|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$3,836||Benefits minus costs||$12,766|
|Participants||$5,782||Benefit to cost ratio||n/a|
|Others||$1,550||Chance the program will produce|
|Indirect||$1,051||benefits greater than the costs||95 %|
|Net program cost||$547|
|Benefits minus cost||$12,766|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|K-12 grade repetition||$54||$0||$0||$27||$81|
|Labor market earnings associated with anxiety disorder||$2,281||$5,357||$0||$0||$7,638|
|Health care associated with internalizing symptoms||$1,502||$425||$1,550||$751||$4,227|
|Mortality associated with depression||$0||$0||$0||$0||$0|
|Adjustment for deadweight cost of program||$0||$0||$0||$273||$273|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$477||2015||Present value of net program costs (in 2018 dollars)||$547|
|Comparison costs||$927||2010||Cost range (+ or -)||30 %|
|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|
|Major depressive disorder||11||3||82||-0.225||0.184||11||0.000||0.310||13||-0.377||0.041|
Cobham, V.E. (2012). Do anxiety-disordered children need to come into the clinic for efficacious treatment? Journal of Consulting and Clinical Psychology, 80(3), 465.
Conaughton, R.J., Donovan, C.L., & March, S. (2017). Efficacy of an internet-based CBT program for children with comorbid High Functioning Autism Spectrum Disorder and anxiety: A randomised controlled trial. Journal of Affective Disorders, 218, 260-268.
Lenhard, F., Andersson, E., Mataix-Cols, D., Rück, C., Vigerland, S., Högström, J., Hillborg, M., Brander, G., Ljungstrom, M., Ljotsson, B.,& Serlachius, E. (2017). Therapist-guided, internet-delivered cognitive-behavioral therapy for adolescents with obsessive-compulsive disorder: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 56(1), 10-19.
Lyneham, H.J., & Rapee, R.M. (2006). Evaluation of therapist-supported parent-implemented CBT for anxiety disorders in rural children. Behaviour Research and Therapy, 44(9), 1287-1300.
Spence, S.H., Holmes, J.M., March, S., & Lipp, O.V. (2006). The feasibility and outcome of clinic plus internet delivery of cognitive- behavior therapy for childhood anxiety. Journal of Consulting and Clinical Psychology, 74(3), 614-621.
Vigerland, S., Ljótsson, B., Thulin, U., Öst, L.G., Andersson, G., & Serlachius, E. (2016). Internet-delivered cognitive behavioural therapy for children with anxiety disorders: A randomised controlled trial. Behaviour Research and Therapy, 76, 47-56.
Wuthrich, V.M., Rapee, R.M., Cunningham, M.J., Lyneham, H.J., Hudson, J.L., & Schniering, C.A. (2012). A randomized controlled trial of the Cool Teens CD-ROM computerized program for adolescent anxiety. Journal of the American Academy of Child & Adolescent Psychiatry, 51(3), 261-270.