Abstract
As a safety net, psychiatric emergency services are sensitive to system changes. To determine the impact of a state’s changes in its mental health system, administrators of publicly funded psychiatric emergency services were surveyed. They reported few (M=0.8) negative changes in coordination of care but 77% endorsed change in administrative burden (54% saying it negatively affected quality of services). Reporting negative effect of administrative burden was associated with treating more persons with substance abuse problems and greater challenge posed by distance to local providers. These results suggest that impact of state-level changes was not uniform but associated with local characteristics.
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Acknowledgment
This work was supported by grants from the Ethel and James Flinn Foundation and the state of Michigan (Joe Young, Sr.).
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Cynthia L. Arfken, Lori Lackman Zeman, and Alison Koch are affiliated with the Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USA
The data were presented as a poster at Institute on Psychiatric Services, Atlanta GA, October 2004.
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Arfken, C.L., Zeman, L.L. & Koch, A. Perceived Impact by Administrators of Psychiatric Emergency Services after Changes in a State’s Mental Health System. Community Ment Health J 42, 281–290 (2006). https://doi.org/10.1007/s10597-006-9035-x
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DOI: https://doi.org/10.1007/s10597-006-9035-x