Evidence-based interventions: costs and benefits of early intervention Louise Morpeth, Co-director Social Research Unit, Dartington

I’m evidence- based NO! I am ignore her! look at me! I’m not evidence- based, I’m evidence- informed

Programmes identified for the review of early intervention led by Graham Allen MP Good Behaviour Game Life Skills Training Nurse Family Partnership Promoting Alternative Thinking Strategies Curiosity Corner Success for All Reading Recovery Functional Family Therapy Big Brother Big Sisters Incredible years Triple P

There are 21 free online databases of evidence-based programmes

1.Intervention specificity - what is it? 2.Evaluation quality - is the method robust enough for us to believe the findings? 3.Intervention impact - which aspects of child health and development are affected and to what extent? 4.System readiness - is the intervention replicable? Standards of Evidence

PROGRAMMECOST (£)BENEFIT (£)BENEFIT TO TAX PAYER BENEFIT MINS COST BENEFIT TO COST RATIO RISK OF LOSS SCARED STRAIGHT ,700- 3,034-13,755N/A98% LIFE SKILLS TRAINING % READING RECOVERY 2,65811,7953,8819, % PARENT CHILD INTERACTION THERAPY 1,2732,4051,5621, % FFT 2,55431,5476,89428, % From Social Research Unit (forthcoming) Investing in Children, Dartington, Social Research Unit

*Approximately 5,000 6 th and 7 th grade baseline and follow-up Data from Pentz, Trebow, Hansen, MacKinnon, Dwyer, Johnson, Flay, Daniels, & CormackEffects of Program Implementation on Adolescent Drug Use Behavior: The Midwestern Eval Rev.1990; 14:

Control Group (N=313) Individual Therapists (N=387) Group Mean (Average) 18-Month Unadjusted Major Recidivism Percentage C M M M M Low Fidelity High Fidelity FFT Results From: Outcome Evaluation of Washington State's Evidence-Based Programs for Juvenile Offenders, January Washington State Institute for Public Policy, Report #