|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$5,367||Benefits minus costs||$16,409|
|Participants||$9,332||Benefit to cost ratio||$42.40|
|Others||$1,642||Chance the program will produce|
|Indirect||$464||benefits greater than the costs||88 %|
|Net program cost||($396)|
|Benefits minus cost||$16,409|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|Labor market earnings associated with alcohol abuse or dependence||($27)||($60)||$0||($1)||($88)|
|Health care associated with alcohol abuse or dependence||($2)||$0||($2)||($1)||($6)|
|Property loss associated with alcohol abuse or dependence||$0||$0||$0||$0||$0|
|Labor market earnings associated with PTSD||$4,069||$8,960||$0||$0||$13,029|
|Health care associated with PTSD||$1,328||$432||$1,644||$664||$4,068|
|Adjustment for deadweight cost of program||$0||$0||$0||($198)||($198)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$526||2013||Present value of net program costs (in 2016 dollars)||($396)|
|Comparison costs||$141||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||2||72||0.009||0.175||41||0.000||0.187||44||0.009||0.957|
|Illicit drug use disorder||5||346||-0.058||0.093||41||0.000||0.187||44||-0.058||0.535|
Boden, M.T., Kimerling, R., Jacobs-Lentz, J., Bowman, D., Weaver, C., Carney, D., Walser, R., ... Trafton, J.A. (2012). Seeking Safety treatment for male veterans with a substance use disorder and post-traumatic stress disorder symptomatology. Addiction, 107(3), 578-586.
Desai, R.A., Harpaz-Rotem, I., Najavits, L.M., & Rosenheck, R.A. (2008). Impact of the Seeking Safety Program on Clinical Outcomes Among Homeless Female Veterans With Psychiatric Disorders. Psychiatric Services, 59(9), 996-1003.
Hien, D.A., Cohen, L.R., Miele, G.M., Litt, L.C., Capstick, C. 2004. Promising treatments for women with comorbid PTSD and substance use disorders. American Journal of Psychiatry, 161(8), 1426-1432.
Hien, D.A., Wells, E.A., Jiang, H., Suarez-Morales, L., Campbell, A.N., Cohen, L.R., Miele, G.M., ... Nunes, E.V. (2009). Multisite randomized trial of behavioral interventions for women with co-occurring PTSD and substance use disorders. Journal of Consulting and Clinical Psychology, 77(4), 607-619.
Lynch, S., Heath, N., Mathews, K., & Cepeda, G. (2012). Seeking Safety: An Intervention for Trauma-Exposed Incarcerated Women?. Journal of Trauma & Dissociation, 13(1), 88-101.
Zlotnick, C., Johnson, J., & Najavits, L.M. (2009). Randomized controlled pilot study of cognitive-behavioral therapy in a sample of incarcerated women with substance use disorder and PTSD. Behavior Therapy, 40(4), 325-336.