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有或无药物滥用治疗的缓刑活动成本核算:一项案例研究。

Activity based costing of probation with and without substance abuse treatment: a case study.

作者信息

Alemi Farrokh, Taxman Faye, Doyon Victoria, Thanner Meridith, Baghi Heibatollah

机构信息

George Mason University, College of Nursing and Health Science, 4400 University Drive, Fairfax, Virginia 22030-4444, USA.

出版信息

J Ment Health Policy Econ. 2004 Jun;7(2):51-7.

Abstract

BACKGROUND

Since many offenders have drug problems, investigators have proposed that drug testing and treatment should be an integral part of probation. In 1994, the Office of National Drug Control Policy (ONDCP) funded a demonstration project designed to integrate drug treatment with traditional supervision services. As part of this demonstration a new procedure called 'seamless' probation was set up in which treatment providers were co-located with probation officers and probation officers coordinated offenders' participation in treatment.

AIMS OF THE STUDY

This study examines the cost of providing substance abuse treatment coordination through probation agencies.

METHODS

We used Activity Based Costing (ABC) to examine the cost of probation with and without treatment coordination in one probation agency. Agency budget was analyzed and allocated to various programs. A questionnaire was developed to assess probation officer's activities. The cost of coordinating treatment for one offender was calculated by dividing the total cost of the program by units of various activities done by the probation officers.

RESULTS

Preliminary test of reliability of the instrument showed that it was accurately portraying the probation officers time allocation. Probation officers spent 6.9% of their time in seamless supervision and 83.3% time in traditional supervision (83.83%). The seamless probation officers had more group meetings and more phone contact with their offenders than traditional probation officers. The average cost per offender per day was 12 dollars for seamless probation and 7 dollars for traditional probation.

DISCUSSION

This study is limited because it focuses on one agency at one point in time. Results may not be relevant to other agencies or to the same agency as it makes its operation more efficient. This study provides a method of allocating budget cost to per client costs using survey of probation officer's activities -- a tool developed in this study. Comparison of seamless and traditional supervision activities showed major differences in terms of the probation officers' activities and costs.

IMPLICATIONS

There are significant costs associated with asking probation officers to coordinate treatment. Studies should be undertaken to examine the relative benefits that can be derived from this increased cost.

摘要

背景

由于许多罪犯存在毒品问题,研究人员提议药物检测和治疗应成为缓刑的一个组成部分。1994年,国家毒品管制政策办公室(ONDCP)资助了一个示范项目,旨在将药物治疗与传统监管服务相结合。作为该示范项目的一部分,设立了一种名为“无缝”缓刑的新程序,治疗提供者与缓刑监督官同处一地,缓刑监督官协调罪犯参与治疗。

研究目的

本研究考察通过缓刑机构提供药物滥用治疗协调的成本。

方法

我们使用作业成本法(ABC)来考察一个缓刑机构在有和没有治疗协调情况下的缓刑成本。分析了该机构的预算并分配到各个项目。编制了一份问卷来评估缓刑监督官的活动。通过将项目总成本除以缓刑监督官所开展的各项活动的单位数量,计算出为一名罪犯协调治疗的成本。

结果

该工具的可靠性初步测试表明,它准确地描绘了缓刑监督官的时间分配情况。缓刑监督官将其6.9%的时间用于无缝监管,83.3%的时间用于传统监管(83.83%)。与传统缓刑监督官相比,无缝缓刑监督官与罪犯进行的小组会议更多,电话联系也更多。无缝缓刑中每名罪犯每天的平均成本为12美元,传统缓刑为7美元。

讨论

本研究存在局限性,因为它只关注了某一时刻的一个机构。结果可能与其他机构无关,也不适用于运营效率提高后的同一机构。本研究提供了一种通过对缓刑监督官活动进行调查来将预算成本分配到每个客户成本的方法——这是本研究开发的一种工具。无缝监管与传统监管活动的比较表明,在缓刑监督官的活动和成本方面存在重大差异。

启示

要求缓刑监督官协调治疗会产生重大成本。应开展研究,考察从这一增加的成本中可获得的相对收益。

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