We examine the price of treating episodes of acute phase major depression over the 1991-1996 time period. We combine data from a large retrospective medical claims data base (MarketScan, from the Medstat Group) with clinical literature and expert clinical opinion elicited from a two-stage Delphi procedure. This enables us to construct a variety of treatment price indexes that include variations over time in the proportion of the "off-frontier" production, as well as the corresponding variations in expected treatment outcomes. We find that in general the incremental cost of successfully treating an episode of acute phase major depression has generally fallen over the 1991-1996 time period. Based on hedonic regression equations that account for the effects of changing patient mix, we find reductions that range from about -1.66 to -2.13% per year.
Family members of incarcerated people are often faced with financial, social and emotional costs related to the imprisonment of their loved ones. These costs can be conceptualized as investments both in the sustenance of personal relationships and in a greater social good in the form of assisting with the reintegration of former prisoners. In this article, we draw upon data from a mixed-methods study to elucidate the costs of detention on families of prisoners. We demonstrate that financial, social and emotional costs associated with imprisonment of a family member are interrelated and often compound each other, indicating the importance of addressing them in a holistic framework.
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