This article provides a summary of effectiveness research on the costs of including family therapy in mental health services. Data was available from four different sources: 1) a large western Health Maintenance Organization with 180,000 subscribers in the local Utah region; 2) the Medicaid system of the entire State of Kansas in the United States; 3) a US health insurance company with several million subscribers; and 4) a Family Therapy training clinic. Results suggest that family therapy reduces the number of health care visits, especially for high utilizers. These results were also replicated in a graduate student training clinic. Also, studies of two different health care systems (and a cost projection study) suggest that including family therapy as a treatment option does not significantly increase health care costs.
Carr, A. (2000). Evidence-based practice in family therapy and systemic consultation I. Journal of Family Therapy, 22, 29—60.
2.
Christenson, J.D., & Crane, D.R. (2004). Estimating the cost of direct reimbursement of marriage and family therapy under Medicare. Journal of Marital and Family Therapy, 30 (4),515-525.
3.
Christenson, J.D., Crane, D.R., & Hillin, H.H. (2006). Family intervention and health care costs for Kansas Medicaid patients with schizophrenia. Manuscript submitted for publication.
4.
Christenson, J.D., Crane, D.R., Marshall, E.M., & Schaalje, G.B. (2006). The effect of marital and family therapy on health care use in a university based training clinic. Manuscript in preparation.
5.
Cottrell, D. & Boston, P. (2002). Practitioner review: The effectiveness of systemic family therapy for children and adolescents. Journal of Child Psychology and Psychiatry, 43(5), 573—586.
6.
Crane, D.R., & Christenson, J.D. (2006). The medical offset effect: Patterns in medical utilization reductions for high utilizers of health care . Manuscript submitted for publication.
7.
Crane, D.R., Hillin, H.H., & Jakubowski, S. (2005). Costs of treating conduct disordered Medicaid youth with and without family therapy. American Journal of Family Therapy, 33(5), 403—413.
8.
Crane, D.R., Wood, N.D., Law, D.D., & Schaalje, B. (2004). The relationship between therapist characteristics and decreased medical utilization: An exploratory study. Contemporary Family Therapy: AnInternational Journal, 26(1), 61—69.
9.
Jakubowski, S.F., Crane, D.R., Christenson, J.D., Miller R.B., Marshall, E.S., & Hafen, Jr., M. (in press). Marriage and family therapy research in health care: Investigating the accuracy of self and family members reports of medical use. The American Journal of Family Therapy.
10.
Law, D.D., & Crane, D.R. (2000). The influence of marital and family therapy on health care utilization in a health maintenance organization. Journal of Marital and Family Therapy, 26(3), 281—291.
11.
Law, D.D., Crane, D.R., & Mohlman-Berge, J. (2003). The influence of marital and family therapy on high utilizers of health care. Journal of Marital and Family Therapy, 29(3), 353—363.
12.
Prohofsky, J.A. (2005). Relational therapies and managed care. Plenary presented at the annual conference of The American Association for Marriage and Family Therapy, Kansas City, USA.
13.
Sprenkle, D.H. (Ed). (2002). Effectiveness research in marriage and family therapy. Alexandria, VA: American Association for Marriage and Family Therapy.
14.
Stratton, P. (2005). Report on the evidence base of systemic family therapy. Warrington: Association for Family Therapy.
