ArticleFrontiers in public health2017
The Price per Prospective Consumer of Providing Therapist Training and Consultation in Seven Evidence-Based Treatments within a Large Public Behavioral Health System: An Example Cost-Analysis Metric.
Article in Frontiers in public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- The Effectiveness of Cognitive-Behavioral Therapy in Helping People on Sick Leave to Return to Work: A Systematic Review and Meta-analysis.Journal of occupational rehabilitation · 2024Pooled it
- A History of Child and Adolescent Treatment Through a Distillation Lens: Looking Back to Move Forward.The journal of behavioral health services & research · 2020Pooled it
- Implementation fidelity, student outcomes, and cost-effectiveness of train-the-trainer strategies for Masters-level therapists in urban schools: results from a cluster randomized trial.Implementation science : IS · 2024Trial
- Programmatic Costs of Project ImPACT for Children with Autism: A Time-Driven Activity Based Costing Study.Administration and policy in mental health · 2023Trial
- TherapyTrainer: Using AI to Train Therapists in Written Exposure Therapy.Cognitive and behavioral practice · 2025Article
- Preliminary investigation of an artificial intelligence-based cognitive behavioral therapy training tool.Psychotherapy (Chicago, Ill.) · 2025Article
- Chinese Medicine as First-Line Treatment for Subthreshold Mental Disorders in Primary Care: Opportunities and Challenges.F1000Research · 2025Review
- Life review for older adults: an integrative review.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2024Review
- Private Practice, Private Insurance, and Private Pay Mental Health Services: An Understudied Area in Implementation Science.Administration and policy in mental health · 2024Article
- Freely Available Training Videos for Suicide Prevention: Scoping Review.JMIR mental health · 2023Article
- The role of implementation organizations in scaling evidence-based psychosocial interventions.Implementation science : IS · 2023Article
- The Implementation of Narrative Exposure Therapy (NET) for Transgender and Gender Diverse Adolescents and Young Adults.Journal of child & adolescent trauma · 2023Article
- Preliminary Implementation Outcomes of a Free Online Toolkit to Support Exposure Therapy Implementation for Youth.Child & youth care forum · 2023Article
- Therapeutic interventions impact brain function and promote post-traumatic growth in adults living with post-traumatic stress disorder: A systematic review and meta-analysis of functional magnetic resonance imaging studies.Frontiers in psychology · 2023Article
- Coordination of sustainable financing for evidence-based youth mental health treatments: protocol for development and evaluation of the fiscal mapping process.Implementation science communications · 2022Article
- Expanding the reach of evidence-based mental health interventions to private practice: Qualitative assessment using a policy ecology framework.Frontiers in health services · 2022Article
- Assessing Causal Pathways and Targets of Implementation Variability for EBP use (Project ACTIVE): a study protocol.Implementation science communications · 2021Article
- Therapist training in evidence-based interventions for mental health: A systematic review of training approaches and outcomes.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2020Article
- When Do Therapists Stop Using Evidence-Based Practices? Findings from a Mixed Method Study on System-Driven Implementation of Multiple EBPs for Children.Administration and policy in mental health · 2020Article
- Outcomes Associated With Adapting a Research-Supported Treatment for Children With Behavior Disorders.Research on social work practice · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
objectivePublic-sector behavioral health systems seeking to implement evidence-based treatments (EBTs) may face challenges selecting EBTs given their limited resources. This study describes and illustrates one method to calculate cost related to training and consultation to assist system-level decisions about which EBTs to select.
methodsTraining, consultation, and indirect labor costs were calculated for seven commonly implemented EBTs. Using extant literature, we then estimated the diagnoses and populations for which each EBT was indicated. Diagnostic and demographic information from Medicaid claims data were obtained from a large behavioral health payer organization and used to estimate the number of covered people with whom the EBT could be used and to calculate implementation-associated costs per consumer.
resultsFindings suggest substantial cost to therapists and service systems related to EBT training and consultation. Training and consultation costs varied by EBT, from Dialectical Behavior Therapy at $238.07 to Cognitive Behavioral Therapy at $0.18 per potential consumer served. Total cost did not correspond with the number of prospective consumers served by an EBT.
conclusionA cost-metric that accounts for the prospective recipients of a given EBT within a given population may provide insight into how systems should prioritize training efforts. Future policy should consider the financial burden of EBT implementation in relation to the context of the population being served and begin a dialog in creating incentives for EBT use.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.