You are hereDoctor-Office Collaborative Care (DOCC) for Pediatric Behavior Disorders Lowers Mental Health Care Costs
Doctor-Office Collaborative Care (DOCC) for Pediatric Behavior Disorders Lowers Mental Health Care Costs
Our 2014 randomized controlled trial (RCT) demonstrated the effectiveness of DOCC, relative to enhanced usual care (EUC), for pediatric behavior problems and attention-deficit/hyperactivity disorder. In this 2017 publication, we sought to extend the literature by incorporating a cost-analysis component at the conclusion of the aforementioned trial. The DOCC group had higher intervention costs, but the cost per patient treated in the DOCC group was lower than the EUC group during the 6-month intervention period. In terms of the costs of community mental health services, although the 2 groups had similar costs in the 6 months before the RCT began, DOCC had significantly lower costs during the 6-month intervention period and 6 or 12 months after the intervention, but not in the 18 or 24 months after the intervention. The DOCC model has the potential for cost savings during the intervention period and the follow-up periods immediately after the intervention while improving clinical effectiveness. The article is published in Families, Systems, and Health, published by the American Psychological Association (2017, vo. 35, pp. 46-57).