|Equation||(# children) x (Q: Reduction in child abuse and neglect due to the intervention) x ($ benefit from reduced out of home placement)|
|This metric estimates the impact of reduced child abuse and neglect on lifetime health, estimated in terms of quality-adjusted life years (QALY). It is based on a meta-analysis of the impact of a wide array of home visiting programs including the following: Healthy Families America (HFA), Family Check Up for Children, Nurse-Family Partnership (NFP), Parents as Teachers (PAT), Triple P – Positive Parenting Program®—Variants suitable for home visiting, Family Spirit, Child First, Home Instruction for Parents of Preschool Youngsters (HIPPY), Early Head Start–Home-Based Option (EHS-HBO), Play and Learning Strategies (PALS). These programs serve children from birth through age 17, as well as mothers and expectant mothers. If the program is specifically using the Parents as Teachers (PAT) model, EDU024 should be used instead.|
Note: Constellation treats child abuse/neglect and out of home placements as equivalent outcomes. In the case of this metric, we link the home visiting intervention to a reduction of child abuse and then monetize this outcome using the value of out of home placement. We don’t know the monetary cost of child abuse, this cost could be larger or smaller than the cost of out of home placement, our estimation would underestimate the effect of the program if the former is true or overestimated otherwise.
Number of children: The number of participants reported by program.
Q: Reduced child abuse and neglect due to the intervention: [1×10-4]. This is estimated by Constellation staff using the following formula:
Benefit from reduced child abuse and neglect: [$350,000]. This is an estimate of the value of preventing child abuse in terms of lost quality-adjusted life years, based on the findings of Peterson, et al (2015). These benefits are already discounted to present value.
|References||Gray JD, Cutler CA, Dean JG, Kempe CH. Prediction and prevention of child abuse and neglect. J Social Issues 1979;35:127–39.|
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