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| Additional Physical Format: | Online version: Ounce of prevention, a pound of uncertainty. Santa Monica, CA : Rand, 1999 (OCoLC)604356792 Online version: Ounce of prevention, a pound of uncertainty. Santa Monica, CA : Rand, 1999 (OCoLC)607848502 |
|---|---|
| Material Type: | Document, Internet resource |
| Document Type: | Book, Computer File, Internet Resource |
| All Authors / Contributors: |
Jonathan P Caulkins; et al |
| ISBN: | 0585245460 9780585245461 0833025600 9780833025609 |
| OCLC Number: | 40830277 |
| Description: | xxxiii, 194 p. : ill. ; 23 cm. |
| Contents: | An Analysis of Costs and Effectiveness -- Beyond Cost-Effectiveness -- An Issue Not Yet Examined -- Effectiveness at Reducing Cocaine Consumption -- Effect on Cohort Members Participating in Program -- Proportion of Cohort That Would Otherwise Use Cocaine -- Lifetime Consumption -- Program Effect -- Discount Factor -- Multipliers -- Social Multiplier -- Market Multiplier -- Qualifiers -- Integrating the Factors -- Uncertainty -- Sources of Effect -- Cost-Effectiveness at Reducing Cocaine Consumption -- Defining Program Cost -- Estimating Program Cost -- Estimating Cost-Effectiveness and the Implications of Uncertainty -- Variation With the Passage of Time -- Other Benefits -- Estimating the Effect on Use of Drugs Other Than Cocaine -- Simple Program Effectiveness -- Other Factors -- Comparison of Effects -- Social Savings from Reduced Drug Use -- Cocaine -- Other Drugs -- Benefits Unrelated to Reduced Drug Consumption -- Nationwide Implementation -- Implications for the Current Cocaine Epidemic -- Implications for Future Epidemics -- Implications for the Legalization Debate -- Model Prevention Programs Appear to Be Competitive With Enforcement -- Great Uncertainty Remains About Prevention's Cost-Effectiveness -- The Source of Benefits Is Not What Might Be Expected -- Drug Use Prevention Has Benefits Other Than Reduced Cocaine Use -- A National Program Is Affordable but Will Not End the Cocaine Epidemic -- Drug Prevention Should Be Conducted Before It Is Perceived Necessary. |
| Responsibility: | Jonathan P. Caulkins ... [et al.]. |
| More information: |
Abstract:
Focuses on school-based drug prevention programs that have proven effective in formal evaluations. Effectiveness at reducing cocaine consumption is inferred from effectiveness at reducing marijuana initiation, and spillover effects on those not participating in the program are accounted for. Given substantial uncertainties in all pertinent factors, the cost-effectiveness estimation framework is constructed to permit easy substitution of alternate values at reader preference or as more information becomes available. The authors conclude that prevention can reduce lifetime cocaine consumption by 2 to 11 percent. Although these effects are small, prevention programs are inexpensive, so that the associated cost-effectiveness values bracket those of a range of enforcement strategies. Treatment, however, appears more cost-effective than prevention. A nationwide drug prevention program would cost only a tiny fraction of what the United States now spends on drug control, but its effect on the cocaine-using population would be modest and slow to accumulate.
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Related Subjects:(4)
- Youth -- Drug use -- United States -- Prevention -- Cost effectiveness.
- Students -- Drug use -- United States -- Prevention -- Cost effectiveness.
- Cocaine abuse -- United States -- Prevention -- Cost effectiveness.
- Drug abuse -- Study and teaching -- United States -- Cost effectiveness.
