Cost analysis of the strengthening families program in reducing time to family reunification among substance-affected families

Abstract

Decision makers typically face uncertainty in determining whether the outcomes of promising child welfare interventions justify the investment. Despite repeated calls for cost analysis in child welfare, original studies that evaluate the costs and effects of child welfare programs have been limited. Moreover, no cost analyses have focused on family reunification programs that address the needs of substance-affected families. The purpose of this study was to evaluate the costs and effects of a federally funded implementation of the Strengthening Families Program (SFP), a 14-week family training curriculum, on time to reunification with a substance-involved child welfare population. Based on event history analysis, we find the typical child participating in SFP spends 190 fewer days in out of home care when compared to a propensity score matched comparison group of children in out-of home care receiving treatment as usual. Re-entry rates between the two groups were not significantly different at follow-up. At an average out-of-home care rate of $86 per child per day in this state, SFP saves approximately $16,340 per participating child in out-of-home care costs. From a cost–benefit perspective, every $1 invested in SFP yields an average savings of $9.83 in this Midwestern demonstration. ► Cost analyses of child welfare interventions have been limited. ► Few studies have evaluated reunification programs with substance-affected families. ► The Strengthening Families Program (SFP) was evaluated in a child welfare setting. ► SFP decreases days in out-of-home care among children in substance-involved families. ► Every $1 invested in SFP yields an average savings of $9.83 in this demonstration.