Economic Evaluation of Drug Abuse Prevention with Rural African AmericanYouth

摘要 青少年药物滥用对青年的健康和福祉构成重大威胁， 心理和社会调整、刑事司法系统的参与、艾滋病毒/艾滋病的传播 和其他性传播感染以及今后的药物滥用问题。尽管潜在的 预防青少年药物滥用的好处是巨大的，但对实施成本知之甚少 以及药物滥用预防计划的经济影响。决策者、社区组织、 学校系统、卫生部门和其他提供药物滥用预防服务的机构需要这样做 在分配稀缺的公共卫生资源方面，这些信息使决策者难以做出决定。为 数百万非洲裔美国家庭的青少年生活在农村，资源贫乏的环境，没有数据 存在于预防药物滥用的成本和收益之上。为了满足这一需求，科索博士与 Drs. Brody和Kogan正在进行一项针对农村地区的药物滥用预防计划的预防试验， 非裔美国青少年，和博士。迈克尔·福斯特在指挥方面有着丰富的经验， 对以青年为重点的预防方案进行经济评估。 在这份申请中，我们要求资助对强大的非洲裔美国人进行经济评估。 家庭-青少年方案。有效SAAF药物的发育适当适应 针对小学青少年的虐待预防计划，SAAF-T是基于15年的纵向研究 农村非裔美国家庭和广泛的社区投入。它目前正在一个随机的 对500名10年级学生及其家人进行预防试验。三个互补的经济分析， 提供了对SAAF-T的经济影响的全面评估，建议： 分析、效益成本分析和成本效益分析。SAAF-T预防试验提供了 这是一个宝贵的机会，既可以确定对服务不足的人进行干预的成本和收益， 并调整经济评价和药物滥用治疗的方法 这些文献将促进今后在预防药物滥用方面的研究和政策制定。

Abstract Adolescent drug abuse poses a major threat to the health and well-being of youth, forecasting poor psychological and social adjustment, involvement with the criminal justice system, transmission of HIV/AIDS and other sexually transmitted infections, and future drug abuse problems. Despite the fact that the potential benefits of preventing adolescent drug abuse are enormous, very little is known about the implementation costs and economic impact of drug abuse prevention programs. Policymakers, community-based organizations, school systems, health departments, and other agencies that deliver drug abuse prevention services need this information to make difficult decisions regarding the allocation of scarce public health resources. For the several million African American families with adolescents living in rural, resource-poor environments, no data exist on the costs and benefits of preventing drug abuse. To address this need, Dr. Corso has partnered with Drs. Brody and Kogan, who are conducting a prevention trial of a drug abuse prevention program for rural African American adolescents, and with Dr. E. Michael Foster, who has extensive experience in conducting economic evaluations of youth-focused prevention programs. In this application, we request funding to conduct an economic evaluation of the Strong African American Families-Teen (SAAF-T) program. A developmentally appropriate adaptation of the efficacious SAAF drug abuse prevention program for elementary school youth, SAAF-T is based on 15 years of longitudinal research with rural African American families and extensive community input. It is currently being tested in a randomized prevention trial with 500 10th-grade students and their families. Three complementary economic analyses, which provide a comprehensive assessment of SAAF-T's economic impact, are proposed: programmatic cost analysis, benefit-cost analysis, and cost-effectiveness analysis. The SAAF-T prevention trial provides an invaluable opportunity both to determine the costs and benefits of the intervention on an underserved and understudied population and to adapt methods from the economic evaluation and drug abuse treatment literature that will foster future research and policy development on drug abuse prevention.