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Related Concept Videos

Group Therapy01:26

Group Therapy

281
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
281
Couples Therapy01:26

Couples Therapy

224
Couples therapy is a therapeutic approach designed to help individuals in intimate relationships address conflicts, improve communication, and foster healthier dynamics. It is appropriate for couples at various stages, including those who are dating, married, or in long-term partnerships, and aims to support partners in navigating their unique relational challenges.
Core Principles and Techniques
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Treatment Strategies for Psychological Disorders01:24

Treatment Strategies for Psychological Disorders

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Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
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Operant Conditioning Intervention01:24

Operant Conditioning Intervention

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Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
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Self-Help Support Groups01:28

Self-Help Support Groups

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Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
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Family Therapy01:30

Family Therapy

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Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
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Group Versus Standard Behavioral Couples' Therapy for Alcohol Use Disorder Patients: Cost-Effectiveness.

Laura J Dunlap1, Timothy J O'Farrell2,3, Jeremiah A Schumm4

  • 1RTI International, Research Triangle Park, North Carolina.

Journal of Studies on Alcohol and Drugs
|May 3, 2020
PubMed
Summary

Standard behavioral couples' therapy (S-BCT) is more cost-effective than group behavioral couples' therapy (G-BCT) for alcohol use disorder, despite G-BCT's lower initial cost. S-BCT shows better long-term outcomes for patients and partners.

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Area of Science:

  • Addiction Medicine
  • Health Economics
  • Psychiatry

Background:

  • Alcohol use disorder (AUD) significantly impacts individuals and their intimate partners.
  • Couples-based therapies are increasingly recognized for their efficacy in treating AUD.
  • Comparing different therapeutic modalities is crucial for optimizing treatment delivery and resource allocation.

Purpose of the Study:

  • To evaluate the cost-effectiveness of two AUD treatments: group behavioral couples' therapy plus individual-based treatment (G-BCT) versus standard behavioral couples' therapy plus individual-based treatment (S-BCT).
  • To compare the economic and clinical outcomes of G-BCT and S-BCT for patients with AUD and their partners.

Main Methods:

  • A microcosting approach was used to estimate per-patient costs for G-BCT and S-BCT.
  • Statistical analyses, including simple means and multiple regression, were employed to assess incremental effectiveness.
  • Incremental cost-effectiveness ratios (ICER) and cost-effectiveness acceptability curves were calculated for abstinence, adverse consequences, and relationship functioning at 12 months post-treatment.

Main Results:

  • G-BCT had a lower average per-patient cost ($674) compared to S-BCT ($831).
  • However, S-BCT demonstrated superior outcomes across all measured domains (abstinence, adverse consequences, relationship functioning) at the 12-month follow-up.
  • The ICER for transitioning from G-BCT to S-BCT ranged from $10 to $12, indicating S-BCT's favorable cost-effectiveness.

Conclusions:

  • While G-BCT is less expensive initially, S-BCT proves to be a more cost-effective option when considering long-term clinical outcomes.
  • These findings suggest that S-BCT should be prioritized over G-BCT for behavioral couples' therapy in AUD treatment settings.
  • The study highlights the importance of long-term outcome assessment in economic evaluations of addiction treatments.