A collaborative relationship was established between the Mississippi Coalition for Mothers and Babies, the Governor's Service Line, and the Mississippi State Department of Health for the purpose of providing outreach and referral to all poor pregnant women and children in need of access to appropriate health care services. The project had a dual…

Describes experiences in developing a multi-program economic evaluation and costing study of Assertive Community Treatment (ACT), a widely studied community mental health treatment model. The project description shows how the worlds of research and service delivery can collaborate to come to symbiotic resolutions. (Author/SLD)

Researchers report mental health disparities that indicate that children and families with the highest need for services often are less likely to use them. Only a few investigators have focused on service delivery models to address underuse of services. This study examines the Children's Hospital of Orange County (CHOC)/University of California,…

Objective: To describe characteristics and outcomes of youth aged 7 to 17 who received inpatient psychiatric and mental health services along different clinical pathways of a new service delivery model. Method: Participants included 211 admissions to an inpatient crisis stabilization and assessment program over a one-year period. Standardized…

This document contains witness testimonies and prepared statements from the Congressional hearing called to examine issues involved in maintaining and strengthening Medicare Health Maintenance Orgranizations (HMO). Opening statements are included from Representatives Edward Roybal, Matthew Rinaldo, Mario Biaggi, Don Bonker, Robert Borski, Louise…

Case managers, experienced senior members of the system, have assessment, disposition, and advocacy functions for each client as well as responsibility for policy decisions for the organization. Treatment and administrative considerations of such an approach are explicated, and problems raised by the model are explored.

In February 2001, President George W. Bush announced his New Freedom Initiative to promote increased access to educational and employment opportunities for people with disabilities. In his charge to the Commission, the President directed its members to study the problems and gaps in the mental health system and make concrete recommendations for…

This paper explores the issue of how to develop a greater level of integration across the continuum services to young people with mental health difficulties. Reference is made to the strategic guidance offered by key documents and a pilot project is described, which attempted to link services across providers including a specialist Child and…

Examines from a historical perspective the effectiveness of medical school educational programs that are directed toward influencing patterns of health care delivery. (Author)

Results indicated that the 959 blacks compared to a 10 percent random sample of 1,190 whites (a) represented a different group of clients in demographic characteristics, (b) were no more likely to receive inferior forms of treatment programs, (c) saw paraprofessional rather than professional personnel, and (d) failed to return after the initial…

This paper is concerned with the problem that elderly persons do not seek or receive mental health services as frequently as their numbers or the incidence of mental health problems would indicate is appropriate. The report focuses on the identification of innovative mental health service delivery programs which have been designed to reach and to…

A model for the delivery of mental health services to people residing in small communities (less than 10,000 population) is presented. The model is the product of personal consultation experience over the past three years with a modestly staffed and financed but very successful mental health agency. Emphasis is placed on community action,…

Using a sample of graduate students at the Yale Health Plan, this paper reports on the costs and the medical findings of providing annual physical examinations in university health delivery systems. The role of alternative forms of health education are discussed, as well as recommendations for the continued efficacy of the annual physical…

Discusses need for systems-based approach to quality assurance in mental health services, which can provide useful information to administrators and practitioners as they work to maintain or improve quality of care provided to patients. Introduces generic model for monitoring and evaluating quality of care and discusses potential barriers to its…

Interviews with state mental health authorities revealed that many states are emphasizing program development and funding for the severely acutely and chronically mentally ill while deemphasizing consultation/education, prevention, and evaluation activities. Funding mechanisms are moving toward greater accountability and funding levels are…