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SERVICE INTEGRATION FOR DEINSTITUTIONALIZATION (SID) REPORT OF A THREE-YEAR RESEARCH AND DEMONSTRATION PROJECT, V 5 - COST/BENEFIT ANALYSIS

NCJ Number
47648
Author(s)
ANON
Date Published
1975
Length
229 pages
Annotation
A COST-BENEFIT ANALYSIS OF THE VIRGINIA SERVICE INTEGRATION FOR DEINSTITUTIONALIZATION (SID) PROJECT IS PRESENTED IN THIS FIFTH VOLUME OF AN 8-VOLUME SERIES.
Abstract
A CONSULTING FIRM WAS CONTRACTED TO WORK WITH THE PROJECT STAFF IN DEVELOPING A METHODOLOGY FOR THE COST-BENEFIT ANALYSIS OF THE SID PROJECT. THE METHODOLOGY WAS TO BE OF SUFFICIENT DETAIL TO ALLOW SID STAFF TO CONDUCT DATA ENTRY AND ANALYSIS INDEPENDENTLY. THE BASIS OF THIS COST-BENEFIT ANALYSIS WAS TO DETERMINE WHETHER THE PROCESS OF DEINSTITUTIONALIZING THE RESIDENTS OF STATE INSTITUTIONS WAS BENEFICIAL WITH REGARD TO THE COSTS INVOLVED. THE METHODOLOGICAL APPROACH ADDRESSES ECONOMICALLY MEASURABLE COSTS AND BENEFITS, PROJECTED OVER A 10-YEAR PERIOD, IN THE SUCCESSFUL OPERATION OF THE SID MODEL TO DEINSTITUTIONALIZE AND MAINTAIN MENTALLY ILL AND MENTALLY RETARDED CLIENTS IN THE COMMUNITY. VARIOUS STEPS WERE TAKEN: (1) A STRATIFICATION MATRIX BASED ON THREE VARIABLES WAS USED TO GROUP CLIENTS; (2) MEASURABLE COSTS AND BENEFIT ELEMENTS WERE IDENTIFIED; (3) NECESSARY ADJUSTMENTS FOR FRINGE BENEFITS, OVERHEAD, AND OTHER FACTORS WERE IDENTIFIED, AND RATES ATTACHED TO EACH; (4) PROJECTIONS REGARDING THE INDIVIDUAL CLIENT'S SERVICE REQUIREMENTS OVER THE NEXT 10 YEARS WERE MADE BY THE ASSIGNED BROKER ADVOCATE; (5) DOLLAR AMOUNTS FOR EACH MEASURABLE COST AND BENEFIT ELEMENT WERE CALCULATED ON AN INDIVIDUAL CLIENT BASIS; AND (6) CALCULATIONS RESULTING IN BENEFIT/COST RATIOS FOR EACH OF 12 STRATA CONTAINING CLIENTS AND EACH OF 10 AGGREGATE STRATA GROUPS WERE CARRIED OUT. THE DATA SHOW THAT IT IS COST-BENEFICIAL TO PLACE AND MAINTAIN CLIENTS IN THE COMMUNITY AND THAT BENEFITS ACCRUING TO STATE FUNDING SOURCES THROUGH DEINSTITUTIONALIZATION FAR EXCEED THOSE ACCRUING TO FEDERAL FUNDING SOURCES. THE COST-BENEFIT ANALYSIS DOES NOT MEASURE THE PSYCHOSOCIAL BENEFITS TO THE CLIENT AND COMMUNITY ASSOCIATED WITH COMMUNITY PLACEMENT OF INSTITUTIONAL RESIDENTS. THE SID STAFF PLANS TO CARRY OUT THE ANALYSIS AS A PART OF THE CONTINUING PROGRAM EVALUATION. EXTENSIVE TABULAR DATA AND APPENDIXES ARE INCLUDED. FOR OTHER VOLUMES IN THE SERIES AND A RELATED DOCUMENT, SEE NCJ 47643-47647 AND 47649-47651.