The costs of crime and the benefits of substance abuse treatment for pregnant women

Marilyn Daley, Milton Argeriou, Dennis McCarty, James J. Callahan, Donald S. Shepard, Carol N. Williams

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Although many pregnant, drug-dependent women report extensive criminal justice involvement, few studies have examined reductions in crime as an outcome of substance abuse treatment programs for pregnant women. This is unfortunate, because maternal criminal involvement can have serious health and cost implications for the unborn child, the mother and society. Using the Addiction Severity Index, differences in pre- and posttreatment criminal involvement were measured for a sample of 439 pregnant women who entered publicly funded treatment programs in Massachusetts between 1992 and 1997. Accepted cost of illness methods were supplemented with information from the Bureau of Justice Statistics to estimate the costs and benefits of five treatment modalities: detoxification only (used as a minimal treatment comparison group), methadone only, residential only, outpatient only, and residential/outpatient combined. Projected to a year, the net benefits (avoided costs of crime net of treatment costs) ranged from US$32,772 for residential only to US$3,072 for detoxification. Although all five modalities paid for themselves by reducing criminal activities, multivariate regressions controlling for baseline differences between the groups showed that reductions in crime and related costs were significantly greater for women in the two residential programs. The study provides economic justification for the continuation and possible expansion of residential substance abuse treatment programs for criminally involved pregnant women.

Original languageEnglish (US)
Pages (from-to)445-458
Number of pages14
JournalJournal of Substance Abuse Treatment
Volume19
Issue number4
DOIs
StatePublished - 2000
Externally publishedYes

Fingerprint

Crime
Substance-Related Disorders
Cost-Benefit Analysis
Pregnant Women
Health Care Costs
Outpatients
Mothers
Therapeutics
Criminal Law
Cost of Illness
Methadone
Social Justice
Economics
Costs and Cost Analysis
Pharmaceutical Preparations

Keywords

  • Cost-benefit analysis
  • Crime
  • Drug treatment
  • Pregnant women

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Neuroscience(all)

Cite this

The costs of crime and the benefits of substance abuse treatment for pregnant women. / Daley, Marilyn; Argeriou, Milton; McCarty, Dennis; Callahan, James J.; Shepard, Donald S.; Williams, Carol N.

In: Journal of Substance Abuse Treatment, Vol. 19, No. 4, 2000, p. 445-458.

Research output: Contribution to journalArticle

Daley, Marilyn ; Argeriou, Milton ; McCarty, Dennis ; Callahan, James J. ; Shepard, Donald S. ; Williams, Carol N. / The costs of crime and the benefits of substance abuse treatment for pregnant women. In: Journal of Substance Abuse Treatment. 2000 ; Vol. 19, No. 4. pp. 445-458.
@article{c43acbdbd0c14a3c9e74f6b9254d88e4,
title = "The costs of crime and the benefits of substance abuse treatment for pregnant women",
abstract = "Although many pregnant, drug-dependent women report extensive criminal justice involvement, few studies have examined reductions in crime as an outcome of substance abuse treatment programs for pregnant women. This is unfortunate, because maternal criminal involvement can have serious health and cost implications for the unborn child, the mother and society. Using the Addiction Severity Index, differences in pre- and posttreatment criminal involvement were measured for a sample of 439 pregnant women who entered publicly funded treatment programs in Massachusetts between 1992 and 1997. Accepted cost of illness methods were supplemented with information from the Bureau of Justice Statistics to estimate the costs and benefits of five treatment modalities: detoxification only (used as a minimal treatment comparison group), methadone only, residential only, outpatient only, and residential/outpatient combined. Projected to a year, the net benefits (avoided costs of crime net of treatment costs) ranged from US$32,772 for residential only to US$3,072 for detoxification. Although all five modalities paid for themselves by reducing criminal activities, multivariate regressions controlling for baseline differences between the groups showed that reductions in crime and related costs were significantly greater for women in the two residential programs. The study provides economic justification for the continuation and possible expansion of residential substance abuse treatment programs for criminally involved pregnant women.",
keywords = "Cost-benefit analysis, Crime, Drug treatment, Pregnant women",
author = "Marilyn Daley and Milton Argeriou and Dennis McCarty and Callahan, {James J.} and Shepard, {Donald S.} and Williams, {Carol N.}",
year = "2000",
doi = "10.1016/S0740-5472(00)00138-0",
language = "English (US)",
volume = "19",
pages = "445--458",
journal = "Journal of Substance Abuse Treatment",
issn = "0740-5472",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - The costs of crime and the benefits of substance abuse treatment for pregnant women

AU - Daley, Marilyn

AU - Argeriou, Milton

AU - McCarty, Dennis

AU - Callahan, James J.

AU - Shepard, Donald S.

AU - Williams, Carol N.

PY - 2000

Y1 - 2000

N2 - Although many pregnant, drug-dependent women report extensive criminal justice involvement, few studies have examined reductions in crime as an outcome of substance abuse treatment programs for pregnant women. This is unfortunate, because maternal criminal involvement can have serious health and cost implications for the unborn child, the mother and society. Using the Addiction Severity Index, differences in pre- and posttreatment criminal involvement were measured for a sample of 439 pregnant women who entered publicly funded treatment programs in Massachusetts between 1992 and 1997. Accepted cost of illness methods were supplemented with information from the Bureau of Justice Statistics to estimate the costs and benefits of five treatment modalities: detoxification only (used as a minimal treatment comparison group), methadone only, residential only, outpatient only, and residential/outpatient combined. Projected to a year, the net benefits (avoided costs of crime net of treatment costs) ranged from US$32,772 for residential only to US$3,072 for detoxification. Although all five modalities paid for themselves by reducing criminal activities, multivariate regressions controlling for baseline differences between the groups showed that reductions in crime and related costs were significantly greater for women in the two residential programs. The study provides economic justification for the continuation and possible expansion of residential substance abuse treatment programs for criminally involved pregnant women.

AB - Although many pregnant, drug-dependent women report extensive criminal justice involvement, few studies have examined reductions in crime as an outcome of substance abuse treatment programs for pregnant women. This is unfortunate, because maternal criminal involvement can have serious health and cost implications for the unborn child, the mother and society. Using the Addiction Severity Index, differences in pre- and posttreatment criminal involvement were measured for a sample of 439 pregnant women who entered publicly funded treatment programs in Massachusetts between 1992 and 1997. Accepted cost of illness methods were supplemented with information from the Bureau of Justice Statistics to estimate the costs and benefits of five treatment modalities: detoxification only (used as a minimal treatment comparison group), methadone only, residential only, outpatient only, and residential/outpatient combined. Projected to a year, the net benefits (avoided costs of crime net of treatment costs) ranged from US$32,772 for residential only to US$3,072 for detoxification. Although all five modalities paid for themselves by reducing criminal activities, multivariate regressions controlling for baseline differences between the groups showed that reductions in crime and related costs were significantly greater for women in the two residential programs. The study provides economic justification for the continuation and possible expansion of residential substance abuse treatment programs for criminally involved pregnant women.

KW - Cost-benefit analysis

KW - Crime

KW - Drug treatment

KW - Pregnant women

UR - http://www.scopus.com/inward/record.url?scp=0034493177&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034493177&partnerID=8YFLogxK

U2 - 10.1016/S0740-5472(00)00138-0

DO - 10.1016/S0740-5472(00)00138-0

M3 - Article

C2 - 11166509

AN - SCOPUS:0034493177

VL - 19

SP - 445

EP - 458

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

IS - 4

ER -