title: [Economic evaluation of a manual-based, multimodal cognitive behavioural therapy for school avoiding children with psychiatric disorder].
abstract: Untreated school refusal increases the risk of a premature discontinuation of the educational career. The aim of this study is the economic evaluation of a manual-based treatment for school refusal in comparison to the standard treatment.
  
  
  
  Within the cost-minimisation analysis, resource use is measured retrospectively for six months using the CSSRI questionnaire. Unit costs for most health care services are derived from published standard prices. Costs are calculated from the societal perspective based on prices compiled in 2011. The cost comparison during the one-year intervention period applies a difference in differences Approach.
  
  
  
  The most common diagnoses among the 112 participants are phobic and emotional disorders. The average cost per patient during the intervention period amounts to 7197 € (95 %-CI: 4746 € – 10 079 €) for the manual group and 9294 € (95 %-CI: 6313 € – 12 878 €) for the control group. The difference in adjusted costs of 1453 € in favour of the manual group is not statistically relevant.
  
  
  
  The manual-based treatment is equivalent if not slightly advantageous compared to the standard treatment considering the clinical outcomes and cost of illness.
authors.affiliation: 1 Lehrstuhl für Medizinmanagement, Universität Duisburg-Essen.|a Beide Autoren trugen im gleichen Maße zu der Untersuchung bei.
authors.forename: Ann-Kathrin
authors.initials: AK
authors.lastname: Weschenfelder
authors.affiliation: 2 Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, LVR-Klinikum Essen, Kliniken der Universität Duisburg-Essen.|a Beide Autoren trugen im gleichen Maße zu der Untersuchung bei.
authors.forename: Volker
authors.initials: V
authors.lastname: Reissner
authors.affiliation: 2 Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, LVR-Klinikum Essen, Kliniken der Universität Duisburg-Essen.
authors.forename: Martin
authors.initials: M
authors.lastname: Knollmann
authors.affiliation: 2 Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, LVR-Klinikum Essen, Kliniken der Universität Duisburg-Essen.
authors.forename: Johannes
authors.initials: J
authors.lastname: Hebebrand
authors.affiliation: 1 Lehrstuhl für Medizinmanagement, Universität Duisburg-Essen.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Wasem
authors.affiliation: 1 Lehrstuhl für Medizinmanagement, Universität Duisburg-Essen.
authors.forename: Anja
authors.initials: A
authors.lastname: Neumann
mesh_terms: D000293:Adolescent; D000342:Affective Symptoms / Q000191:economics / Q000523:psychology / Q000628:therapy; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000191:economics*; D003131:Combined Modality Therapy / Q000191:economics*; D015897:Comorbidity; D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008370:Manuals as Topic; D001523:Mental Disorders / Q000191:economics* / Q000523:psychology / Q000628:therapy*; D010698:Phobic Disorders / Q000191:economics* / Q000523:psychology / Q000628:therapy*; D012189:Retrospective Studies; D013332:Student Dropouts / Q000193:education / Q000523:psychology; D055815:Young Adult
keywords: School avoidance; economic evaluation; health service utilization; manual-based treatment concept; multimodal cognitive behavioral therapy