A Summary Report of the Cost-Effectiveness of the Profession and Practice of Marriage and Family Therapy

被引：19

作者：

D. Russell Crane

Jacob D. Christenson

机构：

[1] Marriage and Family Therapy Program, School of Family Life, Brigham Young University, Provo 84602 UT

[2] Marriage and Family Therapy Program, Mount Mercy University, Cedar Rapids, IA

来源：

Contemporary Family Therapy | 2012年 / 34卷 / 2期

关键词：

Cost-effectiveness; Family therapy; Health care utilization; Medical family therapy; Medical offset;

D O I：

10.1007/s10591-012-9187-5

中图分类号：

学科分类号：

摘要：

This purpose of this paper is to provide a summary of the cost-effectiveness research for the profession and practice of marriage and family therapy. Studies based on four sources of data were considered: (1) a western United States HMO covering 180,000 subscribers; (2) the Kansas State Medicaid system with over 300,000 beneficiaries; (3) Cigna, a large Unites States health insurance benefits management company with more than nine million subscribers; and (4) a marriage and family therapy training clinic in the western United States serving approximately 300 individuals and families a year. Results from the studies support the potential for a medical offset effect after couple or family therapy, with the largest reduction occurring for high utilizers of health care. The studies also show that covering family therapy as a treatment option and marriage and family therapists as a provider group is not associated with significantly higher treatment costs. An application of cost-effectiveness methodology to medical family therapy is also considered. © 2012 Springer Science+Business Media, LLC.

引用

页码：204 / 216

页数：12

共 30 条

[1]

Chiang F.F., The cost effectiveness of individual and family therapy for schizophrenia in managed care, (2011)

[2]

Christenson J.D., Crane D.R., Estimating the cost of direct reimbursement of marriage and family therapy under Medicare, Journal of Marital and Family Therapy, 30, 4, pp. 515-525, (2004)

[3]

Christenson J.D., Crane D.R., Hafen M., Hamilton S., Schaalje G.B., Predictors of health care use among individuals seeking therapy for marital and family problems: An exploratory study, Contemporary Family Therapy: An International Journal., 33, pp. 441-460, (2011)

[4]

Christenson J.D., Crane D.R., Hillin H.H., Family intervention and health care costs for Kansas Medicaid patients with schizophrenia, (2012)

[5]

Christenson J.D., Crane D.R., Law D.D., Schaalje B., Marshall E., The effect of marital and family therapy on health care use, (2012)

[6]

Crane D.R., The cost effectiveness of family therapy: A summary and progress report, Journal of Family Therapy, 30, pp. 399-410, (2008)

[7]

Crane D.R., Christenson J.D., The medical offset effect: Patterns in outpatient services reduction for high utilizers of health care, Contemporary Family Therapy: An International Journal, 30, pp. 127-138, (2008)

[8]

Crane D.R., Dobbs S.M., Christenson J., Moore A.M., Marshall E.S., Schaalje B., Cost of treating depression with individual versus family therapy, (2012)

[9]

Crane D.R., Christenson J.D., Shaw A.L., Fawcett D., Marshall E.S., Predictors of health care use for children of marriage and family therapy clients, Journal of Couple and Relationship Therapy, 9, 4, pp. 277-292, (2010)

[10]

Crane D.R., Hillin H., Jakubowski S., Costs of treating conduct disordered Medicaid youth with and without family therapy, The American Journal of Family Therapy, 33, 5, pp. 403-413, (2005)

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