|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||($3,386)||Benefits minus costs||($13,347)|
|Participants||($7,721)||Benefit to cost ratio||($79.40)|
|Others||($148)||Chance the program will produce|
|Indirect||($1,926)||benefits greater than the costs||23 %|
|Net program cost||($166)|
|Benefits minus cost||($13,347)|
|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
Clinical diagnosis of alcohol use disorder or symptoms measured on a validated scale.
Drinking and driving^
Official or self-reported drinking and driving—arrests, citations, or behavior.
|Detailed Monetary Benefit Estimates Per Participant|
|Affected outcome:||Resulting benefits:1||Benefits accrue to:|
|Alcohol use disorder||Criminal justice system||($2)||$0||($4)||($1)||($7)|
|Labor market earnings associated with alcohol abuse or dependence||($3,237)||($7,604)||$0||$0||($10,841)|
|Health care associated with alcohol abuse or dependence||($111)||($20)||($123)||($55)||($309)|
|Property loss associated with alcohol abuse or dependence||$0||($11)||($21)||$0||($32)|
|Mortality associated with alcohol||($37)||($86)||$0||($1,787)||($1,910)|
|Program cost||Adjustment for deadweight cost of program||$0||$0||$0||($83)||($83)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$957||2013||Present value of net program costs (in 2018 dollars)||($166)|
|Comparison costs||$804||2013||Cost range (+ or -)||10 %|
Benefits Minus Costs
Benefits by Perspective
Taxpayer Benefits by Source of Value
|Benefits Minus Costs Over Time (Cumulative 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 discounted dollars. 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.|
Alden, L. (1988). Behavioral self-management controlled-drinking strategies in a context of secondary prevention. Journal of Consulting and Clinical Psychology, 56(2), 280-286.
Baker, T.B., Udin, H., Vogler, R. The Effects of Videotaped Modeling and Self-Confrontation on the Drinking Behavior of Alcoholics. The International Journal of the Addictions, 10(5), 779-793.
Brown, R.A. (1980). Conventional education and controlled drinking education courses with convicted drunken drivers. Behavior Therapy, 11(5), 632-642.
Caddy, G.R. & Lovibond, S.H. (1976). Self-regulation and discriminated aversive conditioning in the modification of alcoholics drinking behavior. Behavior Therapy, 7(2), 223-230.
Foy, D.W., Nunn, B.L., & Rychtarik, R.G. (1984). Broad-spectrum behavioral treatment for chronic alcoholics: Effects of training controlled drinking skills. Journal of Consulting and Clinical Psychology, 52(2), 218-230.
Graber, R.A., Miller, W.R. (1988). Abstinence or Controlled Drinking Goals for Problem Drinkers: A Randomized Clinical Trial. Psychology of Addictive Behaviors, 2(1), 20-33.
Harris, K.B. and W.R. Miller. (1990). Behavioral Self-Control Training for Problem Drinkers: Components of Efficacy. Psychology of Addictive Behaviors 4(2), 82-90.
Heather, N., Whitton, B., & Robertson, I. (1986). Evaluation of a self-help manual for media-recruited problem drinkers: Six-month follow-up results. The British Journal of Clinical Psychology, 25, 19-34.
Hester, R.K. & Delaney, H.D. (1997). Behavioral self-control program for windows: Results of a controlled clinical trial. Journal of Consulting and Clinical Psychology, 65(4), 686-693.
Sanchez-Craig, M. (1980). Random assignment to abstinence or controlled drinking in a cognitive-behavioral program: Short-term effects on drinking behavior. Addictive Behaviors, 5(1), 35-39.
Sanchez-Craig, M., Annis, H.M., Bornet, A.R., & MacDonald, K.R. (1984). Random assignment to abstinence and controlled drinking: Evaluation of a cognitive-behavioral program for problem drinkers. Journal of Consulting and Clinical Psychology, 52(3), 390-403.
Vogler, R.E., Compton, J.V., & Weissbach, T.A. (1975). Integrated behavior change techniques for alcoholics. Journal of Consulting and Clinical Psychology, 43(2), 233-243.