Open Access. Powered by Scholars. Published by Universities.®

Social and Behavioral Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 30 of 55

Full-Text Articles in Social and Behavioral Sciences

The Impact Of Parental Drinking On Children's Use Of Health Care, Michael T. French, Ana I. Balsa Dec 2011

The Impact Of Parental Drinking On Children's Use Of Health Care, Michael T. French, Ana I. Balsa

Michael T. French

While a significant body of literature documents the health problems of children caused by and/or associated with parental alcohol misuse, little research has been conducted on the relationship between parental problem drinking and children's use of health care. We should expect to see an increase in children's health care if alcohol-misusing parents were responsive to their children's higher physical and mental health needs. Contrarily, it would decrease (conditional on health status) if alcohol-misusing parents were irresponsive to those needs. Analyzing a nationally representative sample of parents and children, we find a positive and significant association between parental high intensity drinking …


The Economic Costs Of Quarterly Monitoring And Recovery Management Checkups For Adults With Chronic Substance Use Disorders, Michael T. French, Michael L. Dennis, Kathryn E. Mccollister, Christy K. Scott Aug 2011

The Economic Costs Of Quarterly Monitoring And Recovery Management Checkups For Adults With Chronic Substance Use Disorders, Michael T. French, Michael L. Dennis, Kathryn E. Mccollister, Christy K. Scott

Michael T. French

Recovery management checkups (RMCs) for clients with substance use disorders reduce the time from relapse to treatment reentry, increase treatment retention, and improve long-term outcomes. The objectives of this article are to calculate and compare the economic costs of providing outcome monitoring (OM) only with those of providing OM + RMC to help understand the feasibility of disseminating this model more widely. We estimate the total and incremental costs of OM and OM + RMC using data from a recently completed randomized controlled trial with adult chronic substance users (N = 446). Adding RMC to OM increased total intervention costs …


The Cost Of Treating Addiction From The Client's Perspective: Results From A Multi-Modality Application Of The Client Datcap, Kathryn Mccollister, Michael French, Jeffrey Pyne, Brenda Booth, Richard Rapp, Carey Carr Jun 2011

The Cost Of Treating Addiction From The Client's Perspective: Results From A Multi-Modality Application Of The Client Datcap, Kathryn Mccollister, Michael French, Jeffrey Pyne, Brenda Booth, Richard Rapp, Carey Carr

Michael T. French

There is a considerable disparity between the number of individuals who need substance abuse treatment and the number who actually receive it. This is partly due to the fact that many individuals with substance use disorders do not perceive a need for formal treatment. Another contributing factor, however, is a discrepancy between the real and perceived cost of services. Although many cost evaluations of substance abuse treatment have been conducted from the treatment provider perspective, less is known about the client-specific costs of attending treatment (e.g., lost work and leisure time, transportation, out-of-pocket and in-kind payments). Concerns about financial and …


Longitudinal Analysis Of Changes In Illicit Drug Use And Health Services Utilization, Michael T. French, Hai Fang, Ana Balsa Dec 2010

Longitudinal Analysis Of Changes In Illicit Drug Use And Health Services Utilization, Michael T. French, Hai Fang, Ana Balsa

Michael T. French

Objective. To analyze the relationships between illicit drug use and three types of health services utilization: emergency room utilization, hospitalization, and medical attention required due to injury(s). Data. Waves 1 and 2 (11,253 males and 13,059 females) from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Study Design. We derive benchmark estimates by employing standard cross-sectional data models to pooled waves of NESARC data. To control for potential bias due to time-invariant unobserved individual heterogeneity, we reestimate the relationships with fixed-effects models. Principal Findings. The cross-sectional data models suggest that illicit drug use is positively and significantly related …


Beauty And The Labor Market: Accounting For The Additional Effects Of Personality And Grooming, Michael T. French, Philip K. Robins, Jenny F. Homer Dec 2010

Beauty And The Labor Market: Accounting For The Additional Effects Of Personality And Grooming, Michael T. French, Philip K. Robins, Jenny F. Homer

Michael T. French

This paper examines the influence of three non-cognitive personal traits — beauty, personality, and grooming — on the labor market earnings of young adults. It extends the analyses of Hamermesh and Biddle [1994, American Economic Review 84(5): 1174–1194] and others who focus primarily on the effects of beauty on labor market earnings. We find that personality and grooming significantly affect wages, and their inclusion in a model of wage determination reduces somewhat the effects of beauty. We also find some evidence of employer discrimination based on these traits in the setting of wages.


The Effects Of Alcohol Use On Academic Achievement In High School, Michael T. French, Ana Balsa, Laura M. Giuliano Dec 2010

The Effects Of Alcohol Use On Academic Achievement In High School, Michael T. French, Ana Balsa, Laura M. Giuliano

Michael T. French

This paper examines the effects of alcohol use on high school students’ quality of learning. We estimate fixed-effects models using data from the National Longitudinal Study of Adolescent Health. Our primary measure of academic achievement is the student's grade point average (GPA) abstracted from official school transcripts. We find that increases in alcohol consumption result in small yet statistically significant reductions in GPA for male students and in statistically non-significant changes for females. For females, however, higher levels of drinking result in self-reported academic difficulty. The fixed-effects results are substantially smaller than OLS estimates, underscoring the importance of addressing unobserved …


This Recession Is Wearing Me Out! Health-Related Quality Of Life And Economic Downturns, Michael T. French, Maria E. Davalos Dec 2010

This Recession Is Wearing Me Out! Health-Related Quality Of Life And Economic Downturns, Michael T. French, Maria E. Davalos

Michael T. French

Previous research on the relationships between macroeconomic conditions and health status reveal improvements in physical health during economic downturns. However, few studies have examined whether mental health status improves or declines during tough economic times. This paper estimates the effect of a key macroeconomic indicator, the state-level unemployment rate, on health-related quality of life. Analyzing recent data from Waves 1 and 2 of the NESARC and controlling for individual heterogeneity with fixed-effects models, our study suggests that health-related quality of life, both physical and mental, worsens with increases in the unemployment rate. Although the effect sizes are relatively small in …


Alcohol Use And Popularity: Social Payoffs From Conforming To Peers' Behavior, Michael T. French, Ana Balsa, Jenny Homer, Edward Norton Dec 2010

Alcohol Use And Popularity: Social Payoffs From Conforming To Peers' Behavior, Michael T. French, Ana Balsa, Jenny Homer, Edward Norton

Michael T. French

Although many economic analyses of adolescents have examined the costs of risky behaviors, few have investigated the gains that young people derive from such actions, particularly in terms of social payoffs for complying with peer behavior. This paper studies the relationship between adolescents' use of alcohol (relative to that of their peers) and popularity at school. We use data from the National Longitudinal Study of Adolescent Health, a rich and nationally representative survey with detailed information on social networks. Our findings suggest that adolescents are socially rewarded for conforming to their peers' alcohol use and penalized (to a lesser degree) …


Disseminating Quality Improvement: Study Protocol For A Large Cluster-Randomized Trial, Michael T. French, Andrew R. Quanbeck, David H. Gustafson, James H. Ford Ii, Alice Pulvermacher, K John Mcconnell, Dennis M. Mccarty Dec 2010

Disseminating Quality Improvement: Study Protocol For A Large Cluster-Randomized Trial, Michael T. French, Andrew R. Quanbeck, David H. Gustafson, James H. Ford Ii, Alice Pulvermacher, K John Mcconnell, Dennis M. Mccarty

Michael T. French

Background: Dissemination is a critical facet of implementing quality improvement in organizations. As a field, addiction treatment has produced effective interventions but disseminated them slowly and reached only a fraction of people needing treatment. This study investigates four methods of disseminating quality improvement (QI) to addiction treatment programs in the U.S. It is, to our knowledge, the largest study of organizational change ever conducted in healthcare. The trial seeks to determine the most cost-effective method of disseminating quality improvement in addiction treatment. Methods: The study is evaluating the costs and effectiveness of different QI approaches by randomizing 201 addiction-treatment programs …


That Instrument Is Lousy! In Search Of Agreement When Using Instrumental Variables Estimation In Substance Use Research, Michael T. French, Ioana Popovici Dec 2010

That Instrument Is Lousy! In Search Of Agreement When Using Instrumental Variables Estimation In Substance Use Research, Michael T. French, Ioana Popovici

Michael T. French

The primary statistical challenge that must be addressed when using cross-sectional data to estimate the consequences of consuming addictive substances is the likely endogeneity of substance use. While economists are in agreement on the need to consider potential endogeneity bias and the value of instrumental variables estimation, the selection of credible instruments is a topic of heated debate in the field. Rather than attempt to resolve this debate, our paper highlights the diversity of judgments about what constitutes appropriate instruments for substance use based on a comprehensive review of the economics literature since 1990. We then offer recommendations related to …


Does Having A Dysfunctional Personality Hurt Your Career? Axis Ii Personality Disorders And Labor Market Outcomes, Michael T. French, Johanna Catherine Maclean, Susan L. Ettner Dec 2010

Does Having A Dysfunctional Personality Hurt Your Career? Axis Ii Personality Disorders And Labor Market Outcomes, Michael T. French, Johanna Catherine Maclean, Susan L. Ettner

Michael T. French

Despite recent interest in how psychiatric disorders affect work outcomes, little is known about the role of personality disorders (PDs), which are poorly understood yet prevalent (15%) and impairing. We used nationally representative data for 12,457 men and 16,061 women to examine associations of PDs with any employment, full-time employment, chronic unemployment, being fired or laid off, and having trouble with a boss or co-worker. Antisocial, paranoid, and obsessivecompulsive PDs demonstrated the broadest patterns of associations with adverse outcomes. Findings suggest that PDs may have implications for the productivity of co-workers as well as that of the disordered employees themselves.


Heavy Drinking And Health Promotion Activities, Michael T. French, Ioana Popovici, Susan L. Ettner Jun 2010

Heavy Drinking And Health Promotion Activities, Michael T. French, Ioana Popovici, Susan L. Ettner

Michael T. French

Empirical evidence suggests that individuals who consume relatively large amounts of alcohol are more likely to use expensive acute medical care and less likely to use preventive or ambulatory services than other individuals. The few studies that investigated the associations between heavy drinking and health promotion activities did not try to address omitted-variable biases that may confound the relationships. To fill this void in the literature, we examined the effects of heavy alcohol use on three health promotion activities (routine physical exam, flu shot, regular seatbelt use) using the US 2006 Behavioral Risk Factor Surveillance Survey. Although specification tests indicated …


The Cost Of Crime To Society: New Crime-Specific Estimates For Policy And Program Evaluation, Michael T. French, Kathryn Mccollister, Hai Fang Mar 2010

The Cost Of Crime To Society: New Crime-Specific Estimates For Policy And Program Evaluation, Michael T. French, Kathryn Mccollister, Hai Fang

Michael T. French

Estimating the cost to society of individual crimes is essential to the economic evaluation of many social programs, such as substance abuse treatment and community policing. A review of the crime-costing literature reveals multiple sources, including published articles and government reports, which collectively represent the alternative approaches for estimating the economic losses associated with criminal activity. Many of these sources are based upon data that are more than 10 years old, indicating a need for updated figures. This study presents a comprehensive methodology for calculating the cost to society of various criminal acts. Tangible and intangible losses are estimated using …


The Cost Of Crime To Society: New Crime-Specific Estimates For Policy And Program Evaluation, Michael French, Kathryn Mccollister, Hai Fang Dec 2009

The Cost Of Crime To Society: New Crime-Specific Estimates For Policy And Program Evaluation, Michael French, Kathryn Mccollister, Hai Fang

Michael T. French

Estimating the cost to society of individual crimes is essential to the economic evaluation of many social programs, such as substance abuse treatment and community policing. A review of the crime-costing literature reveals multiple sources, including published articles and government reports, which collectively represent the alternative approaches for estimating the economic losses associated with criminal activity. Many of these sources are based upon data that are more than 10 years old, indicating a need for updated figures. This study presents a comprehensive methodology for calculating the cost to society of various criminal acts. Tangible and intangible losses are estimated using …


The Effects Of Alcohol Use On Academic Achievement In High School, Michael T. French, Ana I. Balsa, Laura M. Giuliano Dec 2009

The Effects Of Alcohol Use On Academic Achievement In High School, Michael T. French, Ana I. Balsa, Laura M. Giuliano

Michael T. French

This paper examines the effects of alcohol use on high school students’ quality of learning. We estimate fixed-effects models using data from the National Longitudinal Study of Adolescent Health. Our primary measure of academic achievement is the student's grade point average (GPA) abstracted from official school transcripts. We find that increases in alcohol consumption result in small yet statistically significant reductions in GPA for male students and in statistically non-significant changes for females. For females, however, higher levels of drinking result in self-reported academic difficulty. The fixed-effects results are substantially smaller than OLS estimates, underscoring the importance of addressing unobserved …


Alcohol Use And The Labor Market In Uruguay, Michael T. French, Ana I. Balsa Dec 2009

Alcohol Use And The Labor Market In Uruguay, Michael T. French, Ana I. Balsa

Michael T. French

This paper is one of only a few studies to examine potential labor market consequences of heavy or abusive drinking in Latin America and the first to focus on Uruguay. We analyzed data from a Uruguayan household survey conducted in 2006 using propensity score matching methods and controlling for a number of socio-demographic, family, regional, behavioral health, and labor market characteristics. As expected, we found a positive association between heavy drinking and absenteeism, particularly for female employees. Counter to the findings for developed countries, our results revealed a positive relationship between heavy drinking and labor force participation or employment. This …


Economic Evaluation Of A Prerelease Substance Abuse Treatment Program For Repeat Criminal Offenders, Michael T. French, Hai Fang, Ralph Fretz Dec 2009

Economic Evaluation Of A Prerelease Substance Abuse Treatment Program For Repeat Criminal Offenders, Michael T. French, Hai Fang, Ralph Fretz

Michael T. French

Substance use disorders are common conditions among repeat criminal offenders. Without addressing these underlying substance use behaviors, parolees are significantly more likely to recidivate within 1 year of release. New Jersey is one of the first states to actively pursue substance abuse treatment options for inmates who are in the final stages of their sentences. Given the fiscal realities of taxpayer-supported programs, such initiatives must clearly demonstrate economic benefits for sustainability and growth. This article conducted one of the few comprehensive economic evaluations of prerelease substance abuse treatment to determine whether Community Education Centers' programs in New Jersey generated desirable …


Alcohol Consumption And Body Weight, M T. French, E C. Norton, H Fang, J C. Maclean Dec 2009

Alcohol Consumption And Body Weight, M T. French, E C. Norton, H Fang, J C. Maclean

Michael T. French

The number of Americans who are overweight or obese has reached epidemic proportions. Elevated weight is associated with health problems and increased medical expenditures. This paper analyzes Waves 1 and 2 of the National Epidemiological Survey of Alcohol and Related Conditions to investigate the role of alcohol consumption in weight gain. Alcohol is not only an addictive substance but also a high-calorie beverage that can interfere with metabolic function and cognitive processes. Because men and women differ in the type and amount of alcohol they consume, in the biological effects they experience as a result of alcohol consumption, and in …


Victimization In Early Life And Mental Health In Adulthood: An Examination Of The Mediating And Moderating Influences Of Psychosocial Resources, Michael T. French, Terrence D. Hill, Lauren M. Kaplan, Robert J. Johnson Dec 2009

Victimization In Early Life And Mental Health In Adulthood: An Examination Of The Mediating And Moderating Influences Of Psychosocial Resources, Michael T. French, Terrence D. Hill, Lauren M. Kaplan, Robert J. Johnson

Michael T. French

Although numerous studies have documented the long-term effects of childhood victimization on mental health in adulthood, few have directly examined potential mediators and moderators of this association. Using data from the Welfare, Children, and Families project (1999)—a probability sample of 2,402 predominantly black and Hispanic low-income women with children living in Boston, Chicago, and San Antonio—we predict psychological distress in adulthood with measures of physical assault and sexual coercion before age 18. Building on previous research, we test the mediating and moderating influences of emotional support, instrumental support, and self-esteem. Although we observe no indirect effects of physical assault, the …


Economic Evaluation Of A Pre-Release Substance Abuse Treatment Program For Repeat Criminal Offenders, Michael T. French, Hai Fang, Ralph Fretz Dec 2009

Economic Evaluation Of A Pre-Release Substance Abuse Treatment Program For Repeat Criminal Offenders, Michael T. French, Hai Fang, Ralph Fretz

Michael T. French

Substance use disorders are common conditions among repeat criminal offenders. Without addressing these underlying substance use behaviors, parolees are significantly more likely to recidivate within 1 year of release. New Jersey is one of the first states to actively pursue substance abuse treatment options for inmates who are in the final stages of their sentences. Given the fiscal realities of taxpayer-supported programs, such initiatives must clearly demonstrate economic benefits for sustainability and growth. This article conducted one of the few comprehensive economic evaluations of prerelease substance abuse treatment to determine whether Community Education Centers' programs in New Jersey generated desirable …


Racial/Ethnic Composition, Social Disorganization, And Offsite Alcohol Availability In San Diego County, California, Michael T. French, Amie L. Nielsen, Terrence D. Hill, Monique N. Hernandez Dec 2009

Racial/Ethnic Composition, Social Disorganization, And Offsite Alcohol Availability In San Diego County, California, Michael T. French, Amie L. Nielsen, Terrence D. Hill, Monique N. Hernandez

Michael T. French

We draw upon social disorganization theory to examine the effects of community characteristics on the distribution of offsite alcohol outlets in San Diego County, California. Of particular interest is whether alcohol availability varies according to neighborhood racial/ethnic composition once measures of social disorganization (socioeconomic disadvantage, residential instability, and racial/ethnic heterogeneity) are controlled. Using data from the 1990 Census and 1993 alcohol license reports, we estimate a series of negative binomial regression models with corrections for spatial autocorrelation. The results show that percent Asian is associated with lower offsite alcohol outlet density. Once socioeconomic disadvantage is controlled, percent Latino is related …


Substance Use, Education, Employment, And Criminal Activity Outcomes Of Adolescents In Outpatient Chemical Dependency Programs, Michael French, Ana Balsa, Jenny Homer, Constance Weisner Dec 2008

Substance Use, Education, Employment, And Criminal Activity Outcomes Of Adolescents In Outpatient Chemical Dependency Programs, Michael French, Ana Balsa, Jenny Homer, Constance Weisner

Michael T. French

Although the primary outcome of interest in clinical evaluations of addiction treatment programs is usually abstinence, participation in these programs can have a wide range of consequences. This study evaluated the effects of treatment initiation on substance use, school attendance, employment, and involvement in criminal activity at 12 months post-admission for 419 adolescents (aged 12 to 18) enrolled in chemical dependency recovery programs in a large managed care health plan. Instrumental variables estimation methods were used to account for unobserved selection into treatment by jointly modeling the likelihood of participation in treatment and the odds of attaining a certain outcome …


Estimating The Differential Costs Of Criminal Activity For Juvenile Drug Court Participants: Challenges And Recommendations, Michael French, Kathryn Mccollister, Ashli Sheidow, Scott Henggeler, Colleen Halliday-Boykins Dec 2008

Estimating The Differential Costs Of Criminal Activity For Juvenile Drug Court Participants: Challenges And Recommendations, Michael French, Kathryn Mccollister, Ashli Sheidow, Scott Henggeler, Colleen Halliday-Boykins

Michael T. French

Juvenile drug court (JDC) programs have expanded rapidly over the past 20 years and are an increasingly popular option for rehabilitating juvenile offenders with substance use problems. Given the high cost of crime to society, an important economic question is whether and to what extent JDC programs reduce criminal activity among juvenile offenders. To address this question, the present study added an economic cost analysis to an ongoing randomized trial of JDC conducted in Charleston, South Carolina. Four treatment conditions were included in the parent study: Family Court with usual community-based treatment (FC, the comparison group), Drug Court with usual …


From Pubs To Scrubs: Alcohol Misuse And Health Care Use, Michael T. French, Ana I. Balsa, Johanna Catherine Maclean, Edward C. Norton Dec 2008

From Pubs To Scrubs: Alcohol Misuse And Health Care Use, Michael T. French, Ana I. Balsa, Johanna Catherine Maclean, Edward C. Norton

Michael T. French

To analyze the relationships between alcohol misuse and two types of acute health care use—hospital admissions and emergency room (ER) episodes. Data Sources/Study Setting . The first (2001/2002) and second (2004/2005) waves of the National Epidemiological Survey of Alcohol and Related Conditions (NESARC). Study Design . Longitudinal study using a group of adults (18–60 years in Wave 1, N =23,079). Gender-stratified regression analysis adjusted for a range of covariates associated with health care use. First-difference methods corrected for potential omitted variable bias. Data Collection . The target population of the NESARC was the civilian noninstitutionalized population aged 18 and older …


Public Policies And Motorcycle Safety, Michael T. French, Gulcin Gumus, Jenny F. Homer Dec 2008

Public Policies And Motorcycle Safety, Michael T. French, Gulcin Gumus, Jenny F. Homer

Michael T. French

Numerous studies have examined the effectiveness of alcohol and traffic policies in reducing automobile crashes and fatalities, but only a few have analyzed the impact of state-specific policies on motorcycle safety. Given the growing popularity and inherent safety risks of motorcycle riding, this study provides a comprehensive investigation of both fatal and non-fatal injuries. State-level longitudinal data from 1990 to 2005 are analyzed to determine how various alcohol and traffic policies impact motorcycle safety and whether there are differential effects by type of injury. The results consistently show that universal helmet laws have the most significant effect on both non-fatal …


Substance Use, Education, Employment, And Criminal Activity Outcomes Of Adolescents In Outpatient Chemical Dependency Programs, Michael T. French, Ana I. Balsa, Jenny F. Homer, Constance M. Weisner Dec 2008

Substance Use, Education, Employment, And Criminal Activity Outcomes Of Adolescents In Outpatient Chemical Dependency Programs, Michael T. French, Ana I. Balsa, Jenny F. Homer, Constance M. Weisner

Michael T. French

Although the primary outcome of interest in clinical evaluations of addiction treatment programs is usually abstinence, participation in these programs can have a wide range of consequences. This study evaluated the effects of treatment initiation on substance use, school attendance, employment, and involvement in criminal activity at 12 months post-admission for 419 adolescents (aged 12 to 18) enrolled in chemical dependency recovery programs in a large managed care health plan. Instrumental variables estimation methods were used to account for unobserved selection into treatment by jointly modeling the likelihood of participation in treatment and the odds of attaining a certain outcome …


“Effects Of Physical Attractiveness, Personality, And Grooming On Academic Performance In High School, Michael T. French, Philip K. Robins, Jenny F. Homer, Lauren M. Tapsell Dec 2008

“Effects Of Physical Attractiveness, Personality, And Grooming On Academic Performance In High School, Michael T. French, Philip K. Robins, Jenny F. Homer, Lauren M. Tapsell

Michael T. French

Using data from the National Longitudinal Study of Adolescent Health (Add Health), we investigate whether certain aspects of personal appearance (i.e., physical attractiveness, personality, and grooming) affect a student's cumulative grade point average (GPA) in high school. When physical attractiveness is entered into the model as the only measure of personal appearance (as has been done in previous studies), it has a positive and statistically significant impact on GPA for female students and a positive yet not statistically significant effect for male students. Including personality and grooming, the effect of physical attractiveness turns negative for both groups, but is only …


The Cost Of Treating Addiction From The Client's Perspective: Results From A Multi-Modality Application Of The Client Datcap, Michael T. French, Kathryn E. Mccollister, Jeffrey M. Pyne, Brenda Booth, Richard Rapp, Carey Carr Dec 2008

The Cost Of Treating Addiction From The Client's Perspective: Results From A Multi-Modality Application Of The Client Datcap, Michael T. French, Kathryn E. Mccollister, Jeffrey M. Pyne, Brenda Booth, Richard Rapp, Carey Carr

Michael T. French

There is a considerable disparity between the number of individuals who need substance abuse treatment and the number who actually receive it. This is partly due to the fact that many individuals with substance use disorders do not perceive a need for formal treatment. Another contributing factor, however, is a discrepancy between the real and perceived cost of services. Although many cost evaluations of substance abuse treatment have been conducted from the treatment provider perspective, less is known about the client-specific costs of attending treatment (e.g., lost work and leisure time, transportation, out-of-pocket and in-kind payments). Concerns about financial and …


The Health Effects Of Parental Problem Drinking On Adult Children, Michael T. French, Ana I. Balsa, Jenny F. Homer Dec 2008

The Health Effects Of Parental Problem Drinking On Adult Children, Michael T. French, Ana I. Balsa, Jenny F. Homer

Michael T. French

BACKGROUND: Much of the research on adult children of alcoholics has focused on the transmission of drinking patterns from parents to their children and the development of alcohol-related problems. Less is known about how exposure to parental problem drinking affects children as they progress into adulthood in terms of other mental health outcomes. This is crucial information, in part because the average age of onset for depression and other mental health disorders is during late adolescence or young adulthood. AIMS: The objective of this study was to rigorously assess the long-term impacts of parental problem drinking on adult children's mental …


Cost-Effectiveness Analysis (Cea) Of Four Interventions For Adolescents With A Substance Use Disorder, Michael French, Silvana Zavala, Kathryn Mccollister, Holly Waldron, Charles Turner, Timothy Ozechowski Dec 2007

Cost-Effectiveness Analysis (Cea) Of Four Interventions For Adolescents With A Substance Use Disorder, Michael French, Silvana Zavala, Kathryn Mccollister, Holly Waldron, Charles Turner, Timothy Ozechowski

Michael T. French

Alcohol, tobacco, and illicit drug use among adolescents in the U.S. continues to be a serious public health challenge. A variety of outpatient treatments for adolescent substance use disorders have been developed and evaluated. Although no specific treatment modality is effective in all settings, a number of promising adolescent interventions have emerged. As policy makers try to prioritize which programs to fund with limited public resources, the need for systematic economic evaluations of these programs is critical. The present study attempted a cost-effectiveness analysis (CEA) of four interventions, including family-based, individual, and group cognitive behavioral approaches, for adolescents with a …