Cost-Effectiveness of a School-Based Emotional Health Screening Program

Autor/inn/en	Kuo, Elena; Stoep, Ann Vander; McCauley, Elizabeth; Kernic, Mary A.
Titel	Cost-Effectiveness of a School-Based Emotional Health Screening Program
Quelle	In: Journal of School Health, 79 (2009) 6, S.277-285 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/j.1746-1561.2009.00410.x
Schlagwörter	Health Services; Health Conditions; Screening Tests; Mental Health; Child Health; Program Effectiveness; Referral; Program Costs; Resource Allocation; Cost Effectiveness; School Districts; Decision Making + Suchen Sie Ihr Suchwort? Health service; Gesundheitsdienst; Gesundheitswesen; Screening-Verfahren; Psychohygiene; Ressourcenallokation; Kosten-Nutzen-Analyse; Kosten-Nutzen-Denken; School district; Schulbezirk; Decision-making; Entscheidungsfindung
Abstract	Background: School-based screening for health conditions can help extend the reach of health services to underserved populations. Screening for mental health conditions is growing in acceptability, but evidence of cost-effectiveness is lacking. This study assessed costs and effectiveness associated with the Developmental Pathways Screening Program, in which students undergo universal classroom emotional health screening and those who have positive screens are provided with on-site clinical evaluation and referral. Methods: Costs are enumerated for screening and clinical evaluation in terms of labor and overhead and summarized as cost per enrolled student, per positive screen, and per referral. Cost-effectiveness is summarized as cost per student successfully linked to services. School demographics are used to generate a predictive formula for estimating the proportion of students likely to screen positive in a particular school, which can be used to estimate program cost. Results: Screening costs ranged from $8.88 to $13.64 per enrolled student, depending on the prevalence of positive screens in a school. Of students referred for services, 72% were linked to supportive services within 6 weeks. Cost-effectiveness was estimated to be $416.90 per successful linkage when 5% screened positive and $106.09 when 20% screened positive. A formula to estimate the proportion of students screening positive proved accurate to within 5%. Conclusion: Information concerning costs and effectiveness of school-based emotional health screening programs can guide school districts in making decisions concerning resource allocation. (Contains 1 figure and 5 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10