Discrete Event Simulation (DES) is a novel system modeling technique that allows for the evaluation of the potential costs and personnel needed for mental health services in school. A case study is presented to illustrate how DES could be used by a school's decision makers to help plan for implementation of an integrated mental health service…

Describes the Connecticut Unit of Service System, a unified system for quantifying services and service delivery that is administratively useful in monitoring and allocating resources. Includes a Relative Value Scale which incorporates staff time and related work to allow a comparison of inpatient and outpatient service. (JAC)

Describes specific factors contributing to questionable validity and reliability of cost information used by mental health administrators. Presents a case study in which 17 different cost figures were derived for a single program using various methods currently employed. Discusses implications of nonuniform cost data. (Author/RC)

This paper presents contributions at a symposium about Carolina Alternatives (CA), a North Carolina program that blends capitated financing with public sector managed care for mental health and substance abuse services for children and youth eligible for Medicaid. The symposium focused on stakeholders' perspectives and on expenditure patterns of…

A definition and discussion of cost-benefit/cost-effectiveness analysis and its applications and limitations are presented. Case studies of cost-benefit analysis are given which apply to the mental health field. Includes a brief annotated biliography. (Author/RC)

Using data from three sites, a study examined service use and expenditures under systems-of-care. The sites provided children with a full range of mental health services. Per-child expenditures were high, but for two sites, those expenditures were within the range of expenditures in other innovative attempts at service delivery. (Contains…

Costs for caring for severely mentally disabled persons receiving housing subsidies and/or case management services or who were in a state hospital were compared in two Ohio counties. Comparisons for 82 persons found differences among community-based group settings, but the state hospital costs at least 3 times higher. (SLD)

This paper describes the Tennessee Children's Plan, a program phased in between 1991 and 1993 that implemented a coordinated service system for children, youth, and families. A study involving children and youth (birth through 21 years) who were in the custody of the State of Tennessee investigated the effectiveness of coordinated service systems…

This commentary summarizes findings from previous articles on system-of-care mental health programs for children and adolescents with emotional and behavioral disorders. It addresses characteristics of participating children and families, system measurement system development, costs and sustainability, and family participation in program…

Noting that Minnesota has developed many innovative services for parents and infants, but does not yet have an organized way to attend to infants' emotional development and mental health needs, this report details a study to ascertain the need for infant mental health services and examined the current level and types of services available. Data…

This report offers task force recommendations to provide greater support and understanding for adolescents and young adults. The Commission report and recommendations focus on the issues of teenage pregnancy, drug and alcohol abuse, juvenile delinquency, dropping out of school, and suicide. Part 1, "Growing Up in Texas," begins with an…