|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$1,923||Benefits minus costs||$6,550|
|Participants||$3,214||Benefit to cost ratio||n/a|
|Others||$644||Chance the program will produce|
|Indirect||$435||benefits greater than the costs||100 %|
|Net program cost||$334|
|Benefits minus cost||$6,550|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|K-12 grade repetition||$6||$0||$0||$3||$9|
|K-12 special education||$17||$0||$0||$9||$26|
|Labor market earnings associated with PTSD||$1,392||$3,064||$0||$0||$4,456|
|Health care associated with PTSD||$516||$168||$639||$259||$1,581|
|Costs of higher education||($12)||($18)||($5)||($6)||($41)|
|Adjustment for deadweight cost of program||$0||$0||$0||$168||$168|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$730||2009||Present value of net program costs (in 2015 dollars)||$334|
|Comparison costs||$1,035||2009||Cost range (+ or -)||10 %|
|Estimated Cumulative Net Benefits Over Time (Non-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 non-discounted dollars to simplify the “break-even” point from a budgeting perspective. 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.|
|Meta-Analysis of Program Effects|
|Outcomes measured||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|
|Major depressive disorder||14||846||-0.239||0.051||13||0.000||0.020||14||-0.375||0.001|
|Externalizing behavior symptoms||6||172||-0.103||0.131||13||-0.049||0.071||16||-0.125||0.409|
Berger, R., & Gelkopf, M. (2009). School-Based Intervention for the Treatment of Tsunami-Related Distress in Children: A Quasi-Randomized Controlled Trial. Psychotherapy and Psychosomatics, 78(6), 364-371.
Berger, R., Pat-Horenczyk, R., & Gelkopf, M. (2007). School-based intervention for prevention and treatment of elementary-students' terror-related distress in Israel: A quasi-randomized controlled trial. Journal of Traumatic Stress, 20(4), 541-551.
Berkowitz, S. J., Stover, C. S., & Marans, S. R. (2011). The child and family traumatic stress intervention: Secondary prevention for youth at risk of developing PTSD. Journal of Child Psychology and Psychiatry and Allied Disciplines, 52, 6, 676-685.
Berliner, L., & Saunders, B.E. (1996). Treating fear and anxiety in sexually abused children: Results of a controlled 2-year follow-up study. Child Maltreatment 1(4), 294-309.
Burke, M.M. (1988). Short-term group therapy for sexually abused girls: A learning-theory based treatment for negative effects. Dissertation Abstract International, 49: 1935.
Celano, M., Hazzard, A., Webb, C., & McCall, C. (1996). Treatment of traumagenic beliefs among sexually abused girls and their mothers: An evaluation study. Journal of Abnormal Child Psychology, 24(1), 1-17.
Cohen, J.A., Deblinger, E., Mannarino, A.P., & Steer, R.A. (2004). A multisite, randomized controlled trial for children with sexual abuse- related PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 43(4), 393-402.
Cohen, J.A., Mannarino, A.P., & Iyengar, S. (2011). Community treatment of posttraumatic stress disorder for children exposed to intimate partner violence: A randomized controlled trial. Archives of Pediatrics and Adolescent Medicine, 165(1), 16-21.
Cohen, J.A., Mannarino, A.P., & Knudsen, K. (2005). Treating sexually abused children: 1 year follow-up of a randomized controlled trial. Child Abuse & Neglect, 29(2), 135-145.
Cohen, J., Mannarino, A. (1996). A treatment outcome study for sexually abused preschool children: Initial findings. Journal of the American Academy of Child Adolescent Psychiatry, 35(1), 42–50.
Deblinger, E., Lippmann, J., & Steer, R. (1996). Sexually Abused Children Suffering Posttraumatic Stress Symptoms: Initial Treatment Outcome Findings. Child Maltreatment, 1(4), 310-321.
Deblinger, E., Stauffer, L.B., & Steer, R.A. (2001). Comparative efficacies of supportive and cognitive behavioral group therapies for young children who have been sexually abused and their nonoffending mothers. Child Maltreatment 6(4), 332-343.
Ertl, V., Neuner, F., Pfeiffer, A., Elbert, T., & Schauer, E. (2011). Community-implemented trauma therapy for former child soldiers in Northern Uganda: A randomized controlled trial. Journal of the American Medical Association, 306(5), 503-512.
Goenjian, A.K., Karayan, I., Pynoos, R.S., Minassian, D., Najarian, L.M., Steinberg, A.M., & Fairbanks, L.A. (1997). Outcome of Psychotherapy Among Early Adolescents After Trauma. American Journal of Psychiatry, 154(4), 536-542.
Jordans, M. J D., Komproe, I.H., Tol, W.A., Kohrt, B.A., Luitel, N.P., Macy, R.D., & De Jong, J.T.V.M. (2010). Evaluation of a classroom- based psychosocial intervention in conflict-affected Nepal: a cluster randomized controlled trial. Journal of Child Psychology and Psychiatry, 51 (7), 818-826.
Kataoka, S., Stein, B.D., Jaycox, L.H., Wong, M., Escudero, P., Tu, W., Zaragoza, C., & Fink, A. (2003) A school-based mental health program for traumatized Latino immigrant children. Journal of the American Academy of Child and Adolescent Psychiatry, 42(3), 311- 318.
King, N.J., Tonge, B.J., Mullen, P., Myerson, N., Heyne, D., Rollings, S., . . . Ollendick, T.H. (2000). Treating sexually abused children with postraumatic stress symptons: A randomized clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 39(11), 1347-1355.
Layne, C.M., Saltzman, W.R., Poppleton, L., Burlingame, G.M., Pa+íali-ç, A., Durakovi-ç, E. et al. (2008). Effectiveness of a school-based group psychotherapy program for war-exposed adolescents: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 1048-1062.
Ruf, M., Schauer, M., Schauer, E., Elbert, T., Neuner, F., & Catani, C. (2010). Narrative exposure therapy for 7- to 16-year-olds: A randomized controlled trial with traumatized refugee children. Journal of Traumatic Stress, 23(4), 437-445.
Shooshtary, M.H., Moghadam, J.A., & Panaghi, L. (2008). Outcome of Cognitive Behavioral Therapy in Adolescents After Natural Disaster. Journal of Adolescent Health, 42(5), 466-472.
Smith, P., Yule, W., Perrin, S., Tranah, T., Dalgleish, T., & Clark, D.M. (2007). Cognitive-behavioral therapy for PTSD in children and adolescents: a preliminary randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 46(8), 1051-1061.
Stein, B.D., Jaycox, L.H., Kataoka, S.H., Wong, M., Tu, W., Elliott, M.N., & Fink, A. (2003). A mental health intervention for schoolchildren exposed to violence: a randomized controlled trial. Journal of the American Medical Association, 290(5), 603-611
Tol, W. A., Komproe, I.H., Susanty, D., Jordans, M.J.D., Macy, R.D., & De Jong, J.T.V.M. (2008). School-based mental health intervention for children affected by political violence in Indonesia: a cluster randomized trial. Journal Of The American Medical Association 300(6), 655-662.