Benefit–cost analysis of a randomized evaluation of Communities That Care: monetizing intervention effects on the initiation of delinquency and substance use through grade 12

Kuklinski, Margaret R.; Fagan, Abigail A.; Hawkins, J. David; Briney, John S.; Catalano, Richard F.

doi:10.1007/s11292-014-9226-3

Cited by 40 publications

(29 citation statements)

References 104 publications

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“…Second, the use of an RCT additionally lends confidence to the results, as "the validity of a cost-benefit analysis obviously depends on the quality of the evaluation research design on which it is based" (Painter and Farrington 2001: 3). This also answers recent calls for researchers to more readily translate findings of randomized experiments into financial terms to quantify the costs of particular policy choices (Kuklinski et al 2015;Sherman 2010).…”

Section: Scope Of the Current Studysupporting

confidence: 59%

The financial implications of merging proactive CCTV monitoring and directed police patrol: a cost–benefit analysis

et al. 2016

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Objectives This study presents a cost-benefit analysis of an intervention pairing proactive CCTV monitoring with directed police patrol in Newark, NJ. A recent randomized control trial found that the strategy generated significant crime reductions in treatment areas relative to control areas. The current study focuses on the financial implications of the experimental strategy through a cost-benefit analysis. Methods The study begins by measuring the costs and benefits associated with the experimental strategy, the findings of which can inform agencies with existing CCTV infrastructure. Follow-up analyses measure the costs and benefits of the intervention for agencies absent existing CCTV infrastructure, meaning a CCTV system would have to be funded in addition to the intervention outputs. Alongside overall benefits, this study presents the tangible cost savings afforded to the Criminal Justice system as well as to each of the separate criminal justice (CJ) system components: Policing, Courts, and Corrections. Results We found the experimental strategy to be highly cost effective for agencies with existing CCTV infrastructure. However, when the cost of the CCTV system is

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Section: Scope Of the Current Studysupporting

confidence: 59%

The financial implications of merging proactive CCTV monitoring and directed police patrol: a cost–benefit analysis

et al. 2016

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“…For example, the U.S. Office of Adolescent Health is funding 75 communities to use GTO to implement EBPs for teen pregnancy prevention for five years and is providing the same level of TA support described here. While TA does increase cost, implementation support models in the substance abuse prevention domain have shown the cost could be recouped by the savings expected by better outcomes (Kuklinski, Fagan, Hawkins, Briney, & Catalano, 2015). Still, more research is needed on the cost implications of GTO.…”

Section: Discussionmentioning

confidence: 99%

A Cluster-Randomized Trial of Getting To Outcomes’ Impact on Sexual Health Outcomes in Community-Based Settings

et al. 2017

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The USA has high teen pregnancy rates compared to other developed nations. Many community-based organizations need assistance conducting evidence-based teen pregnancy prevention programs (EBPs) appropriately. This study evaluated the impact of an implementation support intervention called Getting To Outcomes (GTO) designed to help such organizations. This cluster randomized controlled trial compared 16 Boys and Girls Clubs (BGCs) implementing a teen pregnancy prevention EBP called Making Proud Choices for two years, with 16 BGCs implementing MPC augmented with GTO training, tools, and technical assistance. Participating middle school youth were compared on proximal outcomes (knowledge, attitudes, and intentions about sex and condoms from baseline to post) and sexual behaviors (frequency of sex and condom use, from baseline to 6-month follow-up). In year 1, there were no significant effects of GTO for any proximal outcome. After GTO-stimulated quality improvement in year 2, the GTO group improved significantly more on condom attitudes and use intentions. Frequency of sex and condom use did not differ between the two groups in either year; however, base rates of these behaviors in the sample were very low. Findings suggest that in typical community-based settings, detailed manuals and training common to structured EBPs may be sufficient to yield some improvement in key proximal outcomes, but that more systematic implementation support is needed to achieve greater improvement in these outcomes. Using GTO with many communities, as currently supported by various federal agencies, could yield public health impact via improvements in condom attitudes and use intentions.

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“…Benefit-cost analyses of CTC effects on behavioral outcomes measured in Grades 8 and 12 showed economic benefits of CTC were largely due to preventing the initiation of delinquent behavior, with some additional benefit from sustained abstinence from cigarette smoking and alcohol use initiation (Kuklinski et al 2012, 2015). …”

Section: Discussionmentioning

confidence: 99%

Effects of Communities That Care on Males’ and Females’ Drug Use and Delinquency 9 Years After Baseline in a Community‐Randomized Trial

Oesterle

Hawkins

Kuklinski

et al. 2015

American J of Comm Psychol

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This study tested sustained effects of the Communities That Care (CTC) prevention system on health-risking behaviors 9 years after baseline in a community-randomized trial involving 24 towns in seven states. Earlier analyses found sustained effects on abstinence from drug use and delinquency through Grade 12 in a panel of fifth graders. At age 19, 91 % (n = 3986) of the living panel completed the survey. Data were analyzed using generalized linear mixed models. The prevalence of lifetime and current substance use and delinquency were the primary outcomes. Secondary outcomes included substance use disorders, major depression, suicidality, educational attainment, and sexual risk behaviors. CTC had a significant overall effect across lifetime measures of the primary outcomes for males, but not for females or the full sample, although lifetime abstinence from delinquency in the full sample was significantly higher in CTC communities (ARR = 1.16). Males in CTC communities also continued to show greater lifetime abstinence from cigarette smoking (ARR = 1.22). CTC did not have a sustained effect on current substance use and delinquency nor did it improve the secondary outcomes at age 19 for either gender. Communities using CTC may need to extend their prevention planning to include the high school years to sustain effects on drug use and delinquency beyond high school for both genders.

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Benefit–cost analysis of a randomized evaluation of Communities That Care: monetizing intervention effects on the initiation of delinquency and substance use through grade 12

Cited by 40 publications

References 104 publications

The financial implications of merging proactive CCTV monitoring and directed police patrol: a cost–benefit analysis

The financial implications of merging proactive CCTV monitoring and directed police patrol: a cost–benefit analysis

A Cluster-Randomized Trial of Getting To Outcomes’ Impact on Sexual Health Outcomes in Community-Based Settings

Effects of Communities That Care on Males’ and Females’ Drug Use and Delinquency 9 Years After Baseline in a Community‐Randomized Trial

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