Client outcomes in two model capitated integrated service agencies

Daniel Chandler, Joan Meisel, Michelle McGowen, Jim Mintz, Kristin Madison

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Objective: 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.

Original languageEnglish (US)
Pages (from-to)175-180
Number of pages6
JournalPsychiatric Services
Volume47
Issue number2
StatePublished - Feb 1996
Externally publishedYes

Fingerprint

Homeless Persons
Leisure Activities
Mentally Ill Persons
Self Concept
Hospitalization
Therapeutics
work force
Quality of Life
Interviews
participation
Group
homelessness
hospitalization
mental illness
self-esteem
quality of life
funding
reform
interview

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Chandler, D., Meisel, J., McGowen, M., Mintz, J., & Madison, K. (1996). Client outcomes in two model capitated integrated service agencies. Psychiatric Services, 47(2), 175-180.

Client outcomes in two model capitated integrated service agencies. / Chandler, Daniel; Meisel, Joan; McGowen, Michelle; Mintz, Jim; Madison, Kristin.

In: Psychiatric Services, Vol. 47, No. 2, 02.1996, p. 175-180.

Research output: Contribution to journalArticle

Chandler, D, Meisel, J, McGowen, M, Mintz, J & Madison, K 1996, 'Client outcomes in two model capitated integrated service agencies', Psychiatric Services, vol. 47, no. 2, pp. 175-180.
Chandler D, Meisel J, McGowen M, Mintz J, Madison K. Client outcomes in two model capitated integrated service agencies. Psychiatric Services. 1996 Feb;47(2):175-180.
Chandler, Daniel ; Meisel, Joan ; McGowen, Michelle ; Mintz, Jim ; Madison, Kristin. / Client outcomes in two model capitated integrated service agencies. In: Psychiatric Services. 1996 ; Vol. 47, No. 2. pp. 175-180.
@article{872e73d7c41d4ef690171f52a6e449d0,
title = "Client outcomes in two model capitated integrated service agencies",
abstract = "Objective: 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.",
author = "Daniel Chandler and Joan Meisel and Michelle McGowen and Jim Mintz and Kristin Madison",
year = "1996",
month = "2",
language = "English (US)",
volume = "47",
pages = "175--180",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "2",

}

TY - JOUR

T1 - Client outcomes in two model capitated integrated service agencies

AU - Chandler, Daniel

AU - Meisel, Joan

AU - McGowen, Michelle

AU - Mintz, Jim

AU - Madison, Kristin

PY - 1996/2

Y1 - 1996/2

N2 - Objective: 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.

AB - Objective: 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.

UR - http://www.scopus.com/inward/record.url?scp=0030045606&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030045606&partnerID=8YFLogxK

M3 - Article

C2 - 8825255

AN - SCOPUS:0030045606

VL - 47

SP - 175

EP - 180

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 2

ER -