Despite its widespread adoption, little is known about the effect of Medicaid
managed care (MMC) on children using mental health services. To assess the state
of current research, we reviewed the literature on MMC and synthesized findings
regarding access to care, expenditures, utilization, cost-shifting, and quality
of care. A literature search was conducted and updated in November 2001. Studies
... hiện toàn bộ
Robert J. Calsyn, Gary A. Morse, W. Dean Klinkenberg, Robert D. Yonker, Michael L. Trusty
This randomized experiment first determined that clients with severe mental
illness who received Assertive Community Treatment (ACT) were more satisfied
with their treatment program than were clients in a brokered case management
program (BCM). Eight demographic and diagnostic variables were examined as
potential moderators of the treatment effect. Only one of the eight varables,
diagnosis of depr... hiện toàn bộ
Objective: Using process-of-care indicators, we examined the quality of care
provided to 139 individuals receiving treatment for schizophrenia in public
sector systems. Methods: Longitudinal data on services use and medication
management were abstracted from medical records. Medication adherence data were
obtained by self- and informant reports. Results: Overall, 39% of participants
had less than ... hiện toàn bộ
An ethnography, part of the larger New Hampshire Dual Diagnosis Study,
discovered in a small subsample (n = 16) that clients participated in 1 (or
sometimes 2) of 4 distinct and different social patterns of substance-use. These
4 patterns, (1) “the lone user,” (2) “the small, closed social clique,” (3) “the
large, open user syndicate,” and (4) the “entrepreneurial drug provider,”
manifest importan... hiện toàn bộ