The authors present a cost-benefit analysis of a Juvenile Breaking the Cycle (JBTC) program in Oregon designed to provide juvenile justice system monitoring and coordinated treatment and services to youth who are assessed as at high risk for recidivism and substance use. Detailed cost analyses are presented for youth in the JBTC program and a comparison group. Multivariate models for all costs combined indicate that the costs per JBTC youth are much higher than for the comparison group 6 to 12 months after intake. Twelve to 18 months after intake, the difference in juvenile justice costs between the two groups is negligible. These findings suggest that decision makers should not expect any additional case management and treatment costs to be offset immediately by reductions in juvenile justice costs. However, evidence suggests that juvenile justice costs may eventually be at least equivalent to usual care.
Aos, Steve, Marna Miller, and Elizabeth Drake .2006. Evidence-Based Public Policy Options to Reduce Future Prison Construction, Criminal Justice Costs, and Crime Rates (Report #06-10-1201). Olympia: Washington State Institute for Public Policy.
2.
Belenko, Steven and T.K. Logan.2003. "Delivering More Effective Treatment to Adolescents: Improving the Juvenile Drug Court Model." Journal of Substance Abuse Treatment25 (3): 189-211.
3.
Blough, David K., Carolyn W. Madden, and Mark C. Hornbrook .1999. "Modeling Risk Using Generalized Linear Models." Journal of Health Economics18:153-71.
4.
Brown, Sandra A., Alice Gleghorn, Marc A. Schuckit, Mark G. Myers, and Mariam A. Mott.1996. "Conduct Disorder among Adolescent Alcohol and Drug Abusers." Journal of Sudies on Alcohol and Drugs57 (3): 314-24.
5.
Burns, Barbara J., James C. Howell, Janet K. Wilig, Leena K. Augimeri, Brendan C. Welsh, Rolf Loeber, and David Petechuk.2003. "Treatment, Services, and Intervention Programs for Child Delinquents." Child Delinquency: Bulletin Series (Publication No. NCJ 193410). Washington, DC: Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice.
6.
Caldwell, Michael F., Michael Vitacco, and Gregory J. Van Rybroek.2006. "Are Violent Delinquents Worth Treating? A Cost-Benefit Analysis." Journal of Research in Crime and Delinquency43 (2): 148-68.
7.
Costello, E. Jane, William Copeland, Alexander Cowell, and Gordon Keeler.2007. "Service Costs of Caring for Adolescents with Mental Illness in a Rural Community, 1993-2000." American Journal of Psychiatry164:36-42.
8.
Cowell, Alexander J., Andrew M. Stewart, and Shu Wen Ng.2002. "Assessment of the Cost-Effectiveness of Eugene’s Jail Diversion Program." Final report prepared for the Substance Abuse and Mental Health Services Administration , Center for Mental Health Services.
9.
Donovan, John E. and Richard Jessor.1985. "Structure of Problem Behavior in Adolescence and Young Adulthood." Journal of Consulting and Clinical Psychology53:890-904.
10.
Drake, Elizabeth.2007. Evidence-Based Juvenile Offender Programs: Program Description, Quality Assurance, and Cost (Report #07-06-1201). Olympia : Washington State Institute for Public Policy .
11.
Duan, Naihua, William G. Manning, Carl N. Morris, and Joseph P. Newhouse .1983. "A Comparison of Alternative Models for the Demand for Medical Care." Journal of Business & Economics Statistics1 (2): 115-26.
12.
Efron, Bradley and Robert J. Tibshirani.1993. An Introduction to the Bootstrap. New York: Chapman & Hall.
13.
Elliott, Delbert E., David Huizinga, and Scott Menard.1989. Multiple Problem Youth: Delinquency, Substance Use, and Mental Health Problems. New York: Springer Verlag.
14.
Foster, Michael E., Amir Qaseem, and Tim Connor.2004. "Can Better Mental Health Services Reduce the Risk of Juvenile Justice System Involvement?" American Journal of Public Health95 (4): 859-65.
15.
Hanlon, Thomas E., Richard W. Bateman, Betsy D. Simon, Kevin E. O’Grady, and Steven B. Carswell .2002. "An Early Community-Based Intervention for the Prevention of Substance Abuse and Other Delinquent Behavior ." Journal of Youth and Adolescence31:459-71.
16.
Harrell, Adele, O. Mitchell, Alexa Hirst, Douglas Marlowe, and Jeffrey Merrill .2002. "Breaking the Cycle of Drugs and Crime: Findings from the Birmingham BTC Demonstration." Criminology and Public Policy1 (2): 189-216.
17.
Heckman, James J. and Joseph Hotz.1989. "Choosing among Alternative Nonexperimental Methods for Estimating the Impact of Social Programs: The Case of Manpower Training ." Journal of the American Statistical Association84 (408): 862-74.
18.
Henggeler, Scott W., Charles M. Borduin, Gary B. Melton, Barton J. Mann, Linda A. Smith, James A. Hall, Lynn T. Cone, and Bethany R. Fucci .1991. "Effects of Multisystemic Therapy on Drug Use and Abuse in Serious Juvenile Offenders: A Progress Report from Two Outcome Studies." Family Dynamics of Addiction Quarterly1:40-51.
19.
Henggeler, Scott W., Gary B. Melton, and Linda A. Smith .1992. "Family Preservation Using Multisystemic Therapy: An Effective Alternative to Incarcerating Serious Juvenile Offenders." Journal of Consulting and Clinical Psychology60:953-61.
20.
Henggeler, Scott W., Susan G. Pickrel, and Michael J. Brondino .1999. "Multisystemic Treatment of Substance-Abusing and Dependent Delinquents: Outcomes, Treatment Fidelity, and Transportability." Mental Health Services Research3:171-84.
21.
Henggeler, Scott W., Sonja K. Schoenwald, Charles M. Borduin, Melisa D. Rowland, and Phillippe B. Cunningham .1998. Multisystemic Treatment of Antisocial Behavior in Children and Adolescents. New York : Guilford.
22.
Huizinga, David, Rolf Loeber, and Terence P. Thornberry .1993. "Longitudinal Study of Delinquency, Drug Use, Sexual Activity, and Pregnancy among Children and Youth in Three Cities." Public Health Reports108 (Suppl. 1): 90-96.
23.
Huizinga, David, Rolf Loeber, and Terence P. Thornberry .1997. The Co-Occurrence of Persistent Problem Behavior. Prepared for the Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice.
24.
Jones, Andrew M.2000. "Health Econometrics." In Handbook of Health Economics, edited by A. J. Culyer and J. P. Newhouse.Amsterdam, the Netherlands: Elsevier.
25.
Knitzer, Jane and Lynn Olson.1982. Unclaimed Children: The Failure of Public Responsibility to Children and Adolescents in Need of Mental Health Services. Washington, DC: Children’s Defense Fund.
26.
Krebs, Christopher P., Pamela K. Lattimore, Alexander J. Cowell, and Phillip Graham. Forthcoming. "Evaluation of the Juvenile Breaking the Cycle (JBTC) Program’s Impact on Recidivism." Journal of Criminal Justice.
27.
Lattimore, Pamela K., Christopher P. Krebs, Phillip Graham, and Alexander J. Cowell .2005. Evaluation of the Juvenile Breaking the Cycle Program (Publication No. 209799). Washington, DC: National Institute of Justice.
28.
Lilly, J. Robert, Richard A. Ball, G. David Curry, and Richard C. Smith .1992. "Price Inc. Program: An Evaluation of 5 Years of Electronic Monitoring." Federal Probation56:42-47.
29.
Logan, T.K., William H. Hoyt, Kathryn E. McCollister, Michael T. French, Carl Leukefeld, and Lisa Minton.2004. "Economic Evaluation of Drug Court: Methodology, Results, and Policy Implications." Evaluation and Program Planning27 (4): 381-96.
30.
Manning, William G., Anirban Basu, and John Mullahy.2005. "Generalized Modeling Approaches to Risk Adjustment of Skewed Outcomes Data." Journal of Health Economics24:465-88.
31.
McKay, James R. and Stephen L. Buka.1994. "Issues in Treatment of Antisocial Adolescent Substance Abusers." Journal of Child and Adolescent Substance Abuse3 (2): 59-81.
32.
Myers, Wade C., Paul Burton, Paula D. Sander, Kimberly M. Donat, Jane Cheney, Timothy M. Fitzpatrick, and Linda Monaco.2000. "Project Back-on-Track at 1 Year: A Delinquency Treatment Program for Early-Career Juvenile Offenders." Journal of the American Academy of Child and Adolescent Psychiatry39 (9): 1127-34.
33.
National Institute of Justice.1998. Drug Use Forecasting 1997 (Publication No. NCJ 171672). Washington, DC: U.S. Government Printing Office.
34.
Nelson, C. Michael, Robert B. Rutherford, and Bruce I. Wolford .1996. Comprehensive and Collaborative Systems That Work for Troubled Youth: A National Agenda. Richmond: Eastern Kentucky University.
35.
Office of Juvenile Justice and Delinquency Prevention.2007. "Statistical Briefing Book: Juvenile Arrests." Retrieved July 1, 2008, from http://ojjdp.ncjrs.org/ojstatbb/crime/qa05101.asp?qaDate=2005.
36.
Randall, Jeff and Phillippe B. Cunningham.2003. "Multisystemic Therapy: A Treatment for Violent Substance-Abusing and Substance-Dependent Juvenile Offenders." Addictive Behaviors28:1731-39.
37.
Robertson, Angela A., Paul W. Grimes, and Kevin E. Rogers .2001. "A Short-Run Cost-Benefit Analysis of Community-Based Interventions for Juvenile Offenders." Crime & Delinquency47:265-85.
38.
Schoenwald, Sonja K., David M. Ward, Scott W. Henggeler, Susan G. Pickrel, and Heeren Patel.1996. " Multisystemic Therapy of Substance Abusing or Dependent Adolescent Offenders: Costs of Reducing Incarceration, Inpatient, and Residential Placement." Journal of Child and Family Studies5:431-44.
39.
Sealock, Miriam D., Denise C. Gottfredson, and Catherine A. Gallagher .1997. "Drug Treatment for Juvenile Offenders: Some Good and Bad News." Journal of Research in Crime and Delinquency34:210-36.
40.
Snyder, Howard N.2005. Juvenile Arrests 2003 (Publication No. NCJ 209735) . Washington, DC: U.S. Department of Justice, Office of Juvenile Justice and Delinquency Prevention.
41.
Terry, Yvonne M., Curtis J. VanderWaal, Duane C. McBride, and Holly Van Buren .2000. "Provision of Drug Treatment Services in the Juvenile Justice System: A System Reform." Journal of Behavioral Health Services & Research27 (2): 194-214.
42.
Trochim, William M. K.1984. Research Design for Program Evaluation. Beverly Hills, CA: Sage.
43.
U.S. General Accounting Office.1993. Intensive Probation Supervision: Cost Savings Relative to Incarceration . Washington, DC: U.S. General Accounting Office.
44.
U.S. Government Accountability Office.2005 . Adult Drug Courts: Evidence Indicates Recidivism Reductions and Mixed Results for Other Outcomes (GAO-05-219). Washington, DC: U.S. Government Accountability Office.
45.
Wilson, John J. and James C. Howell.1993. Comprehensive Strategy for Serious, Violent, and Chronic Juvenile Offenders (Program Summary). Washington, DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention .
