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Published on: June 20, 2020
Economic Return on Investment of Parent Training Programmes for the Prevention of Child Externalising Behaviour
Camilla Nystrand1,2, Lars Hultkrantz3, Elin Vimefall3
1Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden. camilla.nystrand@pubcare.uu.se.
Insights
Parenting interventions for children aged 5-12 show positive economic returns, reducing healthcare and education costs. These cost-effective programs offer good value for money, even for smaller communities.
Area of Science:
- Health Economics
- Child Psychology
- Public Health Policy
Background:
- Economic models are increasingly used to evaluate preventive health interventions.
- Estimates of long-term economic returns for parenting interventions targeting child mental health are scarce.
- Parenting interventions aim to prevent mental health issues in children aged 5-12.
Purpose of the Study:
- To model the economic returns of parenting interventions for child mental health prevention.
- To assess the value-for-money of these interventions in a Swedish context.
- To inform resource allocation decisions for local authorities.
Main Methods:
- Utilized data from a randomized controlled trial of five indicated parenting interventions.
- Modeled economic returns based on reduced healthcare and education sector costs.
- Incorporated increased long-term productivity into the economic analyses.
- Conducted analyses on the original trial population and simulated local community populations.
Main Results:
- Positive benefit-cost ratios were observed across analyses.
- Interventions demonstrated good value-for-money, with financial break-even even for smaller local authorities.
- Economic modeling indicated significant long-term returns on investment.
Conclusions:
- Parenting interventions for preventing child mental health problems are economically viable.
- Benefit-cost analyses can strengthen the evidence base for resource allocation in local decision-making.
- Investing in these interventions yields substantial economic benefits through reduced societal costs.
Abstract:
Economic models to inform decision-making are gaining popularity, especially for preventive interventions. However, there are few estimates of the long-term returns to parenting interventions used to prevent mental health problems in children. Using data from a randomised controlled trial evaluating five indicated parenting interventions for parents of children aged 5-12, we modeled the economic returns resulting from reduced costs in the health care and education sector, and increased long-term productivity in a Swedish setting. Analyses done on the original trial population, and on various sized local community populations indicated positive benefit-cost ratios. Even smaller local authorities would financially break-even, thus interventions were of good value-for-money. Benefit-cost analyses of such interventions may improve the basis for resource allocation within local decision-making.
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