Administration and Policy in Mental Health and Mental Health Services Research

, Volume 30, Issue 1, pp 3–19

Capitated Assertive Community Treatment Program Savings: System Implications

  • Daniel Chandler
  • Gary Spicer
Article

DOI: 10.1023/A:1021254615844

Cite this article as:
Chandler, D. & Spicer, G. Adm Policy Ment Health (2002) 30: 3. doi:10.1023/A:1021254615844

Abstract

In a California county of one million people, 500 clients, 4% of all those served in 1994, were found to use 38% of publicly funded mental health services. A controlled experiment was designed to test whether a capitated Assertive Community Treatment (ACT) program could produce outcomes that were equivalent or better than “usual services” for a subset of very-high-utilizing clients while reducing costs. Results showed that major challenges in using an ACT program for cost reduction were successfully met. Costs over all 4 years were substantially lower for the experimental group than for a randomly assigned comparison group.

ACTassertive community treatmentcapitationcostsservice planning

Copyright information

© Human Sciences Press, Inc. 2002

Authors and Affiliations

  • Daniel Chandler
  • Gary Spicer
    • 1
  1. 1.Alameda County Behavioral Health Care ServicesUSA