Show simple item record

dc.contributor.authorMattingly, T.J. II
dc.contributor.authorKiser, L.
dc.contributor.authorHill, S.
dc.contributor.authorBriggs, E.C.
dc.contributor.authorTrunzo, C.P.
dc.contributor.authorZafari, Z.
dc.contributor.authorBetancourt, T.S.
dc.date.accessioned2020-08-21T15:58:15Z
dc.date.available2020-08-21T15:58:15Z
dc.date.issued2020
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85089373338&doi=10.1002%2fjts.22576&partnerID=40&md5=a6cfa79a130c28dc895b4433cf917c65
dc.identifier.urihttp://hdl.handle.net/10713/13581
dc.description.abstractShifts in migration and border control policies may increase the likelihood of trauma exposure related to child-parent separation and result in costs to the health system and society. In the present study, we estimated direct and indirect costs per child as well as overall cohort costs of border control policies on migrant children and adolescents who were separated from their parents, detained, and placed in the custody of the United States following the implementation of the 2018 Zero Tolerance Policy. Economic modeling techniques, including a Markov process and Monte Carlo simulation, based on data from the National Child Traumatic Stress Network's Core Data Set (N = 458 migrant youth) and published studies were used to estimate economic costs associated with three immigration policies: No Detention, Family Detention, and Zero Tolerance. Clinical evaluation data on mental health symptoms and disorders were used to estimate the initial health state and risks associated with additional trauma exposure for each scenario. The total direct and indirect costs per child were conservatively estimated at $33,008, $33,790, and $34,544 after 5 years for No Detention, Family Detention, and Zero Tolerance, respectively. From a health system perspective, annual estimated spending increases ranged from $1.5 million to $14.9 million for Family Detention and $2.8 million to $29.3 million for Zero Tolerance compared to baseline spending under the No Detention scenario. Border control policies that increase the likelihood of child and adolescent trauma exposure are not only morally troubling but may also create additional economic concerns in the form of direct health care costs and indirect societal costs. Copyright 2020 The Authors.en_US
dc.description.urihttps://doi.org/10.1002/jts.22576en_US
dc.language.isoen_USen_US
dc.publisherJohn Wiley and Sons Inc.en_US
dc.relation.ispartofJournal of Traumatic Stress
dc.subject.meshChilden_US
dc.subject.meshAdolescenten_US
dc.subject.meshUnited Statesen_US
dc.subject.meshEmigration and Immigrationen_US
dc.subject.meshMarkov Chainsen_US
dc.subject.meshMental Healthen_US
dc.subject.meshTransients and Migrantsen_US
dc.subject.meshMonte Carlo Methoden_US
dc.subject.meshHealth Care Costsen_US
dc.subject.meshDelivery of Health Careen_US
dc.subject.meshProbabilityen_US
dc.subject.meshCohort Studiesen_US
dc.titleUnseen Costs: The Direct and Indirect Impact of U.S. Immigration Policies on Child and Adolescent Health and Well-Beingen_US
dc.typeArticleen_US
dc.identifier.doi10.1002/jts.22576


This item appears in the following Collection(s)

Show simple item record