Cost-Effectiveness of Treating Oppositional Defiant Disorder: A Comparison by Treatment Modality and Mental Health Provider Type
Year: 2014
Type: article
Study design: Observational Study
Abstract: This study examined the treatment outcomes for Oppositional Defiant Disorder by provider license type and therapy modality. Administrative data from Cigna Insurance Company for 9,904 ODD cases were analyzed to determine the cost, number of sessions, dropout rates, and recidivism rates for treatment of ODD. Descriptive statistics indicate that the mean cost of treatment for ODD across all professions is $389.83. Analyses revealed significant differences in total cost by profession, as well as cost per session for different license types with counselors providing therapy for the lowest average total cost, followed by MFTs, MSWs, Psychologists and then MDs. Chi square analyses revealed that in the treatment of Oppositional Defiant Disorder, MFTs have the lowest drop-out rate, followed by MSWs, then Counselors and Psychologists together, with MDs having the highest proportion of client drop-out. Results on re-admission rates rank MFTs with the lowest proportion of clients returning to care, followed by MDs, Counselors, MSWs, with Psychologists having the highest re-admission rate. When comparing outcomes by therapy modality, results of ANOVA tests indicate that family therapy is most cost-effective followed by individual, then mixed therapy modalities. Family therapy also had significantly fewer sessions than the other modalities.
Author: Julie Malloy
Institution: Brigham Young University
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W754447814