Cost analysis of training and employment services in methadone treatment

Michael French, Cathy J. Bradley, Brian Calingaert, Michael L. Dennis, Georgia T. Karuntzos

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Despite the popular belief that vocational training is an important component of methadone treatment, little information is available on the effectiveness and cost of various types of services. This paper presents a cost analysis of developing a training and employment program (TEP) at four methadone treatment programs in a quasi-experimental pilot study. We examine the cost of establishing and operating such programs as well as the marginal cost of a TEP component compared to standard treatment. For both standard and TEP-enhanced treatment, we also estimate the average, fixed, and variable costs of these services and compare differences across programs. Lastly, we examine the financing of standard methadone treatment to provide additional guidance to program directors and treatment administrators. Our main findings can be summarized as follows. The average annual cost of TEP services in the pilot study was between $1,648 and $2,215 per "serviced" TEP client. The average annual cost per client for standard methadone treatment was between $3,546 and $5,104. And the marginal cost of providing TEP services to approximately 36 clients per site in the pilot study was between 3.5% and 7.2% of the total annual cost of standard methadone treatment. The cost methodology presented in this paper can be used in other research projects and by treatment providers to generate consistent and comparable cost estimates of standard and enhanced substance abuse treatment programs.

Original languageEnglish (US)
Pages (from-to)107-120
Number of pages14
JournalEvaluation and Program Planning
Volume17
Issue number2
DOIs
StatePublished - 1994
Externally publishedYes

Fingerprint

employment service
cost analysis
Methadone
Costs and Cost Analysis
costs
cost
Education
Therapeutics
marginal costs
Vocational Education
programme
services
Cost analysis
vocational education
Administrative Personnel
available information
Substance-Related Disorders
Cost-Benefit Analysis
substance abuse
Costs

ASJC Scopus subject areas

  • Business and International Management
  • Strategy and Management
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Education
  • Sociology and Political Science

Cite this

Cost analysis of training and employment services in methadone treatment. / French, Michael; Bradley, Cathy J.; Calingaert, Brian; Dennis, Michael L.; Karuntzos, Georgia T.

In: Evaluation and Program Planning, Vol. 17, No. 2, 1994, p. 107-120.

Research output: Contribution to journalArticle

French, Michael ; Bradley, Cathy J. ; Calingaert, Brian ; Dennis, Michael L. ; Karuntzos, Georgia T. / Cost analysis of training and employment services in methadone treatment. In: Evaluation and Program Planning. 1994 ; Vol. 17, No. 2. pp. 107-120.
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