title: Deriving service costs for a clubhouse psychosocial rehabilitation program.
abstract: This article (a) discusses "function cost," a concept to estimate costs where consumers are involved both in delivery and receipt of services; (b) develops a methodology for costing service units for psychosocial rehabilitation clubhouses; and (c) presents a case study of a clubhouse program. Using function cost to estimate the value of member time leads to costs being on average about 10% higher than when using opportunity cost. Because the case-study clubhouse is typical in key dimensions, the methods used here appear generalizable to other programs and should have utility for other rehabilitation-based services for individuals with mental illness.
authors.affiliation: Behavioral Health Economics Program at RTI, 3040 Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709, USA. cowell@rti.org
authors.forename: Alexander J
authors.initials: AJ
authors.lastname: Cowell
authors.forename: David E
authors.initials: DE
authors.lastname: Pollio
authors.forename: Carol S
authors.initials: CS
authors.lastname: North
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Stewart
authors.forename: Michelle M
authors.initials: MM
authors.lastname: McCabe
authors.forename: Donald W
authors.initials: DW
authors.lastname: Anderson
mesh_terms: D000328:Adult; D004180:Direct Service Costs; D006801:Humans; D008329:Managed Care Programs; D001523:Mental Disorders / Q000534:rehabilitation*; D008605:Mental Health Services / Q000191:economics*; D019982:Organizational Case Studies; D012657:Self-Help Groups / Q000191:economics*