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Comparison of addiction’s social costs with the cost of treatment

Comparison of addiction’s social costs with the cost of treatment. Therapy Center for Dependent Individuals Research Department. Gerasimos D. Papanastasatos, Ph. D. KETHEA Research Dept. Director. Main topics. Methodology plan and measurements Main findings Issus to discuss.

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Comparison of addiction’s social costs with the cost of treatment

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  1. Comparison of addiction’s social costs with the cost of treatment Therapy Center for Dependent Individuals Research Department Gerasimos D. Papanastasatos, Ph. D. KETHEA Research Dept. Director

  2. Main topics Methodology plan and measurements Main findings Issus to discuss Therapy Center for Dependent Individuals Research Department

  3. Basic methodological Issus Plan is based on economic analysis methodology Paradigms of methodology chosen are implemented in north American research projects and in Australia. Research plan approach focus to comparative cost analysis of 1. Addiction status 2. And the treatment provided in the therapeutic community setting Time frame is defined by two periods for measuring of the costs: past year before start of treatment and the time spent in TC treatment Therapy Center for Dependent Individuals Research Department

  4. Therapy Center for Dependent Individuals Research Department Contribution 1 Defining costs of addiction

  5. One year past treatment costs Therapy Center for Dependent Individuals Research Department

  6. Research plan Sample is compose by adults residents of all KETEHA TCs existing in a fixed day in treatment Self report questionnaire with facilitator in presence Total number of participants (Ν=) 340 Therapy Center for Dependent Individuals Research Department

  7. Therapy Center for Dependent Individuals Research Department Release Detainment Persecution Arrest Legal problems Arrests no*human hour salary cost of new policeman* 2 hours (mean duration of procedure: location, control and transfer to the police station =20€) (NB: Very narrow estimation) Days no *imprisonment cost (30 €) + transfer cost to persecution authorities+ human hour salary costof two first grade policemen * 2 hours (40€) + first grade justice operator human hour * 2 hours (32€) Income from illegal activities Presence in trial*work hour of first grade judge* 1 hour (mean duration of trial 1 hour, 16€) Imprisonment Use costs Insurance income Economic activity Imprisonment days* daily imprisonment cost (30 €) Job income Health care costs Income from family Visits no*mean visit cost (€50) Private medical doctor Hospitalization days no* Specialized fixed cost (from existing cost list disorder due to opiates costs 117 €) Physical health Visits no *primary health care unit visit(15€)(under estimated) Health unit no hospitalization Health unit with hospitalization Visits no*mean visit cost (€50) Private psychiatrist Hospitalization days no* Specialized fixed cost (for psychiatric care =51 €) Mental health Visits no *primary health care unit visit(15€) (under estimated) Mental health unit no hospitalization Hospitalization in mental health unit

  8. Cost analysis Therapy Center for Dependent Individuals Research Department Total amount Type of cost Annual cost per person Annual cost per person per day

  9. Total cost The cost per addict person per day last year before enter in treatment is estimated in 136.5 €(year base 2010) Therapy Center for Dependent Individuals Research Department

  10. Cost of treatment Therapy Center for Dependent Individuals Research Department

  11. Therapy Center for Dependent Individuals Research Department Contribution 2 Defining treatment costs

  12. Cost of treatment measurements Fiscal year 2010 Participant settings 1 residential TC 1 outpatient TC 1 day care program Tool to commit all cost estimation:DATCAP(Drug Abuse Treatment Cost Analysis Program) Therapy Center for Dependent Individuals Research Department

  13. Treatment costs Staff costs (salary, insurance, supervision, treatment) Operating costs (nutrition, buildings rent, water, electricity, communication heat costs ect) Investment (building maintenance, infrastructure ect) Therapy Center for Dependent Individuals Research Department

  14. Cost analysis Therapy Center for Dependent Individuals Research Department Type of cost Day care program cost per day Out patient TC cost per day Residential TC cost per day

  15. Comparative costs Therapy Center for Dependent Individuals Research Department

  16. Ratio cost of addiction per treatment cost Addiction per residential TC cost: 4,62 Addiction per out patient TC cost: 4,64 Addiction per Day Care Program: 6,4 Therapy Center for Dependent Individuals Research Department In other words any euro spent to the above type of treatment saves 4,62 to 6,4 euros

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