Advertisement

Deriving Service Costs for a Clubhouse Psychosocial Rehabilitation Program

  • Alexander J. Cowell
  • David E. Pollio
  • Carol S. North
  • Andrew M. Stewart
  • Michelle M. McCabe
  • Donald W. Anderson
Article

Abstract

This article (a) discusses “function cost,” a concept to estimate costs where consumers are involved both in delivery and receipt of services; (b) develops a methodology for costing service units for psychosocial rehabilitation clubhouses; and (c) presents a case study of a clubhouse program. Using function cost to estimate the value of member time leads to costs being on average about 10% higher than when using opportunity cost. Because the case-study clubhouse is typical in key dimensions, the methods used here appear generalizable to other programs and should have utility for other rehabilitation-based services for individuals with mental illness.

clubhouse cost analysis psychosocial rehabilitation 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  1. Anderson, D.W., Bowland, B.J., Cartwright, W.S., & Bassin, G. (1998). Service-level costing of drug abuse treatment. Journal of Substance Abuse Treatment, 15(3), 201-211.Google Scholar
  2. Beard, J.H., Propst, R., & Malamud, T. (1982). The fountain house model of psychiatric rehabilitation. Psychosocial Rehabilitation Journal, 5(1), 47-53.Google Scholar
  3. Bradley, C.J., French, M.T., & Rachal, J.V. (1994). Financing and cost of standard and enhanced methadone treatment. Journal of Substance Abuse Treatment, 11(5), 433-442.Google Scholar
  4. Carson, R. (2000). Contingent valuation: A user's guide. Environment, Science and Technology, 34, 1413-1418.Google Scholar
  5. Cowell, A.J., & Stewart, A.M. (2000a). Outpatient mental health cost analysis program (OMHCAP): Cost questionnaire for outpatient mental health centers. Research Triangle Park, NC: RTI.Google Scholar
  6. Cowell, A.J., & Stewart, A.M. (2000b). The service level resource use guide for outpatient mental health centers (SLRUG-OMH). Research Triangle Park, NC: RTI.Google Scholar
  7. Cowell, A.J., & Stewart, A.M. (2000c). Transitional housing program cost analysis program (House-CAP): Cost questionnaire for transitional housing programs. Research Triangle Park, NC: RTI.Google Scholar
  8. Cowell, A.J., & Stewart, A.M. (2000d). The service level resource use guide for transitional housing programs (SLRUG-House). Research Triangle Park, NC: RTI.Google Scholar
  9. Dunlap, L.J., & French, M.T. (1998). A comparison of two methods for estimating the costs of drug abuse treatment. Journal of Maintenance in the Addictions, 1(3), 29-44.Google Scholar
  10. French, M.T., Bradley, C.J., Calingaert, B., Dennis, M.L., & Karuntzos, G.T. (1994). Cost analysis of training and employment services in methadone treatment. Evaluation and Program Planning, 17(2), 107-120.Google Scholar
  11. French, M.T., Bradley, C.J., & Zarkin, G.A. (1992). Drug abuse treatment cost analysis program (DATCAP): Cost interview guide for provider sites. Drug abuse treatment module. Version 1. Research Triangle Park, NC: RTI.Google Scholar
  12. French, M.T., Dunlap, L.J., Galinis, D.N., Rachal, J.V., & Zarkin, G.A. (1996). Health care reforms and managed care for substance abuse services: Findings from 11 case studies. Journal of Public Health Policy, 17(2), 181-203.Google Scholar
  13. French, M.T., Dunlap, L.J., Zarkin, G.A., & Karuntzos, G.T. (1998). The costs of an enhanced employee assistance program (EAP) intervention. Evaluation and Program Planning, 21, 227-236.Google Scholar
  14. French, M.T., Dunlap, L.J., Zarkin, G.A., McGeary, K.A., & McLellan, A.T. (1997). A structured instrument for estimating the economic cost of drug abuse treatment: The drug abuse treatment cost analysis program (DATCAP). Journal of Substance Abuse Treatment, 14(5), 445-455.Google Scholar
  15. Gold, M.R., Siegel, J.E., Russell, L.B., & Weinstein, M.C. (Eds.). (1996). Cost effectiveness in health and medicine. New York: Oxford University Press.Google Scholar
  16. Honeycutt, A.A., Radeva, J., Stewart, A.M., & Hokayem, C. (2001a). Safe schools-healthy students cost analysis program (SSHS-CAP): Site cost questionnaire. Research Triangle Park, NC: RTI.Google Scholar
  17. Honeycutt, A.A., Radeva, J., Stewart, A.M., & Hokayem, C. (2001b). The service level resource use guide for safe schools-healthy students (SLRUG-SSHS): Site cost interview guide. Research Triangle Park, NC: RTI.Google Scholar
  18. Jackson, R.L. (2001). The clubhouse model: Empowering applications of theory to generalist practice. Belmont, CA: Brooks/Cole.Google Scholar
  19. Macias, C., Harding, C., Alden, M., Geertsen, D., & Barreira, P. (1999). The value of program certification for performance contracting. Administration and Policy in Mental Health, 26(5), 345-360.Google Scholar
  20. Macias, C., Jackson, R., Schroeder, C., & Wang, Q. (1999). What is a clubhouse? Report on the ICCD 1996 survey of USA clubhouses. Community Mental Health Journal, 35(2), 181-190.Google Scholar
  21. McGuire, T. (1991). Measuring the economic costs of schizophrenia. Schizophrenia Bulletin, 17(3), 375-388.Google Scholar
  22. Norton, E.C., Martin, R.F., & Wechsberg, W.M. (1998). Threshold analysis of AIDS outreach and intervention. In D. Holtgrave (Ed.), Handbook of economic evaluation of HIV prevention programs (pp.195-209). New York: Plenum Press.Google Scholar
  23. Paulson, R., Herinckx, H., Demmler, J., Clark, G., Culter, D., Birecree, E. (1999). Comparing practice patterns of consumer and non consumer mental health service providers. Community Mental Health Journal, 35, 251-269.Google Scholar
  24. Portney, P. (1994). The contingent valuation debate: Why economists should care. Journal of Economic Perspectives, 8(4), 3-17.Google Scholar
  25. Propst, R.N. (2001). Fountain house, the clubhouse model: How it evolved and is spreading around the world. In R.L. Jackson (Ed.), The clubhouse model: Empowering applications of theory to generalist practice (pp.182-199). Stamford, CT: Brooks/Cole Wadsworth.Google Scholar
  26. Rosenheck, R., Frisman, L., & Neale, M. (1994). Estimating the capital component of mental health care costs in the public sector. Administration and Policy in Mental Health, 21(6), 493-509.Google Scholar
  27. Weisbrod, B.A. (1983). A guide to benefit-cost analysis, as seen through a controlled experiment in treating the mentally ill. Journal of Health Politics & Law, 7, 808.Google Scholar
  28. Zarkin, G.A., & Dunlap, L.J. (1998a). The service level resource use guide (SLRUG). Research Triangle Park, NC: RTI.Google Scholar
  29. Zarkin, G.A., & Dunlap, L.J. (1998b). Drug abuse treatment cost analysis program for methadone treatment providers (DATCAP-MP): Cost questionnaire for provider sites. Research Triangle Park, NC: RTI.Google Scholar
  30. Zarkin, G.A., Dunlap, L.J., & Homsi, G. (2001). The cost of methadone treatment: Results from a national sample of treatment programs. Unpublished manuscript.Google Scholar

Copyright information

© Human Sciences Press, Inc. 2003

Authors and Affiliations

  • Alexander J. Cowell
    • 1
  • David E. Pollio
    • 2
  • Carol S. North
    • 3
  • Andrew M. Stewart
    • 1
  • Michelle M. McCabe
    • 3
  • Donald W. Anderson
    • 4
  1. 1.Behavioral Health Economics Program at RTIResearch Triangle Park
  2. 2.George Warren Brown School of Social WorkWashington UniversitySt. Louis
  3. 3.Department of Psychiatry, School of MedicineWashington UniversitySt. Louis
  4. 4.Food and Nutrition Program at RTIResearch Triangle Park

Personalised recommendations