|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$3,434||Benefits minus costs||$4,824|
|Participants||$967||Benefit to cost ratio||$1.62|
|Others||$10,688||Chance the program will produce|
|Indirect||($2,434)||benefits greater than the costs||73 %|
|Net program cost||($7,830)|
|Benefits minus cost||$4,824|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|Labor market earnings associated with high school graduation||$468||$1,030||$472||$0||$1,970|
|K-12 grade repetition||$9||$0||$0||$4||$13|
|K-12 special education||$95||$0||$0||$48||$143|
|Health care associated with disruptive behavior disorder||$72||$23||$89||$36||$220|
|Costs of higher education||($57)||($86)||($26)||($29)||($198)|
|Adjustment for deadweight cost of program||$0||$0||$0||($3,930)||($3,930)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$7,076||2008||Present value of net program costs (in 2016 dollars)||($7,830)|
|Comparison costs||$0||2008||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||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|
|Disruptive behavior disorder symptoms||1||147||-0.529||0.129||17||-0.252||0.125||20||-0.529||0.001|
|Externalizing behavior symptoms||1||147||-0.405||0.128||17||-0.193||0.105||20||-0.405||0.002|
Asscher, J.J., Dekovic, M., Manders, W., van der Laan, P.H., Prins, P.J.M., van Arum, S., & Dutch MST Cost-Effectiveness Study Group. (2014). Sustainability of the effects of Multisystemic Therapy for juvenile delinquents in The Netherlands: effects on delinquency and recidivism. Journal of Experimental Criminology, 10, 227-243
Centre for Children and Families in the Justice System. (2006). Randomized study of MST in Ontario, Canada: Final results. Retrieved June 23, 2011 from http://www.lfcc.on.ca/mst_final_results.html">http://www.lfcc.on.ca/mst_final_results.html
Fain, T., & Michel Greathouse, S. (2014). Effectiveness of multisystemic therapy for minority youth: Outcomes over 8 years in Los Angeles County, Journal of Juvenile Justice, 3(2), 24-38.
Henggeler, S.W., Halliday-Boykins, C.A., Cunningham, P.B., Randall, J., Shapiro, S.B, & Chapman, J.E. (2006). Juvenile drug court: Enhancing outcomes by integrating evidence-based treatments. Journal of Consulting and Clinical Psychology, 74(1), 42-54.
Henggeler, S.W., Melton, G.B., Brondino, M.J., Scherer, D.G., & Hanley, J.H. (1997). Multisystemic Therapy with violent and chronic juvenile offenders and their families: The role of treatment fidelity in successful dissemination. Journal of Consulting and Clinical Psychology, 65(5), 821-833.
Henggeler, S.W., Melton, G.B., Smith, L.A., Schoenwald, S.K., & Hanley, J.H. (1992). Family preservation using Multisystemic Therapy: Long-term follow-up to a clinical trial with serious juvenile offenders. Journal of Child and Family Studies, 2(4), 283-293.
Schaeffer, C.M., & Borduin, C.M. (2005). Long-term follow-up to a randomized clinical trial of Multisystemic Therapy with serious and violent juvenile offenders. Journal of Consulting and Clinical Psychology, 73(3), 445-453.