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Helping the Noncompliant Child: An Assessment of Program Costs and Cost-Effectiveness

Amanda A Honeycutt1, Olga A Khavjou1, Deborah J Jones2

  • 1RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA.

Journal of Child and Family Studies
|February 3, 2015
PubMed

Insights

Behavioral parent training (BPT) for disruptive behavior disorders (DBD) in children is cost-effective. The Helping the Noncompliant Child (HNC) program costs $501 per family, with a $13 cost per point improvement on behavior scores.

Area of Science:

  • Child Psychology
  • Behavioral Science
  • Public Health

Background:

  • Disruptive Behavior Disorders (DBD) in children can escalate to adolescent delinquency and adult antisocial behavior.
  • Evidence-based Behavioral Parent Training (BPT) programs are crucial for early intervention in DBD.
  • The Helping the Noncompliant Child (HNC) program is a specific BPT intervention for early-onset DBD.

Purpose of the Study:

  • To provide detailed cost estimates for the Helping the Noncompliant Child (HNC) program.
  • To assess the cost-effectiveness of the HNC program using data from a pilot study.
  • To inform program managers about resource planning for HNC implementation.

Main Methods:

  • Developed a Microsoft Excel-based costing instrument using an activity-based costing approach.
  • Collected data from therapists on time spent delivering HNC, broken down by family, date, and skill.
  • Combined labor and non-labor costs for comprehensive cost estimation.
  • Calculated cost-effectiveness by linking program costs to improvements in child behavior scores (Eyberg Child Behavior Inventory intensity score).

Main Results:

  • The average cost to deliver the HNC program was estimated at $501 per family from a payer perspective.
  • The average cost to improve the Eyberg Child Behavior Inventory intensity score by 1 point was $13.
  • Cost estimates were based on HNC implementation with low-income families.
  • These represent the first systematic and prospective cost estimates for the HNC program.

Conclusions:

  • The HNC program demonstrates favorable cost-effectiveness compared to similar BPT programs.
  • The collected cost data provides valuable information for program managers planning HNC implementation.
  • The study highlights the economic viability of evidence-based interventions for childhood disruptive behaviors.

Keywords:
behavioral parent training programcost analysiscost-effectivenessdisruptive behavior disorders

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