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ERIC Number: ED355461
Record Type: Non-Journal
Publication Date: 1992-Nov
Pages: 18
Abstractor: N/A
Reference Count: N/A
Cost Benefit Analyses of Behavioral Marital Therapy with and without Relapse Prevention Sessions for Alcoholics and Their Wives.
O'Farrell, Timothy J.; And Others
Several studies have indicated that costs of alcoholism treatment are partially or completely offset by monetary benefits of reduced health and legal system costs after such treatment, although most of these studies have been conducted in the private rather than the public alcoholism treatment system. This study examined the health and legal system costs for alcoholics treated at a Veterans Administration (VA) Medical Center (Boston area, Massachusetts). Couples (N=59) in which the husband was alcoholic received 10 weekly sessions of behavioral marital therapy (BMT). Thirty of the couples were randomly selected to receive 15 additional conjoint couples relapse prevention (RP) sessions over the next 12 months. Health, legal, and treatment delivery costs were measured. Results indicated that: (1) alcohol-related health care and legal costs decreased after BMT; (2) the cost of BMT was offset by reductions in health care and legal costs; (3) both BMT only and BMT with RP showed decreases in health care and legal costs and positive benefit to cost ratios. However, the extra cost of adding RP session to BMT did not lead to proportionally greater health care savings. Thus, although adding RP to BMT can be justified on clinical grounds, the present results did not find evidence that the longer treatment can be justified solely on economic grounds. Longer term follow-ups in progress will provide additional cost benefit information. (ABL)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A