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Related Experiment Video

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The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm
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Start-Up and Implementation Costs for the Trust Based Relational Intervention.

Diana Bowser1, Kathryn McCollister2, Grace Berchtold3

  • 1Connell School of Nursing, Boston College, 140 Commonwealth Ave., Chestnut Hill, MA, 0467, USA. bowserdi@bc.edu.

Journal of Prevention (2022)
|August 17, 2024
PubMed
Summary

This study used activity-based costing to analyze the Trust Based Relational Intervention (TBRI®) for preventing substance use in justice-involved youth. TBRI intervention costs range from $6,927 to $12,298 per family, highlighting the need for cost analysis in prevention programs.

Keywords:
CostingImplementation costsJuvenile justiceSubstance use preventionTrust based relational intervention

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Area of Science:

  • Public Health
  • Psychology
  • Health Economics

Background:

  • Capturing costs of prevention activities for substance use disorders (SUD) and mental health (MH) is crucial.
  • Trust Based Relational Intervention (TBRI®) is an attachment-based, trauma-informed intervention.
  • TBRI can be a preventive intervention for youth in the legal system to reduce substance and opioid use.

Purpose of the Study:

  • To determine the start-up and implementation costs of the TBRI intervention for justice-involved youth.
  • To utilize Activity-Based Cost (ABC) analysis for cost data collection and analysis.
  • To inform future intervention sustainability through understanding cost drivers.

Main Methods:

  • Activity-Based Cost (ABC) analysis guided data collection and analysis.
  • Cost data were collected from eight sites during the TBRI intervention's start-up phase.
  • National wage data from O*NET were used to calculate personnel costs for TBRI components.

Main Results:

  • The total cost for 42 TBRI sessions ranges from $6,927 (without travel) to $12,298 (with travel).
  • Average per-family costs range from $1,385 (without travel) to $2,460 (with travel).
  • Primary interventionists' time investments generated most costs, with travel doubling responsive coaching expenses.

Conclusions:

  • Activity-based costing provides valuable insights into the cost drivers of preventive interventions like TBRI.
  • Understanding these costs can facilitate the sustainability of interventions aimed at reducing SUD and MH issues in youth.
  • The findings support the use of ABC analysis for optimizing resource allocation in prevention programs.