Posted on August 17, 2009 01:27
Categories: State and Local | Special Populations | Treatment and Recovery | Substance Abuse
Topics: Alcohol | Cost-effectiveness | Criminal/ Juvenile Justice | Illegal Drugs | Spending | State Data | Substance Abuse | Treatment
This Washington State report examines cost offsets, outcomes, and recidivism in Supplemental Security Income (SSI) clients.
From the report: The cost offsets and reductions in criminal justice recidivism for those who entered AOD treatment compared to those who remained untreated were:
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Lower medical costs: –$311 per client per month
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Lower state hospital expenses: –$48 per client per month
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Lower community psychiatric hospital costs: –$16 per client per month
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Higher community outpatient mental health service costs: + $17 per client per month
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Lower nursing home care costs: –$56 per client per month
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Reduced likelihood of arrest: –16%
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Reduced likelihood of convictions for any offense: –15%
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Reduced likelihood of felony convictions: –34%.
While the preceding results were based on comparisons between those who entered AOD treatment and those who remained untreated, further analyses were conducted to examine the effects of completing treatment or of staying in treatment for more than 90 days. In each case, completing treatment or continuing in treatment for at least three months, resulted in even greater cost differences and lower rates of recidivism. For example, SSI clients who successfully completed their first episode of AOD treatment in the study period compared to those who needed treatment but did not get it experienced the following cost savings and reductions in criminal justice recidivism:
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Lower medical costs: –$380 per client per month, Lower state hospital costs: –$56 per client per month
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Lower community psychiatric hospital costs: –$33 per client per month
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Lower nursing home costs: –$65 per client per month
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Reduced likelihood of arrest: –43%
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Reduced likelihood of conviction for any type of offense: –38%
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Reduced likelihood of felony conviction: –48%.
Staying in AOD treatment for more than 90 days was also associated with significantly lower monthly per client costs compared to costs for those who remained untreated, as follow: –$333 for medical care, –$61 for state hospitalizations, –$24 for community psychiatric hospitalizations, and –$58 for nursing home care
Full Report: Washington State Supplemental Security Income (SSI) Cost Offset Pilot Project (PDF | 358KB)
Washington State Department of Social and Health Services, Management Services Administration Research and Data Analysis Division. (2003). Washington state supplemental security income (SSI) cost offset pilot project: 2002 progress report. Estee, S. and D. Nordlund.
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