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PubMed1984

How community mental health centers are coping.

Many community mental health centers have had to operate with less funding in the past several years, especially since the advent of block grant funding. Evidence is now accumulating that some centers have had to decrease their overall level of services and staffing. Others have attempted to adjust by increasing their clinician caseloads, closing their satellite facilities, and de-emphasizing services that fail to generate adequate fees and third-party reimbursements, such as consultation and education, partial hospitalization, and programs for children and the elderly. In contrast, and partly as a result of the increased authority of the states over the community mental health centers program, services for the severely and chronically mentally ill appear to be receiving higher priority. This development will require that centers improve their access to the general health care sector, maintain and improve their relationships with academic institutions, and increase the number, responsibilities, and rewards of the psychiatrists they employ.

Aged↗
PubMed1984

Coverage: a simulation game to teach health care financing.

Faced with poor student performance on the health care financing questions of a final examination in a community health clerkship, the faculty designed and utilized an innovative simulation game, Coverage, to assist students in learning the complexities of various health insurance plans. This article describes the development, design, and use of this game. Medical students have enjoyed playing the game and have improved their performance in the final examination.

Community Medicine↗
PubMed1978

National crisis in mental retardation research.

The incidence of mental retardation will be significantly reduced only when we have a greater understanding of the nonorganic form of mental retardation, the type that afflicts approximately 75 percent of persons labeled mentally retarded. Such an understanding requires an interdisciplinary research effort that includes a major contribution from the behavior sciences. The current level of support of mental retardation and behavior science research by the National Institute of Child Health and Human Development limits the nation's capability of achieving the goals of preventing and ameliorating mental retardation.

Child Development↗
PubMedDate not supplied

Integrating primary health care and mental health services--a successful rural linkage.

The local delivery of human services is currently receiving national emphasis. The expectation is that community-based services shall be provided with a minimum of duplication and with maximum efficiency, achieved partly by interdisciplinary and interorganizational cooperation. This emphasis was appropriately facilitated in the mid-1970s through the availability of the Mental Health Initiative grants. The grants, initiated by the Bureau of Community Health Services in conjunction with the National Institute of Mental Health, Public Health Service, promoted the increased availability of mental health services through formal linkages between community mental health centers and primary health care programs. One such successful linkage was between a small primary health care center and a nonfederally funded, multicounty, mental health center in northwest Illinois. Initiated in September 1980, the services of the linkage project included direct clinical mental health services delivered at the primary health care center site, consultation and education activities, and the coordination of interagency services. The project patients differed from the general clients of the mental health center in demographic characteristics, source of referral, and diagnoses. The key elements in successful linkages and the achievement of goals are analyzed. The experience of the linkage project is relevant to the 1980s. The project was prematurely ended after 14 months. Reduction in Federal funds severely cut support for the primary health care center, and the depressed local economy could not match the withdrawn Federal funds.

Adolescent↗
PubMed1980

Psychiatric hospital aids its community.

A state hospital, which had been viewed as an unwelcome neighbor, has adopted a youth employment program that has established the facility as an asset to the community.

Adolescent↗
PubMed1994

The effects of independent living on persons with chronic mental illness: an assessment of the Section 8 certificate program.

The feasibility of the Section 8 certificate program for individuals with chronic mental illness (CMI) and the outcomes associated with independent housing are examined. The analysis is based on data from a longitudinal survey of Section 8 certificate users in Baltimore and Hamilton County (Cincinnati) and on information from Section 8 application forms in each site. A pre-post research design was used to examine changes in hospitalization, residential stability, and mental health service outcomes. Four key dimensions of the CMI certificate program are examined: affordability, housing conditions, neighborhood conditions, and service gaps. Results suggest that the certificate program has a positive effect on independent living, that certificate use is associated with positive mental health outcomes, and that there is no evidence of "creaming" among program applicants.

Activities of Daily Living↗