Improvement in MH organization requires repeated comprehensive analyses of many administrative issues across diverse situations. The issues undoubtedly surround the MH administrator, the staff, and the organization it...
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A conceptual model of self-regulating service delivery is proposed for use by governments, planners, and policy makers to help children reach optimal adult functioning. It addresses most problems of present service de...
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A conceptual model of self-regulating service delivery is proposed for use by governments, planners, and policy makers to help children reach optimal adult functioning. It addresses most problems of present service delivery and is applicable to children in the general population and registered consumers of mental health, child welfare, special education, drug dependency and juvenile justice (young offender) services. It has four essential components: (1) outcome measurements that reflect the mental health statuses of children in services and in the general population;(2) regular feedback of these measurements to governments, the public, and service delivery organizations;(3) powerful and significant rewards and incentives for the most desired outcomes to increase their salience and to motivate provider behavior;and (4) decision making that cart affect all entities that con tribute to the health of children. The evaluable expected benefits are improved mental health for children and greater efficiency within the "system.".
Capitated managed care contracts for behavioral health services are becoming more prevalent across the country in both public and private sectors. This study followed the transition from a demonstration project for ch...
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Capitated managed care contracts for behavioral health services are becoming more prevalent across the country in both public and private sectors. This study followed the transition from a demonstration project for child mental health services to a capitated managed behavioral health care contract with a for-profit managed care company. The focus of the study was on the impact-at both the service system and the individual consumer level-pertaining to the start-up and maintenance of a capitated managed behavioral health program. A case study using multiple methods and multiple sources of information incorporated a program fidelity framework that examined micro to macro levels of program implementation. The findings of this study include the following: access to services decreased, the lengths of stay and average daily census in the more intensive levels of treatment declined, difficult-to-treat children were shifted to the public sector and ratings of service system performance and coordination fell.
The authors present the findings of the first phase of a 3-year study developing a skills training curriculum for mental health team leaders. A factor model empirically generated from clinical team members was compare...
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The authors present the findings of the first phase of a 3-year study developing a skills training curriculum for mental health team leaders. A factor model empirically generated from clinical team members was compared to Bass' (1990) Multifactor Model of Leadership. Members of mental health teams generated individual responses to questions about effective leaders. Results from this survey were subsequently administered to a sample of mental health team members. Analysis of these data yielded six factors: Autocratic Leadership, Clear Roles and Goals, Reluctant Leadership, Vision, Diversity Issues, and Supervision. Additional analyses suggest Bass' Multifactor Model offers a useful paradigm for developing a curriculum specific to the needs of mental health team leaders.
This study investigated level of restrictiveness of living arrangements and number of days in out-of-family care at six months postintake, bases on the Child and Adolescent Functional Assessment Scale (CAFAS), the Chi...
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This study investigated level of restrictiveness of living arrangements and number of days in out-of-family care at six months postintake, bases on the Child and Adolescent Functional Assessment Scale (CAFAS), the Child Behavior Checklist (CBCL), gender;age, and level of family income at intake. It was composed of youths who met the criteria for serious emotional disturbance (SED) and were for the most part living in families that are described as socioeconomically disadvantaged. A multinomial legit model was used in the analysis of level of restrictiveness of living arrangements, and an ordinary least squares (OLS) regression model was conducted on number of days in out-of-family care. The CAFAS score at intake was found to be a significant predictor of service utilization between intake and six months and was a more consistent predictor than the CBCL. Results suggest that the CAFAS can be used to match service needs with resource allocation and to monitor performance-based outcome indicators.
It is my position that good clinicians are potentially the best managers for mental health programs. Nonetheless, clinicians who aspire to be managers must prepare themselves for the unsettling changes in self-image a...
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This article has discussed job satisfaction, nonwork satisfaction, intention to leave community and organization, and turnover. The turnover rate for mental health administrators has been determined and all 314 admini...
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