Fang Lue, Cai Stefanie Yuxuan, Latiff Mahirah Abdul, Hoo Chin Chieh, Zhou Yiwei, Ho Wei Tshen, Zhou Yuqi
Clinical & Forensic Psychology Service, Ministry of Social & Family Development, Singapore.
Translational Research, National Council of Social Service, Singapore.
J Marital Fam Ther. 2025 Apr;51(2):e70017. doi: 10.1111/jmft.70017.
This randomized controlled study evaluated the cost-effectiveness of Functional Family Therapy (FFT) compared to Treatment As Usual (TAU) among 120 youth probationers in Singapore. The Incremental Cost-Effectiveness Ratio (ICER) was calculated to determine the cost per unit of non-recidivism, covering the period from probation inception to 3 years post probation. Overall, FFT showed higher costs (S$1183 vs. S$1070) but better non-recidivism rates (79% vs. 65%) compared to TAU. The ICER was S$807 per youth probationer (95% CI: S$230-S$1,061). For high-risk youth, FFT was both less costly and more effective (ICER: -S$2396), while for moderate-risk youth, it was more costly but more effective (ICER: S$2809). Using willingness-to-pay benchmarks published by Cohen et al., FFT was considered more cost-effective than TAU. The study concluded that FFT is a cost-effective intervention for youth probationers in Singapore.
这项随机对照研究评估了新加坡120名青少年缓刑犯中，功能性家庭治疗（FFT）与常规治疗（TAU）相比的成本效益。计算了增量成本效益比（ICER），以确定从缓刑开始到缓刑后3年期间每单位非累犯的成本。总体而言，与TAU相比，FFT成本更高（1183新元对1070新元），但非累犯率更高（79%对65%）。ICER为每名青少年缓刑犯807新元（95%置信区间：230新元-1061新元）。对于高风险青少年，FFT成本更低且更有效（ICER：-23
