The effects of capitation on service access, adequacy, and appropriateness

Leff, H. Stephen; Mulkern, Virginia; Lieberman, Marcus; Raab, Barbara

doi:10.1007/bf00707483

Cited by 25 publications

(1 citation statement)

References 24 publications

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“…Although there is extensive evidence and agreement on what constitutes efficacious treatment for individuals suffering from most mental health conditions, research suggests that mental health programs are not delivering evidence-based practices to the majority of patients with these disorders (Leff, Mulkern, Lieberman, & Raab, 1994). This is corroborated by research findings indicating low levels of successful transfer of evidence-based treatments in clinical practice (e.g., Goisman, Warshaw, & Keller, 1999;Stewart & Chambless, 2007), and across graduate and internship training programs (e.g., Crits-Christoph, Frank, Chambless, Brody, & Karp, 1995;Weissman et al, 2006).…”

Section: Dissemination and Implementation Of Empirically Supported Treatmentsmentioning

confidence: 99%

Evaluation of the Acceptability and Utility of a Decision Aid for the Treatment of Adult Depression

Rogojanski¹

2023

Preprint

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Decision aids communicate the best available evidence on treatment options to patients in order to facilitate informed decision-making. Research suggests that decision aids improve patients’ treatment knowledge, reduce decisional conflict, and promote more active decision-making. Despite evidence of the utility of decision aids in physical health conditions, they are both understudied and rarely used for mental health problems. The present study evaluated the acceptability and utility of a decision aid for the treatment of depression and its relationship to participants' knowledge and decision-making. Undergraduate students ( Participants completed a follow-up knowledge test, along with a series of questionnaires assessing acceptability of the decision aid and other variables of interest (e.g., decisional conflict, preparation for decision-making). One month later, participants completed the knowledge test for the third time. Overall, a majority of participants rated the decision aid as highly acceptable and useful. There was a significant increase in participants’ knowledge of depression treatment from prior to reading to after reading the decision aid. Although participants’ knowledge scores decreased slightly at the 1-month follow-up, they were still significantly higher than their baseline scores. The hypothesis that participants’ treatment choice would be influenced by the order in which treatment options were presented to them within the decision aid was partially supported. However, this effect was eliminated when the few participants who selected the “no treatment” option were excluded, as well as when participants were given the additional option of selecting a combined treatment (i.e., medication and psychotherapy). This is one of the few studies aimed at expanding the use of decision aids to mental health conditions. Future research should evaluate the utility of this decision aid with a clinical sample. Additionally, the methodology used in this study can be translated to the evaluation of other decision aids.

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Section: Dissemination and Implementation Of Empirically Supported Treatmentsmentioning

confidence: 99%

Evaluation of the Acceptability and Utility of a Decision Aid for the Treatment of Adult Depression

Rogojanski¹

2023

Preprint

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Overview of medicaid managed behavioral health care

McFarland

2000

New Directions for Mental Health Services

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Assessment of the Massachusetts medicaid managed behavioral health program: Year three

Beinecke

Shepard

Goodman³

et al. 1997

Adm Policy Ment Health

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This evaluation of the third year of the Massachusetts Medicaid managed Mental Health/Substance Abuse Program showed that overall utilization increased slightly and expenditures were nearly the same in FY1994 compared to FY1993; however, they were lower for disabled members. Providers believed that access to care, utilization, and quality of care were the same or better than a year earlier and that the clinical review process was improved. Client severity was higher. Aftercare planning improved but gaps in services persisted. Integration of care improved. Administrative and management problems continued. Lessons for similar, more recent initiatives are discussed.

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The effects of capitation on service access, adequacy, and appropriateness

Cited by 25 publications

References 24 publications

Evaluation of the Acceptability and Utility of a Decision Aid for the Treatment of Adult Depression

Evaluation of the Acceptability and Utility of a Decision Aid for the Treatment of Adult Depression

Overview of medicaid managed behavioral health care

Assessment of the Massachusetts medicaid managed behavioral health program: Year three

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