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dc.contributor.authorDubowitz, Howard
dc.contributor.authorFrick, Kevin D
dc.contributor.authorSemiatin, Josh
dc.contributor.authorMagder, Laurence S.
dc.contributor.authorLane, Wendy G.
dc.date.accessioned2020-12-10T18:16:15Z
dc.date.available2020-12-10T18:16:15Z
dc.date.issued2020-11-14
dc.identifier.urihttp://hdl.handle.net/10713/14242
dc.description.abstractBackground: Funding for prevention interventions is often quite limited. Cost-related assessments are important to best allocate prevention funds. Objectives: To determine the (1) overall cost for implementing the Safe Environment for Every Kid (SEEK) model, (2) cost of implementation per child, and (3) cost per case of maltreatment averted. Design: Cost-effective analysis of a randomized controlled trial. Participants and setting: 102 pediatric providers at 18 pediatric primary care practices. 924 families with children < 6 years receiving care by those providers. Methods: Practices and their providers were randomized to either SEEK training and implementation or usual care. Families in SEEK and control practices were recruited for evaluation. Rates of psychological and physical abuse were calculated by parent self-report 12 months following recruitment. Model costs were calculated including salaries for team members, provider time for training and booster sessions, and development and distribution of materials. Results: Implementing SEEK in all 18 practices would have cost approximately $265,892 over 2.5 years; $3.59 per child per year; or $305.58 ($229.18-$381.97) to prevent one incident. Based on a very conservative cost estimate of $2779 per maltreatment incident, SEEK would save an estimated $2,151,878 in health care costs for 29,610 children. Conclusions: The SEEK model is cost saving. Cost per case of psychological and physical abuse averted were significantly lower than the short-term costs of medical and mental health care for maltreated children. SEEK model expansion has the potential to significantly decrease medical, mental health, and other related costs associated with maltreatment.en_US
dc.description.urihttps://doi.org/10.1016/j.chiabu.2020.104809en_US
dc.language.isoenen_US
dc.publisherElsevier Ltd.en_US
dc.relation.ispartofChild Abuse & Neglecten_US
dc.rightsCopyright © 2020 Elsevier Ltd. All rights reserved.en_US
dc.subjectChild maltreatmenten_US
dc.subjectCost-effectivenessen_US
dc.subjectPreventionen_US
dc.subjectPrimary careen_US
dc.titleCost effectiveness of SEEK: A primary care-based child maltreatment prevention modelen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.chiabu.2020.104809
dc.identifier.pmid33203542
dc.source.beginpage104809
dc.source.endpage
dc.source.countryEngland


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