The purpose of this research was to use Web-based survey methodology to examine the use of information technology (IT) by people with psychiatric disabilities, as well as its association with self-determination in their lives. Survey respondents were recruited via notices posted on mental health listserves and Web sites as well as through newsletters and emails. A total of 911 respondents completed the survey. Respondents reported diverse uses of the Internet, in some cases exceeding usage reported by the general population. A positive association was identified between frequency of Internet use and self-assessed degree of self-determination. In multivariate analyses controlling for demographic variables (including income and education) and impairment indicators (including hospitalization history), those with higher self-determination were significantly less likely to hold negative attitudes about Internet use. Many respondents reported using IT to advocate for themselves, as well as to organize others in groups that can advocate for each other.
Chronic Fatigue Syndrome is an illness that is characterized by debilitating fatigue. Few non‐treatment‐based epidemiological studies have been conducted in assessing rates of this disorder. Problems in conducting non‐community‐based prevalence studies are discussed. In addition, pilot data showing strategies to reach people afflicted with CFS are presented. It is argued that community‐based epidemiological efforts are needed in order to estimate prevalence rates of this disorder.
Although Medicaid-funded managed care arrangements are commonly used in the delivery of mental health and substance abuse services to low-income children and youth, little is known about the effectiveness of such efforts. This article examines differences in mental health services utilization between children and youth with severe emotional disturbance covered by Medicaid-funded managed care behavioral health plans and those covered by fee-for-service plans. Data are from a federally funded multi-site study. In multivariate analyses controlling for child and caregiver demographic and clinical factors, enrollment in a managed care behavioral health plan was associated with lower inpatient/residential, psychiatric medication, and nontraditional services utilization. No difference was found in outpatient services utilization. Medicaid-funded managed care behavioral health plans appear to reduce use of some types of mental health services, but it is important to address the question of whether low-income children's enrollment in such programs deprives them of needed services.
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