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R6QuantityUnitsHoursData sourceData sourcesTraining for therapistsTraining for supervisor5Two twoday clinical training for all FFT therapists ab>a. National Center for Mental Health Promotion: FFT Fact Sheetb. Gordon et al 1995c and dc. Barnoski et al 2004(d. University of Colorado FFT fact sheetDescriptions of programme from the literatureAssumptionsExternship training for one working group member (time not specified) who will become the clinical lead for the working group. Three separate training experiences over a threemonth period.DIf each training experience is 1 day then externship =3 x 7.5 hours $Trainer's time for above supervision1 hour x 4 weeks x 1 trainer6 x 7.5hr days x 1 trainer]* If each therapist has a caseload of 10 then he/she could complete therapy for 40 families in one year (4 x 12week programmes in one year). Therefore, to treat 100 families in a year the programme would require 2.5 (rounded to 3 for training purposes) therapists in addition, to the appointed lead therapist/supervisor which brings the total to 4.4 x 7.5 hr days x 1 trainer1 hour of direct supervision per week for therapists (about 30 minutes per family) with the amount gradually tapering off for the final three to four therapy sessionsAttendance as a team for telephone supervision by the programme trainer (e.g. discussion of individual cases and model adherence)JThree followup visits/year, two days each, onsite by programme trainer. Therapists have a caseload of 10 to 12 families. The intervention involves about 12 visits during a 90day period. Each session lasts for an hour in mild cases but in more difficult situations a therapist can spend up to 30 hours with a family. No information available on proportion of mild or difficult cases seen. One study reported the mean time spent with each family as 1.5 hours per week.&If therapists spend an average of 1.5 hours per week with each family and each therapist has a caseload of 10 then he/she could complete therapy for 40 families in one year (4 x 12week programmes in one year). 1.5 hrs x 12 weeks x 40 families= 720. For 100 families x by 2.5 therapists = 1800Therapist time implementing the FFT programme6Total trainer, supervisor and therapist training hours;Total therapist hours spent implementing the FFT programme aEstimated resource use for developing and running an FFT programme for one year, for 100 families4 x 7.5 hr days x 1 supervisor*1 hour x 4 weeks x 3 therapists1 hour x 4 weeks x 1 supervisor4 x 7.5 hr days x 3 therapists
Cost per hour
Total costNotes!Clinical psychologist hourly rateIf each family has about 12 sessions with a therapist this would amount to 8 or 9 hours of a supervisor's time with each therapist (3 therapists x 8.5 hours=25.5 hours)3Clinical psychologist hourly rate of client contactLEstimated costs of implementing FFT programme for one year, for 100 familiesFSource of data for costs taken from Curtis 2007. See reference e belowfe. Curtis L 2007. Unit costs of health and social care. PSSRU (Personal social services research unit)RPIInflation value2007 pricesYear@f. http://www.statistics.gov.uk/downloads/theme_economy/RP02.pdfSource: see reference f.SCost of training for one year if investment in training spread over 5 years=1766.7:k\ wh
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