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Cost-Effectiveness Analysis of the New South Wales Adult Drug Court Program

Author

Listed:
  • Marian Shanahan
  • Emily Lancsar
  • Marion Haas
  • Bronwyn Lind
  • Don Weatherburn
  • Shuling Chen

Abstract

In New South Wales, Australia, a cost-effectiveness evaluation was conducted of an adult drug court (ADC) program as an alternative to jail for criminal offenders addicted to illicit drugs. This article describes the program, the cost-effectiveness analysis, and the results. The results of this study reveal that, for the 23-month period of the evaluation, the ADC was as cost-effective as were conventional sanctions in delaying the time to the first offense and more cost-effective in reducing the frequency of offending for those outcome measures selected. Although the evaluation was conducted using the traditional steps of a cost-effectiveness analysis, because of the complexity of the program and data limitations it was not always possible to adhere to textbook procedures. As such, each step involved in undertaking the cost-effectiveness analysis is discussed, highlighting the key issues faced in the evaluation .

Suggested Citation

  • Marian Shanahan & Emily Lancsar & Marion Haas & Bronwyn Lind & Don Weatherburn & Shuling Chen, 2004. "Cost-Effectiveness Analysis of the New South Wales Adult Drug Court Program," Evaluation Review, , vol. 28(1), pages 3-27, February.
  • Handle: RePEc:sae:evarev:v:28:y:2004:i:1:p:3-27
    DOI: 10.1177/0193841X03257531
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    References listed on IDEAS

    as
    1. Bronwyn Lind & Don Weatherburn & Shuling Chen & Marian Shanahan & Emily Lancsar & Marion Haas, 2002. "New South Wales drug court evaluation: Cost-effectiveness, CHERE Project Report 17a," Research Reports 17a, CHERE, University of Technology, Sydney.
    2. Edward Godber & Ray Robinson & Andrea Steiner, 1997. "Economic Evaluation and the Shifting Balance Towards Primary Care: Definitions, Evidence and Methodological Issues," Health Economics, John Wiley & Sons, Ltd., vol. 6(3), pages 275-294, May.
    3. Nicholas Graves & Damian Walker & Rosalind Raine & Andrew Hutchings & Jennifer A. Roberts, 2002. "Cost data for individual patients included in clinical studies: no amount of statistical analysis can compensate for inadequate costing methods," Health Economics, John Wiley & Sons, Ltd., vol. 11(8), pages 735-739, December.
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    Cited by:

    1. Amanda E. Perry & Rebecca Woodhouse & Matthew Neilson & Marrissa Martyn St James & Julie Glanville & Catherine Hewitt & Dominic Trépel, 2016. "Are Non-Pharmacological Interventions Effective in Reducing Drug Use and Criminality? A Systematic and Meta-Analytical Review with an Economic Appraisal of These Interventions," IJERPH, MDPI, vol. 13(10), pages 1-20, September.
    2. Elizabeth L. C. Merrall & Sheila M. Bird, 2009. "A Statistical Perspective on the Design of Drug-Court Studies," Evaluation Review, , vol. 33(3), pages 257-280, June.

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