills, M. J., Couper, D. J., & Cisler, R. A. (2008). Cost and cost-effectiveness of the COMBINE study in alcohol-dependent patients. Archives of General Psychiatry, 65(10), 12141221. https://psycnet.apa.org/doi/10.1001/archpsyc.65.10.1214Google Scholar
Zarkin, G. A., Bray, J. W., Davis, K. L., Babor, T. F., & Higgins-Biddle, J. C. (2003). The costs of screening and brief intervention for risky alcohol use. Journal of Studies on Alcohol, 64(6), 849857. https://doi.org/10.15288/jsad.2012.73.911CrossRefGoogle ScholarPubMed
Zarkin, G. A., Dunlap, L. J., & Homsi, G. (2004). The substance abuse services cost analysis program (SASCAP): A new method for estimating drug treatment services costs. Evaluation and Program Planning, 27(1), 3543. https://doi.org/10.1016/j.evalprogplan.2003.09.002Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×