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Evaluating the Cost of Prevention Programming and Universal Screening with Discrete Event Simulation
Nathaniel von der Embse1,2, Andrew S Jenkins3, Kenneth Christensen3
1University of South Florida, Tampa, FL, USA. natev@usf.edu.
Discrete Event Simulation (DES) models school mental health services, showing significant cost savings and reduced disciplinary issues. This approach helps administrators optimize resources for student well-being.
Area of Science:
- Public Health
- Health Services Research
- Educational Psychology
Background:
- School mental health services are crucial for student well-being and academic success.
- Implementing effective mental health programs faces challenges related to cost, personnel, and resource allocation.
- Traditional models may not be cost-effective or adequately address student needs.
Purpose of the Study:
- To evaluate the potential costs and personnel requirements for integrated mental health services in schools using Discrete Event Simulation (DES).
- To compare the financial and disciplinary outcomes of a prevention-oriented mental health model with a 'business as usual' approach.
- To demonstrate how DES can aid school decision-makers in planning and implementing effective mental health services.
Main Methods:
- Discrete Event Simulation (DES) was employed to model personnel, time, and costs associated with an integrated school mental health service model.
- Cost-effectiveness analysis was conducted by comparing the DES model outcomes to a standard care model.
- Data were analyzed to quantify financial savings and changes in disciplinary referrals and suspensions.
Main Results:
- The prevention-oriented mental health model demonstrated substantial cost savings, estimated at approximately $30,000 annually for a school of 1000 students.
- Implementation of the prevention model led to a 50% reduction in disciplinary referrals and a 22% reduction in suspensions.
- DES modeling provided insights into resource allocation, allowing for customization to local conditions and student needs.
Conclusions:
- Implementing a prevention-focused mental health model in schools offers significant financial benefits and reduces disciplinary infractions.
- Discrete Event Simulation is a valuable tool for school administrators to plan, budget, and optimize mental health service delivery.
- The findings suggest that DES can help overcome common barriers to adopting universal screening and preventative mental health services in educational settings.
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