Client outcomes in two model capitated integrated service agencies
1996; American Psychiatric Association; Volume: 47; Issue: 2 Linguagem: Inglês
10.1176/ps.47.2.175
ISSN1557-9700
AutoresDaniel Chandler, Joan Meisel, Michelle McGowen, Jim Mintz, Kristin M. Madison,
Tópico(s)Primary Care and Health Outcomes
ResumoBack to table of contents Previous article Next article No AccessClient outcomes in two model capitated integrated service agenciesPublished Online:1 Apr 2006https://doi.org/10.1176/ps.47.2.175AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: Client outcomes for the first year of a three-year study were measured in two integrated service agencies (ISAs) for severely mentally ill persons to test the effectiveness of a model combining financing reform (consolidated funding and capitation) with an assertive continuous treatment team approach. METHODS: Clients referred to pilot ISAs at an urban and a rural site in California were randomly assigned to the ISA programs or to comparison groups receiving usual services. Objective data from clients' records as well as subjective information from interviews were compared. RESULTS: At both sites, demonstration clients' participation in the work force was significantly higher than that of the comparison groups. At the urban ISA, clients' participation in the work force rose from a baseline rate of 11 percent to 36 percent. Both ISAs decreased use of hospital care, particularly the rural ISA, which reduced admissions from a baseline rate of 40 percent to 21 percent in the study year. Both ISAs retained clients in treatment with significantly more success than did comparison programs, and urban ISA clients reported participating in more leisure and social activities than did clients in the comparison group. No differences were found at either site in rates of long-term hospitalization, arrest, or conviction or in measures of self-esteem, symptomatology, substance use, homelessness, or quality of life. CONCLUSIONS: After 12 months of a 36-month program, demonstration clients spent less time in hospitals, were more likely to have worked for pay, and were more likely to have remained in treatment. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - Psychiatric Services $35.00 Add to cart PPV Articles - Psychiatric Services Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byInterventions for obtaining and maintaining employment in adults with severe mental illness, a network meta-analysis12 September 2017 | Cochrane Database of Systematic Reviews, Vol. 2017, No. 9Intensive case management for severe mental illness6 January 2017 | Cochrane Database of Systematic Reviews, Vol. 2017, No. 1Directions for Future Patient-Centered and Comparative Effectiveness Research for People With Serious Mental Illness30 January 2014 | Schizophrenia Bulletin, Vol. 40, No. Suppl_1Supported employment for adults with severe mental illness13 September 2013 | Cochrane Database of Systematic Reviews, Vol. 75International Journal of Medical Informatics, Vol. 81, No. 10Illustration d'une expérience d'intégration régionale des soins basée sur une approche populationnellePratiques et Organisation des Soins, Vol. Vol. 42, No. 4Cochrane Database of Systematic ReviewsCochrane Database of Systematic ReviewsSouthern Medical Journal, Vol. 103, No. 11Journal of Community Practice, Vol. 16, No. 2Intensive Case Management as a Jail Diversion Program for People With a Serious Mental Illness27 July 2016 | International Journal of Offender Therapy and Comparative Criminology, Vol. 51, No. 2A Comparison of Assertive Community Treatment and Intensive Case Management for Patients in Rural AreasPiper S. Meyer, Ph.D.Joseph P. Morrissey, Ph.D.1 January 2007 | Psychiatric Services, Vol. 58, No. 1Schizophrenia Bulletin, Vol. 32, No. 2A Review of Economic Evaluations of Community Mental Health Care19 August 2016 | Medical Care Research and Review, Vol. 62, No. 5Assessing Cost-Effectiveness in Mental Health: Vocational Rehabilitation for Schizophrenia and Related Conditions26 June 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 39, No. 8International Journal of Law and Psychiatry, Vol. 28, No. 5Public Health Reports, Vol. 118, No. 1British Journal of Psychiatry, Vol. 183, No. 2Requirements for Multidisciplinary Teamwork in Psychiatric RehabilitationRobert Paul Liberman, M.D., Donald M. Hilty, M.D., Robert E. Drake, M.D., Ph.D., and Hector W. H. Tsang, Ph.D., O.T.R.1 October 2001 | Psychiatric Services, Vol. 52, No. 10Vocational rehabilitation for people with severe mental illness23 April 2001 | Cochrane Database of Systematic Reviews, Vol. 4British Journal of Psychiatry, Vol. 178, No. 2Disease Management and Health Outcomes, Vol. 9, No. 3A Meta-Analysis of the Effectiveness of Mental Health Case Management Over 20 YearsStephen J. Ziguras, M.A., and Geoffrey W. Stuart, Ph.D.1 November 2000 | Psychiatric Services, Vol. 51, No. 11New Directions for Mental Health Services, Vol. 2000, No. 85Economic Grand Rounds: Estimating Net Effects and Costs of Service Options for Persons With Serious Mental IllnessJoseph B. Landis, Ph.D.1 June 1999 | Psychiatric Services, Vol. 50, No. 6Economic Impacts of Assertive Community Treatment: A Review of the Literature1 June 1999 | The Canadian Journal of Psychiatry, Vol. 44, No. 5Psychosocial Rehabilitation Services in Community Support Systems: A Review of Outcomes and Policy RecommendationsRichard Barton, Ph.D.1 April 1999 | Psychiatric Services, Vol. 50, No. 4British Journal of Psychiatry, Vol. 174, No. 4Outcome for People With Schizophrenia Before and After Medicaid Capitation at a Community Agency in ColoradoRichard Warner, M.B., D.P.M., and Peter Huxley, Ph.D.1 June 1998 | Psychiatric Services, Vol. 49, No. 6International Journal of Mental Health, Vol. 27, No. 2An update on supported employment for people with severe mental illness1 April 2006 | Psychiatric Services, Vol. 48, No. 3The Journal of Mental Health Administration, Vol. 24, No. 2Current Opinion in Psychiatry, Vol. 10, No. 2Two-year outcome of social skills training and group psychotherapy for outpatients with schizophrenia1 April 2006 | American Journal of Psychiatry, Vol. 153, No. 12 Volume 47Issue 2 February 1996Pages 175-180 Metrics PDF download History Published online 1 April 2006 Published in print 1 February 1996
Referência(s)