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Public sector financing of communitybased services for children with serious emotional disabilities and their families: Results of a national survey

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Abstract

This article presents the results of a survey of all state directors of mental health programs for children on the agreement with and use of financial policies and practices which promote homeand community-based mental health care for children and adolescents and their families. Whereas only five states reported the implementation of all the financial mechanisms feasible in their states, a majority of states reported the use of mechanisms such as federal funds, state resources and incentives, and flexible funds to encourage the development of community-based care. Results also indicated that states with a local form of government or local district or board that served as the local mental health authority tended to have more of the community-based financial practices in place than did states that contracted directly with providers at the local level.

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References

  1. Friedman RM, Kutash K: Challenges for child and adolescent mental health.Health Affairs 1992;11: 125–136.

    Article  PubMed  CAS  Google Scholar 

  2. Duchnowski AJ, Friedman RM: Children’s mental health: Challenges for the nineties.Journal of Mental Health Administration 1990;17(1):3–12.

    PubMed  CAS  Google Scholar 

  3. Wolf J: Organization of state mental health systems. In: Hudson CG, Cox AJ (Eds.):Dimensions of State Mental Health Policy, New York, Praeger, 1991, pp. 84–96.

    Google Scholar 

  4. Saxe L, Cross T: Financing mental health care for children and adolescents: A gestaltist view of fragmented research and services. In:Proceedings of the National Institute of Mental Health and the Maternal and Child Health Bureau Workshop: The Financing of Mental Health Services for Children and Adolescents, Washington, DC: National Center for Education in Maternal and Child Health, 1992, pp. 149–153.

    Google Scholar 

  5. Saxe L: Statement presented to Promising Responses to Neglected Problems, hearing before the U.S. House of Representatives, Select Committee on Children, Youth, and Families, Washington, DC, July 14, 1987.

  6. Dickey B, Cohen, MD: Financing state mental health programs: Issues and options. In: Hudson CG, Cox AJ (Eds.):Dimensions of State Mental Health Policy. New York: Praeger, 1991, pp. 211–229.

    Google Scholar 

  7. England MJ: Suffer the children: The history of financing of child mental health services. In:Proceedings of the National Institute of Mental Health and the Maternal and Child Health Bureau Workshop: The Financing of Mental Health Services for Children and Adolescents, Washington, DC: National Center for Education in Maternal and Child Health, 1992, pp. 13–19.

    Google Scholar 

  8. Miller SO: Historical perspectives on state mental health policy. In: Hudson CG, Cox AJ (Eds.):Dimensions in State Mental Health Policy. New York: Praeger, 1991, pp. 19–39.

    Google Scholar 

  9. National Association of State Mental Health Program Directors (NASMHPD) and the National Association of State Mental Health Program Directors Research Institute, Inc.:final Report: Funding Sources and Expenditures of State Mental Health Agencies: Revenue/Expenditure Study Results Fiscal Year 1987. Alexandria, VA: Author, 1990.

    Google Scholar 

  10. Farrow F, Joe T: Financing school-linked, integrated services. In: Behrman RE (Ed.):The Future of Children, Vol. 2(1). Los Altos, CA: Center for the Future of Children, the David and Lucile Packard Foundation, 1992, pp. 56–67.

    Google Scholar 

  11. Schinnar AP, Rothbard AB, Yin D, et al.: Public choice and organizational determinants of state mental health expenditure patterns.Administration and Policy in Mental Health 1992;19(4):235–250.

    Article  Google Scholar 

  12. Gaynor M: Incentive contracting in mental health: State and local relations.Administration and Policy in Mental Health 1990;18(1):33–42.

    Article  Google Scholar 

  13. Behar L: Financing mental health services for children and adolescents.Bulletin of the Menninger Clinic 1990: 54(1):127–139.

    PubMed  CAS  Google Scholar 

  14. Research and Training Center for Children’s Mental Health: Individualizing services.Update 1988;3:10–12.

    Google Scholar 

  15. Behar L: Changing patterns of state responsibility: A case study of North Carolina.Journal of Clinical Child Psychology 1985;14:188–195.

    Article  Google Scholar 

  16. Farrow F: State Financing Strategies that Promote More Effective Services for Children and Families. Paper presented at the National Forum on the Future of Children and Families, Washington, DC, November, 1990.

  17. Iowa Department of Human Services, Polk County Board of Supervisors, and Polk County District Court:Polk County Decategorization Project Annual Report. Des Moines: Department of Human Services, 1990.

    Google Scholar 

  18. Fox H, Wicks L, McManus MA, et al.:Medicaid Financing for Mental Health and Substance Abuse Services for Children and Adolescents. DHHS Pub No. (ADM) 91-1743. Washington, DC: National Institute of Mental Health, 1991.

    Google Scholar 

  19. Cohen J, Cohen P:Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences, 2nd ed. Hillsdale, NJ: Lawrence Erlbaum, 1983.

    Google Scholar 

  20. England MJ, Cole RF: Building systems of care for youth with serious mental illness.Hospital and Community Psychiatry 1992;43(6):630–633.

    PubMed  CAS  Google Scholar 

  21. Frank R: Research on organization and financing of care for individuals with severe mental illness.Administration and Policy in Mental Health 1992;19(6):465–468.

    Article  Google Scholar 

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Authors and Affiliations

  1. Reseach and Training Center for Children’s Mental Health, Department of Child and Family Studies, Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Blvd., 33612-3899, Tampa, FL

    Krista Kutash Ph.D. (Deputy Director), Vestena Robbins Rivera B.A. (graduate research assistant), Kimberly S. Hall M.A. (research coordinator) & Robert M. Friedman Ph.D. (director and principal investigator)

Authors
  1. Krista Kutash Ph.D.
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  2. Vestena Robbins Rivera B.A.
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  3. Kimberly S. Hall M.A.
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  4. Robert M. Friedman Ph.D.
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Additional information

Preparation of this article was supported in part by the National Institute of Disability and Rehabilitation Research and the National Institute of Mental Health Grant No. H. 133B90004.

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Kutash, K., Rivera, V.R., Hall, K.S. et al. Public sector financing of communitybased services for children with serious emotional disabilities and their families: Results of a national survey. The Journal of Mental Health Administration 21, 262–270 (1994). https://doi.org/10.1007/BF02521333

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  • DOI: https://doi.org/10.1007/BF02521333

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