Current Medical Diagnosis & Treatment in Psychiatry

Conclusion

Mental health services research is a new and growing area in mental health. Services research addresses questions that are significant to all stakeholders, including patients, clinicians, and policy makers: What are the best ways to assure access to services? How can we best describe the treatments that patients receive? Which treatments are most effective with which types of patients? What are the best ways to affect clinician practices? These are all questions posed by services researchers. In this chapter we have noted that we do not know the answers to these questions. We have also described the political and methodologic difficulties encountered in trying to answer them. If we are to achieve any real progress in serving those who need services, then we need to answer these and similar questions with well-designed research.

----------------

References

What Is Mental Health Services Research?

Kelleher K, Long N: Barriers and new directions in mental health services research in the primary care setting. J Clin Child Psychol 1994;23:133.

National Institute of Mental Health: National plan for research on child and adolescent mental disorders. Rockville, MD: National Institute of Health, 1990.

Functions of Mental Health Services Research

Chelimsky E: Preamble: new dimensions in evaluation. In Picciotto R, Rist RC (editors): Evaluating Country Development Policies and Programs: New Approaches for a New Agenda. Jossey-Bass, 1995.

History of Services Research

Bickman L, Noser K, Summerfelt WT: Long term effects of a system of care on children and adolescents. J Behav Health Serv Res 1999;26:185. 

Bickman L, Summerfelt WT, Bryant D: The quality of services at the Fort Bragg Demonstration. J Ment Health Admin 1995;23:30.

Kessler RC et al: Lifetime and 12-month prevalence of diagnostic & statistical manual of mental disorders, 3rd edition, revised (DSM-III-R) psychiatric disorders in the United States: results from the National Comorbidity Study. Arch Gen Psychiatry 1994;51:8.

Knitzer J: Unclaimed Children. Children’s Defense Fund, 1982.

Mechanic D: Evolution of mental health services and areas for change. Pages 3–13 in: Mechanic D (editor): Improving Mental Health Services: What the Social Sciences Can Tell Us. New Directions for Mental Health Services. No. 36. Jossey-Bass, 1987.

Meyers JC: Federal efforts to improve mental health services for children: breaking a cycle of failure. J Clin Child Psychol 1985;14:182.

Regler DA et al: The de-facto U.S. mental and addictive disorders service system: Epidemiologic Catchment Area prospective 1-year prevalence rate of disorders and services. Arch Gen Psychiatry 1993;50:85.

Rog DJ: Child and adolescent mental health services: Evaluation challenges. Pages 5–16 in: Bickman L, Rog DJ (editors): Evaluating Mental Health Service for Children. Jossey-Bass, 1992.

Stroul BA, Friedman RM: A system of care for severely emotionally disturbed children and youth. Georgetown University Child Development Center, CASSP Technical Assistance Center, 1986.

Current Issues & Findings in Mental Health Services Research

Attkinson CC et al: Effectiveness of the California System of care model for children and youth with severe emotional disorder. In Nixon CT, Northrup DA (Eds): Evaluating Mental Health Services: How Do Programs for Children “Work” in the Real World? Sage, 1997.

Bickman L: A managed continuum of care: More is not better. Am Psychol 1996;51:689.

Bickman L: Designing outcome evaluations for children’s mental health services: improving internal validity. New Directions for Program Evaluation 1992;54:57.

Bloom R et al: Mental health costs and outcomes under alternative capitation systems in Colorado: Early results. Journal of Mental Health Policy and Economics 1998;1:3.

Burns BJ et al: Children’s mental health service use across service sectors. Health Aff (Millwood) 1995;14:147.

Burns BJ, Friedman RM: Examining the research base for child mental health services and policy. J Ment Health Admin 1990;17:87.

Callahan JJ et al: Mental health/substance abuse treatment in managed care: the Massachusetts Medicaid experience. Health Aff (Millwood) 1995;14:173.

Christianson et al: Utah’s prepaid mental health plan: The first year. Health Affairs 1995;14:160. 

Cronbach LJ et al: Toward Reform of Program Evaluation. Jossey-Bass , 1980.

DeLeon PH, VandenBos GR, Bulatao EQ: Managed mental health care: A history of the federal policy initiative. Professional Psychology, Research and Practice 1991;22:15.

Dickey B, Azeni H: Impact of managed care on mental health services. Health Aff (Millwood) 1992;11:197.

Donabedian A: Explorations in Quality Assessment and Monitoring: The Definition of Quality and Approaches to Its Assessment. Michigan Health Administration, 1980.

Fisher AJ et al: Correlates of unmet need for mental health services by children and adolescents. Psychol Med 1997;27:1145.

Frank RG, McGuire TG: A review of studies of the impact of insurance on the demand and utilization of specialty mental health services. Health Serv Res 1986;21:241.

Glied S: The treatment of women with mental health disorders under HMO and fee-for-service insurance. Women and Health 1997:26:1.

Goldman W, McCulloch J, Sturm R: Cost and use of mental health services before and after managed care. Health Aff (Millwood) 1998;17:40.

Halfon N, Mendonca A, Berkowitz G: Health status of children in foster care: the experience of the center for the vulnerable child. Arch Pediatr Adolesc Med 1995; 149:386.

Henggeler SW et al: The contribution of treatment outcome research to the reform of children’s mental health services: multisystemic therapy as an example. J Ment Health Admin 1994;21:229.

Hoagwood K et al: Introduction to the special edition: efficacy and effectiveness studies of child and adolescent psychotherapy. J Consult Clin Psychol 1995;63:683.

Howard KI et al: Patterns of mental health service utilization. Arch Gen Psychiatry 1996;53:696.

Lambert MJ, Bergin AE: The effectiveness of psychotherapy. Pages 143–189 in: Bergin AE, Garfield SL (editors): Handbook of Psychotherapy and Behavior Change, 4th ed. John Wiley & Sons, 1994.

Leff HS et al: The effects of capitation on service access, adequacy, and appropriateness. Admin Policy Ment Health 1994;21:141.

Lipsey MW, Wilson DB: The efficacy of psychological, educational, and behavioral treatment: Confirmation from meta-analysis. Am Psychol, 1993;48:1181

Mechanic D, Schlesinger M, McAlpine DD: Management of mental health and substance abuse services: state of the art and early results. Milbank Q 1995;73:19.

Menninger KW: What is quality care? Am J Orthopsychiatry 1977;47:476.

Miller JJ: Managed care is harmful to outpatient mental health services: A call for accountability. Professional Psychology: Research and Practice 1996;27:349.

Nash D: Quality and utilization management: the cutting edge for 2000. Presentation at the American Managed Care and Review Associations Quality and Utilization Management Conference, Nashville, TN, October 1995.

Padgett DK et al: Ethnic differences in use of inpatient mental health services by blacks, whites, and Hispanics in a national insured population. Health Serv Res 1994; 29:135.

Salzer MS et al: Validating quality indicators: quality as a relationship between, structure, and outcome. Evaluation Review 1997;21:292.

Speer DC, Newman FL: Mental health services outcome evaluation. Clinical Psychology: Science and Practice 1996;3:105.

Summerfelt WT, Foster EM, Saunders RC: Mental health services in a children’s mental health managed care demonstration. J Ment Health Admin 1996;23:80.

Weisz JR et al: Effectiveness of psychotherapy with children and adolescents: a meta-analysis for clinicians. J Consult Clin Psychol 1987;55:542.

Weisz JR et al: The lab versus the clinics: effects of child and adolescent psychotherapy. Am Psychol 1992; 47:1578.

Weisz JR et al: Bridging the gap between laboratory and clinic in child and adolescent psychotherapy. J Consult Clin Psychol 1995;63:688. 

Latest entries

  What Is Mental Health Services Research?

  Functions of Mental Health Services Research

  Child versus Adult Research

  History of Services Research

  Relevance to Psychiatry

  Current Issues & Findings in Mental Health Services Research

  Implications for Future Research

  Anxiety Disorders

  Eating Disorders

  Autistic Disorder

  Antisocial Personality Disorder

  Alcoholism


Copyright © 2004-2005 Psychiatry.HealthSE.com. All Rights Reserved.