
ALL |
META-ANALYSIS |
CITATIONS |
|
| Benefit-Cost Summary Statistics Per Participant | ||||||
|---|---|---|---|---|---|---|
| Benefits to: | ||||||
| Taxpayers | $2,707 | Benefits minus costs | $10,836 | |||
| Participants | ($382) | Benefit to cost ratio | n/a | |||
| Others | $4,948 | Chance the program will produce | ||||
| Indirect | $2,395 | benefits greater than the costs | 95% | |||
| Total benefits | $9,668 | |||||
| Net program cost | $1,168 | |||||
| Benefits minus cost | $10,836 | |||||
| Meta-Analysis of Program Effects | ||||||||||||
| Outcomes measured | Treatment age | No. of effect sizes | Treatment N | 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 | |||||||||||
| ES | SE | Age | ES | SE | Age | ES | p-value | |||||
Crime Involvement in the criminal justice system (e.g., arrests, charges, convictions, incarceration) measured through administrative records (e.g. court records, arrests) or self-report. |
32 | 6 | 13618 | -0.162 | 0.045 | 33 | -0.162 | 0.045 | 41 | -0.162 | 0.001 | |
Alcohol use disorder Clinical diagnosis of alcohol use disorder or symptoms measured on a validated scale. |
32 | 5 | 386 | 0.156 | 0.241 | 32 | 0.000 | 0.187 | 35 | 0.156 | 0.518 | |
Illicit drug use disorder Clinical diagnosis of illicit drug use disorder or symptoms measured on a validated scale. When possible, we exclude cannabis/marijuana use disorder from this outcome. |
32 | 5 | 386 | -0.044 | 0.133 | 32 | 0.000 | 0.187 | 35 | -0.044 | 0.741 | |
Psychiatric symptoms^ Mental health symptoms (such as symptoms of psychosis) in individuals with serious mental illness, measured on a validated scale. |
32 | 5 | 388 | 0.025 | 0.073 | 32 | n/a | n/a | n/a | 0.025 | 0.731 | |
Death^^ “All-cause mortality,” or the proportion of all deaths in a given population during a specified period of time, regardless of the cause. |
32 | 1 | 11232 | -0.174 | 0.083 | 32 | -0.174 | 0.083 | 32 | -0.174 | 0.035 | |
Emergency department visits Whether someone visited the emergency department, or the number of times they visited the emergency department. |
32 | 6 | 11618 | 0.162 | 0.147 | 32 | 0.000 | 0.086 | 34 | 0.162 | 0.271 | |
Hospitalization Hospital admission, for any reason. |
32 | 1 | 11232 | 0.030 | 0.017 | 32 | 0.000 | 0.000 | 33 | 0.030 | 0.085 | |
Homelessness^ A lack of stable housing, often measured through self-report of conditions like living on streets or in shelters in a given time period. |
32 | 5 | 388 | -0.087 | 0.142 | 32 | n/a | n/a | n/a | -0.087 | 0.540 | |
| Detailed Monetary Benefit Estimates Per Participant | ||||||
| Affected outcome: | Resulting benefits:1 | Benefits accrue to: | ||||
|---|---|---|---|---|---|---|
| Taxpayers | Participants | Others2 | Indirect3 | Total |
||
| Crime | Criminal justice system | $2,858 | $0 | $4,973 | $1,429 | $9,259 |
| Alcohol use disorder | Labor market earnings associated with alcohol abuse or dependence | ($192) | ($452) | $0 | $0 | ($644) |
| Property loss associated with alcohol abuse or dependence | $0 | ($2) | ($3) | $0 | ($5) | |
| Mortality associated with alcohol | ($1) | ($2) | $0 | ($70) | ($74) | |
| Illicit drug use disorder | Labor market earnings associated with illicit drug abuse or dependence | $27 | $64 | $0 | $0 | $91 |
| Health care associated with illicit drug abuse or dependence | $104 | $16 | $106 | $52 | $277 | |
| Mortality associated with illicit drugs | $7 | $16 | $0 | $448 | $470 | |
| Hospitalization | Health care associated with general hospitalization | ($27) | ($1) | ($26) | ($13) | ($67) |
| Emergency department visits | Health care associated with emergency department visits | ($69) | ($19) | ($101) | ($34) | ($223) |
| Program cost | Adjustment for deadweight cost of program | $0 | $0 | $0 | $584 | $584 |
| Totals | $2,707 | ($382) | $4,948 | $2,395 | $9,668 | |
| Detailed Annual Cost Estimates Per Participant | ||||
| Annual cost | Year dollars | Summary | ||
|---|---|---|---|---|
| Program costs | $1,171 | 2012 | Present value of net program costs (in 2023 dollars) | $1,168 |
| Comparison costs | $2,088 | 2012 | Cost range (+ or -) | 30% |
Benefits Minus Costs |
Benefits by Perspective |
Taxpayer Benefits by Source of Value |
| Benefits Minus Costs Over Time (Cumulative 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 discounted dollars. 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. |
Broner, N., Lattimore, P.K., Cowell, A.J., & Schlenger, W.E. (2004). Effects of diversion on adults with co-occurring mental illness and substance use: Outcomes from a national multi-site study. Behavior Sciences and the Law, 22(4), 519-541.
Davis, R.C., Reich, W.A., Rempel, M., & Labriola, M. (2021). A multisite evaluation of prosecutor-led pretrial diversion: Effects on conviction, incarceration, and recidivism. Criminal Justice Policy Review, 32(8), 890–909.
Weatherburn, D., Rahman, S., Todd, S., Poynton, S., Black, S., Merinda, T., & Farrell, M. (2025). The impact of a voluntary alcohol and other drug diversion program on reoffending, imprisonment, and health. International Journal of Drug Policy, 138.C3929