|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$287||Benefits minus costs||($22,540)|
|Participants||$90||Benefit to cost ratio||($0.46)|
|Others||$149||Chance the program will produce|
|Indirect||($7,615)||benefits greater than the costs||0 %|
|Net program cost||($15,451)|
|Benefits minus cost||($22,540)|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|Labor market earnings associated with alcohol abuse or dependence||$36||$80||$0||$1||$117|
|Property loss associated with alcohol abuse or dependence||$0||$0||$0||$0||$0|
|Labor market earnings associated with illicit drug abuse or dependence||($1)||($3)||$0||$0||($5)|
|Health care associated with illicit drug abuse or dependence||($1)||$0||($1)||($1)||($4)|
|Health care associated with general hospitalization||$94||$5||$81||$47||$227|
|Health care associated with psychiatric hospitalization||$126||$2||$28||$63||$219|
|Health care associated with emergency department visits||$34||$7||$40||$17||$98|
|Adjustment for deadweight cost of program||$0||$0||$0||($7,742)||($7,742)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$13,950||2009||Present value of net program costs (in 2016 dollars)||($15,451)|
|Comparison costs||$0||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|
|Alcohol use disorder||2||478||-0.051||0.144||40||0.000||0.000||41||-0.051||0.723|
|Emergency department visits||5||570||-0.164||0.064||40||0.000||0.000||41||-0.164||0.011|
|Illicit drug use disorder||1||332||0.062||0.105||40||0.000||0.000||41||0.062||0.553|
|Primary care visits^||3||733||0.157||0.052||40||0.000||0.000||41||0.157||0.003|
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