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NCJ Number: 222650 Find in a Library
Title: Assessing the Cost-Effectiveness of Family Connections
Journal: Child Abuse and Neglect  Volume:32  Issue:3  Dated:March 2008  Pages:335-351
Author(s): Diane DePanfilis; Howard Dubowitz; James Kunz
Date Published: March 2008
Page Count: 17
Sponsoring Agency: US Dept of Health and Human Services
Washington, DC 20447
Grant Number: 90CA1580
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This study assessed the cost-effectiveness of two alternatives forms of a child neglect program, Family Connections (FC), in relation to changes in risk and protective factors and improvements in child safety and behavioral outcomes.
Abstract: Results indicated that the 3-month intervention was more cost-effective than the 9-month intervention in relation to positive changes in risk and protective factors in child safety. However, cost-effectiveness analysis indicated that the 9-month intervention was more cost-effective than the 3-month intervention in relation to improved unit changes in the child's behavior between baseline and 6 months after service closure. Families served in both FC3 and FC9 groups demonstrated significant positive improvements in risk and protective factors in child safety over time. Because the 3-month intervention cost less to deliver, the FC 3 intervention appeared more cost-effective in relation to positive changes related to the primary targets of the intervention; however, when applying more detailed cost-effectiveness analysis to the one area of difference between groups, the FC9 intervention was more cost-effective in relation to unit changes in child behavior. The cost-effective ratio for the FC9 group compared to the cost-effective ratio for the FC3 group indicated a lower cost for each improved unit change in the child's behaviors measured by the Child Behavior Checklist. Data were collected from a sample of 154 families with 473 children in a poor, urban neighborhood; those meeting risk criteria for child neglect were randomly assigned to receive either a 3- or 9-month intervention. Child protective service reports, self-report, and observational data were analyzed. Figure, tables, references
Main Term(s): Child abuse prevention; Cost effectiveness analysis
Index Term(s): Child abuse; Child emotional abuse and neglect; Family intervention programs
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