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Table 4 Sensitivity results (benefits discounted)

From: Are youth mentoring programs good value-for-money? An evaluation of the Big Brothers Big Sisters Melbourne Program

Reduction

in prevalence

Number

of cases

averteda

Potential

cost

savingsb

Net benefits

(costs AUD)c

Incremental

cost-effectiveness

ratio

(ICER, AUD)d

Sensitivity 1: reduce value of saving high-risk youth to $1.673 M (base case $1.934 M)

2%

22

$42,548,000

$3,048,000

-$138,545

1%

11

$21,274,000

-$18,226,000

$1,656,909

Sensitivity 2: increase value of saving high-risk youth to $2.264 M (base case $1.934 M)

2%

22

$49,808,000

$10,308,000

-$468,545

1%

11

$24,904,000

-$14,596,000

-$1,326,909

Sensitivity 3: increase proportion of participants likely to embark on a high-risk pathway to 3% (base case 0.5%)

2%

132

$255,288,000

-$215,788,000

-$1,634,758

1%

66

$127,644,000

-$88,144,000

-$1,335,515

  1. a Refers to the number of cases averted as a result of the program. The total number of children in the program considered to be 'high-risk' cases is 1,104
  2. b Refers to the lifetime costs of high-risk youth averted by reducing the prevalence. Savings equate to the number of cases averted × AUD 1.934 M per case
  3. c Net benefit is derived by subtracting the costs of the BBBS-M program (AUD 39.5 M) for the cohort from the potential cost savings. A positive number means that the program saves more resources than what it costs, and conversely, a negative number means that the program costs more than what it saves.
  4. d The ICER is determined by dividing the net benefits of the program by the numbers of cases of high-risk youth averted. A negative ratio denotes that the program is a dominant intervention in that it saves money and has extra benefits (defined as cases averted).