Cost-effectiveness of multisystemic therapy versus usual treatment for young people with antisocial problems

Criminal Behaviour and Mental Health : CBMH
Karin M VermeulenSijmen A Reijneveld

Abstract

Behavioural problems are common among adolescents. The burden on society in social disturbance, health, failures to contribute and costs has triggered innovative community-based interventions such as multisystemic therapy (MST). Our aim was to compare the cost-effectiveness of MST and treatment as usual (TAU). Cost-effectiveness was assessed alongside a randomised clinical trial. One hundred and sixteen adolescents were allocated to MST or TAU. Follow-up lasted six months. Quality of life (EQ-5D) as perceived by the adolescents was the primary outcome. A societal perspective was used for cost assessment. There was no significant difference between groups in the small improvement experienced in quality of life (EQ-5D average score improvement in both 0.02 points, standard deviation 0.13 MST; 0.23 TAU). Dropout before follow-up was 48% and 69% respectively. Overall costs attributed to these young people were, however, 50% lower in the MST group. The incremental cost-effectiveness ratio (ICER) was 384,633€ (95% CI: -2,001,433 to 2,024,681€), which indicates dominance of MST over TAU. Our study shows that, at worst, MST offers no advantage to young offenders in terms of their experienced quality of life, but 'TAU' included family f...Continue Reading

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Citations

Feb 9, 2017·Criminal Behaviour and Mental Health : CBMH·Karin M VermeulenSijmen A Reijneveld
Jan 9, 2019·Journal of Applied Research in Intellectual Disabilities : JARID·Annemarieke BlankesteinRobert Didden
Jul 11, 2018·BMC Public Health·Sharon DijkstraJessica J Asscher
Jan 18, 2019·Child and Adolescent Psychiatry and Mental Health·Fleur SouvereinThimo van der Pol
Jan 10, 2018·Journal of Abnormal Child Psychology·Hester V EerenRachel E A van der Rijken

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