Local governments play an important role in improving substance abuse and mental health services. The structure of the local learning collaborative requires careful attention to old relationships and challenges local governmental leaders to help move participants from a competitive to collaborative environment. This study describes one county's…

An overview of the theoretical concepts of capitation, a method of paying a provider a fixed price per person served, is presented in conjunction with practical lessons from the literature documenting capitation efforts in public mental health. An analytic framework identifies five major planning concerns in capitation. (SLD)

A developmental-acquisition model of case management was compared to usual case management services provided for the chronically mentally ill, using a sample of 89 persons referred to a large midwestern mental health center for community support services. The developmental-acquisition model was seemingly successful and deserves further refinement…

The satisfaction of 469 parents or guardians and 387 of their children who received mental health services at 22 community agencies in Illinois was assessed with standardized measures and procedures. Youths' satisfaction was less than that of their parents. Results are used to formulate a prediction model. (SLD)

Issues involved in applying the needs assessment model of the Colorado Social Health Survey to planning and management in Massachusetts are reviewed. The methodology in this special issue provides a new paradigm for mental health needs assessment in general and will be valuable in the Massachusetts plan specifically. (SLD)

Implications of the Colorado Social Health Survey for indirect needs assessment in mental health planning and administration are discussed. The survey model parameters' generalizability to other areas of the nation should be investigated, as well as improved ways of linking specific populations to needs, preferences, and outcome dimensions. (SLD)

Service-planning issues necessary for successful implementation of an indirect needs-assessment model to estimate geographical differences in the prevalence of needs for alcohol, drug abuse, and mental health services are discussed. The issues include selection of need categories as target groups, estimation model selection, and understanding…

A summary is provided of a large-scale needs assessment research project in Colorado that tested the validity of several statistical procedures or models for indirectly estimating the need for alcohol, drug abuse, and mental health services across geographic subregions using a Colorado Social Health Survey sample of 4,745 adults. (SLD)

Articles in this special issue use survey data to provide policymakers with validated indirect needs assessment models that will help them obtain information about populations requiring different levels and types of mental health services. The articles provide the basis for predictive needs assessment and explanatory models of resource allocation.…

Three studies are presented, which illustrate situations in which researchers and funders agreed on the primacy of either the experimental or pragmatic paradigms but acknowledged a role for the other. The studies involved evaluations of mental health care, information systems, and a curriculum for behavioral and academic dysfunction. (SLD)