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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
Using a sample of children from divorced homes, the current study assesses the effects of family relationship variables on romantic outcomes in young adulthood, through the influence of several individual-level variables. In particular, children's coping efficacy and peer competence are examined as mediators of the effects of parenting and interparental conflict on children's later romantic involvement and relationship quality. Assessments occurred during childhood, when children were between the ages of nine and 12, in adolescence, when children were ages 15 to 18, and in young adulthood, when children were ages 24 to 27, spanning a period of 15 years. Childhood and adolescent variables were measured using child- and mother-report data and young adult measures were completed by the young adults and their romantic partners. One model was tested using all participants in the sample, regardless of whether they were romantically involved in young adulthood, and revealed that maternal warmth in childhood was linked with children's coping efficacy six years later, which was marginally related to an increased likelihood of being romantically involved and to decreased romantic attachment at the 15-year follow-up. A model with only the participants who were romantically involved in young adulthood also revealed a link between childhood maternal warmth and coping efficacy in adolescence, which was then marginally related to increased romantic satisfaction and to confidence in the romantic relationship in young adulthood. Marginal mediation was also found for several of the proposed paths, and there was little evidence to support path differences between males and females. Implications of the present findings for research with children from divorced families and the development of preventive interventions are discussed. In particular, parenting, interparental conflict, peer competence, and coping efficacy are examined as modifiable targets for change and existing preventive interventions employing these targets are described.
ContributorsSigal, Amanda (Author) / Sandler, Irwin N. (Thesis advisor) / Millsap, Roger (Committee member) / Crnic, Keith (Committee member) / Lemery, Kathryn (Committee member) / Arizona State University (Publisher)
Created2012