Value for money in drug treatment: economic evaluation of prison methadone

DSpace/Manakin Repository

Search OPUS

Advanced Search


My Account

Show simple item record Warren, E Viney, R Shearer, J Shanahan, M Wodak, A Dolan, K 2009-12-21T02:33:20Z 2006-09-15
dc.identifier.citation Drug and Alcohol Dependence, 2006, 84 (2), pp. 160 - 166
dc.identifier.issn 0376-8716
dc.identifier.other C1 en_US
dc.description.abstract Background: Although methadone maintenance treatment in community settings is known to reduce heroin use, HIV infection and mortality among injecting drug users (IDU), little is known about prison methadone programs. One reason for this is the complexity of undertaking evaluations in the prison setting. This paper estimates the cost-effectiveness of the New South Wales (NSW) prison methadone program. Methods: Information from the NSW prison methadone program was used to construct a model of the costs of the program. The information was combined with data from a randomised controlled trial of provision of prison methadone in NSW. The total program cost was estimated from the perspective of the treatment provider/funder. The cost per heroin free day, compared with no prison methadone, was estimated. Assumptions regarding resource use were tested through sensitivity analysis. Results: The annual cost of providing prison methadone in NSW was estimated to be AUD$2.9 million (or $3,234 per inmate per year). The incremental cost effectiveness ratio is AUD $38 per additional heroin free day. Conclusions: From a treatment perspective, prison methadone is no more costly than community methadone, and provides benefits in terms of reduced heroin use in prisons, with associated reduction in morbidity and mortality. © 2006 Elsevier Ireland Ltd. All rights reserved.
dc.language eng
dc.relation.isbasedon 10.1016/j.drugalcdep.2006.01.010
dc.title Value for money in drug treatment: economic evaluation of prison methadone
dc.type Journal Article
dc.parent Drug and Alcohol Dependence
dc.journal.volume 2
dc.journal.volume 84
dc.journal.number 2 en_US
dc.publocation Clare, Ireland en_US
dc.identifier.startpage 160 en_US
dc.identifier.endpage 166 en_US BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 1799 Other Psychology and Cognitive Sciences
dc.personcode 020117
dc.percentage 100 en_US Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.description.keywords Cost-effectiveness
dc.description.keywords Hepatitis C
dc.description.keywords Incarceration
dc.description.keywords Methadone
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
pubs.organisational-group /University of Technology Sydney/Strength - Health Economics and Research Evaluation
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)

Files in this item

This item appears in the following Collection(s)

Show simple item record