|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$1,624||Benefits minus costs||($18,606)|
|Participants||$3,007||Benefit to cost ratio||($0.18)|
|Others||$188||Chance the program will produce|
|Indirect||($7,712)||benefits greater than the costs||0 %|
|Net program cost||($15,713)|
|Benefits minus cost||($18,606)|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|Labor market earnings associated with employment||$1,359||$2,992||$0||$0||$4,351|
|Property loss associated with alcohol abuse or dependence||$0||$0||$0||$0||$0|
|Labor market earnings associated with illicit drug abuse or dependence||($1)||($3)||$0||$0||($5)|
|Health care associated with illicit drug abuse or dependence||($1)||$0||($2)||($1)||($4)|
|Health care associated with general hospitalization||$97||$4||$96||$48||$245|
|Health care associated with psychiatric hospitalization||$127||$2||$29||$63||$221|
|Health care associated with emergency department visits||$44||$12||$64||$22||$141|
|Mortality associated with illicit drugs||$0||$0||$0||$0||$0|
|Mortality associated with alcohol||$0||$0||$0||$1||$1|
|Adjustment for deadweight cost of program||$0||$0||$0||($7,846)||($7,846)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$13,950||2009||Present value of net program costs (in 2017 dollars)||($15,713)|
|Comparison costs||$0||2009||Cost range (+ or -)||10 %|
|Estimated Cumulative Net Benefits Over Time (Non-Discounted Dollars)|
|The graph above illustrates the estimated cumulative net benefits per-participant for the first fifty years beyond the initial investment in the program. We present these cash flows in non-discounted dollars to simplify the “break-even” point from a budgeting perspective. If the dollars are negative (bars below $0 line), the cumulative benefits do not outweigh the cost of the program up to that point in time. The program breaks even when the dollars reach $0. At this point, the total benefits to participants, taxpayers, and others, are equal to the cost of the program. If the dollars are above $0, the benefits of the program exceed the initial investment.|
|Meta-Analysis of Program Effects|
|Outcomes measured||Treatment age||No. of effect sizes||Treatment N||Adjusted effect sizes(ES) and standard errors(SE) used in the benefit - cost analysis||Unadjusted effect size (random effects model)|
|First time ES is estimated||Second time ES is estimated|
|Alcohol use disorder||40||2||478||-0.051||0.144||40||0.000||0.000||41||-0.051||0.723|
|Emergency department visits||40||5||570||-0.164||0.064||40||0.000||0.000||41||-0.164||0.011|
|Illicit drug use disorder||40||1||332||0.062||0.105||40||0.000||0.000||41||0.062||0.553|
|Primary care visits^||40||3||733||0.157||0.052||40||n/a||n/a||n/a||0.157||0.003|
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