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.
References
Sep 2, 2005·The American Journal of Psychiatry·Peter S JensenKaren Wells
Jun 6, 2006·Clinical Therapeutics·C Daniel Mullins
Jun 9, 2007·Journal of Pediatric Psychology·William E PelhamJessica A Robb
Jan 27, 2010·The American Journal of Orthopsychiatry·Steve BalsisCailin Donahue
Jul 21, 2010·Journal of Abnormal Child Psychology·Annie A GarnerBart Hodgens
Oct 18, 2011·Pediatrics·UNKNOWN Subcommittee on Attention-Deficit/Hyperactivity DisorderSusanna Visser
Apr 18, 2012·Journal of Consulting and Clinical Psychology·Thomas J PowerAbbas F Jawad
Aug 15, 2012·Journal of Consulting and Clinical Psychology·Howard AbikoffEva Petkova
Sep 15, 2012·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Erik G Willcutt
Oct 2, 2012·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Carolyn Webster-StrattonTheodore P Beauchaine
Oct 2, 2012·Journal of the American Academy of Child and Adolescent Psychiatry·Jalpa A DoshiPeter J Neumann
May 29, 2014·Journal of Consulting and Clinical Psychology·Linda J PfiffnerKeith McBurnett
Jan 26, 2016·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Timothy F PageWilliam E Pelham
Aug 28, 2016·Journal of the American Academy of Child and Adolescent Psychiatry·Linda J PfiffnerKeith McBurnett
Sep 14, 2016·JAMA : the Journal of the American Medical Association·Gillian D SandersTheodore G Ganiats
Oct 25, 2016·Preventive Medicine·Angie L CradockSteven L Gortmaker
Dec 12, 2018·Attention Deficit and Hyperactivity Disorders·Christina Mohr Jensen, Torben Breindahl
Citations
Jul 18, 2019·Prevention Science : the Official Journal of the Society for Prevention Research·Andy J FreyJohn R Seeley
Jan 12, 2021·Clinical Child and Family Psychology Review·Jenna Y SungJessica L Schleider
Mar 23, 2021·European Child & Adolescent Psychiatry·Filipa SampaioNorbert Skokauskas
Aug 29, 2021·Evaluation and Program Planning·Brian T Yates
Oct 28, 2021·Journal of Child and Adolescent Psychopharmacology·Hermien H DijkAnnabeth P Groenman