During the last 2-1/2 years we have established a multi-disciplinary Center to study the organization and financing of care for severely mentally ill persons. The Center has successfully developed collaborative relationship, among investigators with expertise in mental health economics and finance, clinical psychology, and social welfare. We have involved two new Center co-investigators, Dr. Catalano and Dr. Vega. Additionally, Center research involves collaboration with affiliated investigators working in public mental health agencies (San Francisco, Santa Clara, and Alameda counties and the State of California) and in several academic settings. Center research has also involved trainees from two related NIMH training programs. Funding for Center projects has been obtained from the State of California, the Robert Wood Johnson Foundation, and the National Institute of Mental Health. The Center has established a working paper series and has participated in building a mental health services research base. The Center has developed 4 areas of research priorities. In the area of organization of services for severely mentally ill persons, we examine innovative means of providing integrated clinical, social, and practical services, with an emphasis on case management and self-help agency models. In the area of financing of public services in counties and institutions we examine the effects of alternative financing methods on the costs, outcomes, and delivery of mental health services at multiple levels. In the area of special populations we examine characteristic patterns of need for and use of mental health services, emphasizing ethnic minority adults, children and youth, and persons with co-occurring substance use disorders. In the area of methodology we identify ways to improve approaches used to study the organizational, epidemiologic, and financial aspects of care for severely mentally ill persons. The main proposal and Appendix M detail the specific projects to be explored in each area.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Specialized Center (P50)
Project #
5P50MH043694-06
Application #
2245827
Study Section
Special Emphasis Panel (SRCM (03))
Project Start
1988-06-01
Project End
1996-06-30
Budget Start
1993-07-01
Budget End
1994-06-30
Support Year
6
Fiscal Year
1993
Total Cost
Indirect Cost
Name
Western Consortium for Public Health
Department
Type
DUNS #
City
Berkeley
State
CA
Country
United States
Zip Code
94704
Morris, Anne; Bloom, Joan R; Kang, Soo (2007) Organizational and individual factors affecting consumer outcomes of care in mental health services. Adm Policy Ment Health 34:243-53
Catalano, Ralph; Snowden, Lonnie; Shumway, Martha et al. (2007) Unemployment and civil commitment: a test of the intolerance hypothesis. Aggress Behav 33:272-80
Shumway, Martha; Unick, George J; McConnell, William A et al. (2004) Measuring community preferences for public mental health services: pilot test of a mail survey method. Community Ment Health J 40:281-95
Snowden, Lonnie R; Cuellar, Alison Evans; Libby, Anne M (2003) Minority youth in foster care: managed care and access to mental health treatment. Med Care 41:264-74
Snowden, Lonnie R; Pingitore, David (2002) Frequency and scope of mental health service delivery to African Americans in primary care. Ment Health Serv Res 4:123-30
Libby, Anne M; Cuellar, Alison; Snowden, Lonnie R et al. (2002) Substitution in a Medicaid mental health carve-out: services and costs. J Health Care Finance 28:11-23
Morris, Anne; Bloom, Joan R (2002) Contextual factors affecting job satisfaction and organizational commitment in community mental health centers undergoing system changes in the financing of care. Ment Health Serv Res 4:71-83
Snowden, Lonnie; Scheffler, Richard; Zhang, Amy (2002) The impact of realignment on the client population in California's public mental health system. Adm Policy Ment Health 29:229-41
Rosenblatt, Abram; Rosenblatt, Jennifer A (2002) Assessing the effectiveness of care for youth with severe emotional disturbances: is there agreement between popular outcome measures? J Behav Health Serv Res 29:259-73
Cuellar, A E; Libby, A M; Snowden, L R (2001) How capitated mental health care affects utilization by youth in the juvenile justice and child welfare systems. Ment Health Serv Res 3:61-72

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