Crowley Max, Jones Damon
Prevention Economics Planning and Research Program, Pennsylvania State University, State College, PA, USA.
National Prevention Science Coalition, University Park, PA, USA.
Clin Child Fam Psychol Rev. 2017 Mar;20(1):87-103. doi: 10.1007/s10567-017-0228-3.
Investing in strategies that aim to build a more nurturing society offers tremendous opportunities for the field of prevention science. Yet, scientists struggle to consistently take their research beyond effectiveness evaluations and actually value the impact of preventive strategies. Ultimately, it is clear that convincing policymakers to make meaningful investments in children and youth will require estimates of the fiscal impact of such strategies across public service systems. The framework offered here values such investments. First, we review current public spending on children and families. Then, we describe how to quantify and monetize the impact of preventive interventions. This includes a new measurement strategy for assessing multisystem service utilization and a price list for key service provision from public education, social services, criminal justice, health care and tax systems.
投资于旨在构建更具关爱性社会的策略,为预防科学领域带来了巨大机遇。然而,科学家们难以持续将其研究超越有效性评估,真正重视预防策略的影响。最终,很明显,要说服政策制定者对儿童和青少年进行有意义的投资,需要估计此类策略在公共服务系统中的财政影响。这里提供的框架重视此类投资。首先,我们回顾当前对儿童和家庭的公共支出。然后,我们描述如何量化和货币化预防性干预的影响。这包括一种评估多系统服务利用情况的新测量策略,以及一份来自公共教育、社会服务、刑事司法、医疗保健和税收系统的关键服务提供价格清单。