|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$523||Benefits minus costs||($26,696)|
|Participants||($515)||Benefit to cost ratio||($0.46)|
|Others||$324||Chance the program will produce|
|Indirect||($8,767)||benefits greater than the costs||11 %|
|Net program cost||($18,260)|
|Benefits minus cost||($26,696)|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|Labor market earnings associated with alcohol abuse or dependence||($236)||($520)||$0||($7)||($764)|
|Property loss associated with alcohol abuse or dependence||$0||($1)||($2)||$0||($2)|
|Health care associated with illicit drug abuse or dependence||($47)||($9)||($46)||($24)||($126)|
|Health care associated with general hospitalization||$27||$2||$23||$14||$65|
|Health care associated with psychiatric hospitalization||$663||$9||$149||$339||$1,161|
|Health care associated with emergency department visits||$25||$5||$29||$12||$70|
|Adjustment for deadweight cost of program||$0||$0||$0||($9,148)||($9,148)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$14,000||2013||Present value of net program costs (in 2016 dollars)||($18,260)|
|Comparison costs||$4,482||2013||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|
|Alcohol use disorder||4||272||0.103||0.108||42||0.000||0.000||43||0.103||0.338|
|Emergency department visits||3||555||-0.043||0.218||42||0.000||0.000||43||-0.043||0.845|
|Illicit drug use disorder||4||249||0.048||0.108||42||0.000||0.000||43||0.048||0.658|
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