Chapter

Economic evaluation in harm prevention: What are the special challenges?

Wendy J. Ungar

in Economic Evaluation in Child Health

Published in print October 2009 | ISBN: 9780199547494
Published online February 2010 | e-ISBN: 9780191720055 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199547494.003.07
 Economic evaluation in harm prevention: What are the special challenges?

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This chapter is divided into three parts. The first part commences with a review of economic evaluations in child protection, including preventive and treatment interventions for physical abuse, sexual abuse, and neglect. It then describes the need for methodological improvements in economic evaluation of child protection to include inter-generational effects and recognize unique aspects, such as circular causal pathways, impacts that extend beyond the individual, and cross portfolio impacts. Part 1 examines the internal and external validity of effectiveness evidence and quality of life effects in harm prevention and ends with a discussion of policy relevance. The second part is a detailed discussion of economic evaluation of US welfare reform initiatives aimed at protecting children from parental abuse and neglect. This part addresses the measurement of outcomes in child welfare program innovation, including changes in services, accelerated permanency, health and safety, and changes in children's health outcomes as measured by school performance and delinquency. Part 2 concludes with suggestions for facilitating the conduct of economic analysis of welfare reforms. The third part of this chapter focuses on Fetal Alcohol Spectrum Disorder (FASD). After a brief review of screening, diagnosis and treatment for FASD, it summarizes current evidence regarding the economic burden and cost-effectiveness of FASD treatment and prevention.

Keywords: child protection; harm prevention; abuse; neglect; cost-effectiveness; inter-generational; child welfare reform; school performance; delinquency; Fetal Alcohol Spectrum Disorder

Chapter.  14547 words.  Illustrated.

Subjects: Public Health and Epidemiology

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