The relative contribution of outcome domains in the total economic benefit of addiction interventions: a review of first findings.
OBJECTIVE
This paper provides a focused summary of the relative contribution of addiction intervention outcomes to total economic benefit, based upon a compilation of published economic studies from the United States.


METHODS
The relevant literature was searched extensively, and 11 economic studies were selected for review.


METHODS
The selected addiction interventions address both alcohol use/abuse and illicit drug use/abuse and represent various treatment modalities, including a brief physician intervention and long-term residential programs.


METHODS
Study participants included community-based drug users, pregnant and/or parenting women, problem drinkers, and criminal offenders.


METHODS
These studies estimated the economic benefits of an addiction intervention(s) in terms of one or more of the following outcome domains: criminal activity, health services utilization, employment earnings, and expenditures on illicit drugs and alcohol.


RESULTS
The primary finding of this review was that avoided criminal activity was the greatest economic benefit of addiction interventions and contributed more, as a separate outcome domain, to the total economic benefit of addiction interventions than any other outcome domain. Reduced utilization of health care services was also a noteworthy economic benefit of addiction interventions.


CONCLUSIONS
This study provides a detailed exposition of economic benefits estimation and highlights the potential impact of individual outcomes, thus providing a useful resource for substance abuse researchers and administrators as they design and evaluate future interventions.
McCollister
Kathryn E
KE
Health Services Research Center and Department of Epidemiology and Public Health (D93), University of Miami, Miami, FL 33136, USA. kmccolli@med.miami.edu
French
Michael T
MT
D000437:Alcoholism / Q000191:economics / Q000628:therapy; D003362:Cost-Benefit Analysis / Q000379:methods; D003415:Crime / Q000191:economics; D004651:Employment; D005260:Female; D006801:Humans; D013287:Illicit Drugs / Q000191:economics; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D019966:Substance-Related Disorders / Q000191:economics / Q000628:therapy*
D013287:Illicit Drugs