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Biomedical subjects

J R Woy

Publications and source records attributed to J R Woy.

7 recordsLinked to original sources
PubMed1982

Evaluation in the community mental health centers program: a bold new reproach?

The Federal Community Mental Health Centers Program (CMHC)-from 1963 to 1981-was heralded as a revolution in mental health care. Championed by many, and severely criticized by others, the actual impact of the program on the nation's mental health remains unclear. The authorization to evaluate the CMHC Program came originally from congressional legislation (PL 90-174), and later from the policies and regulations of NIMH under a series of Federal laws, notably PL 94-63. From 1976-1980, two dominant evaluation strategies were prevalent: funds expended by NIMH each year for studies of CMHC services or program-wide evaluations, and a much larger expenditure by CMHCs to conduct their own, independent evaluations following federal guidelines. As the Center's Program was turned over to the states in the form of block grants (PL 97-35), a group of professionals involved with setting and carrying out federal CMHC evaluation policy of both varieties met in public forum to debate the impact of these two evaluation approaches. While some participants cited gains in evaluation technology and impact upon local management of CMHCs, others found the lack of a coordinated and systematic approach to evaluating the CMHC Program to have been an opportunity missed. The impact of CMHC evaluation efforts are also discussed in terms of their major contribution to the field of evaluation research as a whole.

Community Mental Health Centers↗
PubMed1981

Community mental health centers: movement away from the model?

What happens to community mental health centers when federal funding declines and then ends? Analysis of service utilization patterns over a five year period for a cohort of "graduate" community mental health centers indicates two distinct patterns. One group appeared to assure their fiscal viability by maximizing the traditional inpatient, outpatient, and emergency services while cutting back less lucrative services, such as consultation and education, home visits, and partial hospitalization. The other group maintained a balanced mix of all the services, but apparently did so at some risk to their financial status. Implications for the future of community based mental health care are discussed.

Community Mental Health Centers↗
PubMed1980

Performance measures for mental health programs: something better, something worse, or more of the same?

Current pressures for establishment of accountability systems based on performance measures for mental health programs are likely to improve services only if such systems are accompanied by supportive research, preparatory orientation, wide participation, tested data systems, and elimination of other redundant accountability procedures. A 4-phase, 3-functional level model is proposed to guide implementation.

Community Mental Health Services↗
PubMed1979

Community mental health centers and the "seed money" concept: effects of terminating federal funds.

What happens to community mental health centers when federal funding ends? Analysis of the funding patterns of a cohort of "graduate" community mental health centers indicates that these centers remained fiscally viable subsequent to termination of basic federal grants. However, further analysis revealed two distinct funding patterns within the cohort. One group relied primarily on increased third-party reimbursements to offset the end of basic federal grants. The other sought more state funds and additional federal grants available through the Community Mental Health Center Amendments of 1975. As more centers "graduate," federal "floor funding" may be necessary to insure the survival of some of them.

Community Mental Health Centers↗