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- All Subjects: Aggressiveness in youth
- All Subjects: Mental health services
- Creators: Hanish, Laura D.
Description
The current study was a benefit cost analysis that examined mental and behavioral health and prescription drug service use data of 347 participants (212 youth and 135 caregivers) from a bereavement intervention, the Family Bereavement Program (FBP).The preliminary goals of the current study were to compare the FBP intervention and the Literature Control (LC) groups at the six year follow-up on: (a) number of participants using mental/behavioral health services and prescription drugs, (b) the frequency of use of mental/behavioral health services and prescription drugs, and (c) the costs of mental/behavioral health services and prescription drugs. The final, and primary goal, was to (d) calculate the benefits of the FBP by analyzing the monetary difference between the LC and FBP groups in terms of cost of services used and then by applying those benefits to the cost of the intervention. Data representing participating youths' and caregivers' mental health service use and prescription drug use at the sixth year post-intervention were collected, as were the costs of those services. Results indicated that fewer FBP participants used services and prescription drugs than the Literature Control (LC) participants, but FBP participants, particularly the youth, used some low intensity services more frequently whereas the LC youth used more intensive and costly services more frequently. Consequently, service costs were greater for participants in the LC group than for participants in the FBP group. The benefit cost ratio revealed that the FBP, as delivered, saved society between $.15 and $.27 in mental and behavioral health costs for every dollar spent on the intervention. Implications of these findings and directions for future research are discussed.
ContributorsPorter, Michèle M (Author) / Hanish, Laura D. (Thesis advisor) / Sandler, Irwin N. (Committee member) / Wolchik, Sharlene A (Committee member) / Johnson, William G. (Committee member) / Arizona State University (Publisher)
Created2011
Description
Aggression is inherently social. Evolutionary theories, for instance, suggest that the peer group within which an aggressor is embedded is of central importance to the use of aggression. However, there is disagreement in the field with regard to understanding precisely how aggression and peer relationships should relate. As such, in a series of three empirical studies, my dissertation takes a relational approach and addresses some of the inconsistencies present in the extant literature. In Study 1, I examined how qualities of youth's close friendships contributed to the use of aggression, both concurrently and over time. I found that youth with large friendship networks were more aggressive, whereas those with highly interconnected friendship network decreased in aggression over time. Using a dyadic mediation model, the second study considered the precursors to aggressors' friendships with peers. Specifically, I explored aggressive youth's interactions with unfamiliar peers and assessed how the interactions that unfold affected the quality of the relationship. I found that dyads who were highly discrepant in their tendencies toward aggression failed to collaborate well with one another, and this led to less positive perceptions of one another. Whereas the first two studies concerned aggressors' relationships with their friends (Study 1) and acquaintances (Study 2), Study 3 focused on a different type of relationship – the relationship between an aggressor and his or her victim(s). In the third study, I explored how power dynamics operate within an aggressor-victim dyad and assessed whether differences in the balance of power between the aggressor and victim affected the strength of their relationship. I found that more aggressor-victim dyads were characterized by a relative balance than imbalance in power, and that power balanced dyads had stronger and more sustained aggressor-victim relationships. By taking a relational approach to the study of aggression, this dissertation has advanced extant work in the field. That is, these findings move away from the simplification and aggregation of relational constructs (e.g., relationships, friendships), and instead consider the nuances of specific types of relationships or interactions with specific peers, allowing for a better understanding of the relational nature of aggression.
ContributorsAndrews, Naomi C. Z (Author) / Hanish, Laura D. (Thesis advisor) / Updegraff, Kimberly A (Committee member) / DeLay, Dawn (Committee member) / Martin, Carol Lynn (Committee member) / Arizona State University (Publisher)
Created2016