An Economic Evaluation of the Parent–Child Assistance Program for Preventing Fetal Alcohol Spectrum Disorder in Alberta, Canada

Abstract

Parent–Child Assistance Program (P-CAP) is a 3-year home visitation/harm reduction intervention to prevent alcohol exposed births, thereby births with fetal alcohol spectrum disorder, among high-risk women. This article used a decision analytic modeling technique to estimate the incremental cost–effectiveness ratio and the net monetary benefit of the P-CAP within the Alberta Fetal Alcohol Spectrum Disorder Service Networks in Canada. The results indicate that the P-CAP is cost–effective and support placing a high priority not only on reducing alcohol use during pregnancy, but also on providing effective contraceptive measures when a program is launched.

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Notes

  1. 1.

    Assumed equal to the market basket measure threshold for lone parent with one child in Alberta in 2009 inflated to 2013 dollars.

  2. 2.

    The welfare income for lone parent with one child in Alberta in 2009 inflated to 2013 dollars.

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Acknowledgments

This study is financially supported by Alberta Health. We are grateful to Teresa O’Riordan, Executive Director of the Northwest Central Alberta FASD Network, Dr. Arto Ohinmaa, University of Alberta School of Public Health, and Dr. Philip Jacobs, University of Alberta Dept. of Medicine, for providing valuable information.

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Correspondence to Nguyen Xuan Thanh.

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Thanh, N.X., Jonsson, E., Moffatt, J. et al. An Economic Evaluation of the Parent–Child Assistance Program for Preventing Fetal Alcohol Spectrum Disorder in Alberta, Canada. Adm Policy Ment Health 42, 10–18 (2015). https://doi.org/10.1007/s10488-014-0537-5

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Keywords

  • Cost–effectiveness
  • Cost–benefit
  • Fetal alcohol spectrum disorder
  • Parent–child assistance program