Ellen Jane Hollingsworth

Work and Social Support: A Comparison of Consumers Who Have Achieved Stability in ACT and Clubhouse Programs

A current debate in the field is whetherconsumers, who have achieved stability in AssertiveCommunity Treatment programs, can be transferred to lessintensive services. To bring some data to bear on this question, this study compared consumers andmembers, who have achieved stability, in either anAssertive Community Treatment (ACT) or a clubhouseprogram, on domains of vocational activity, socialrelationships/loneliness and community integration. The 51 stableclients from the two programs who were interviewed,reported similar vocational activity, similarexperiences with social relationships and socialnetworks, and similar community integration. Clients in bothgroups were less lonely than previously reported in theliterature. Study results indicate, that for thoseclients who have achieved stability, there aresufficient similarities between consumers in the twoprograms, to suggest a potential for movement from moreto less intensive programs with less disruption thanpreviously assumed possible.

Falling Through the Cracks: Care of the Chronically Mentally Ill in the United States, Germany, and the United Kingdom

In comparing the development and strength of community-based services for the chronically mentally ill in the United States, Germany, and the United Kingdom, I analyze how the structure of each countrys general medical system has influenced services for the chronically mentally ill and the extent to which more universal medical care systems are associated with stronger community-based systems for the mentally ill. Community-based services are frail and inadequate in all three countries, in each country for different reasons. The specifics of organization of the health care system seem less important in shaping these outcomes than the status of mental health care as a national priority.

Differences Between Voluntary and Public Organizations: The Behavior of Hospitals in England and Wales

This study confronts the following questions: what are the conditions under which a society decides to do things in the public and voluntary nonprofit sectors, and in what ways do organizations behave differently, depending on whether they are in the public or the voluntary nonprofit sector? To address these questions, the study focuses on English and Welsh hospitals during the twentieth century but prior to the National Health Service. The study argues that as long as the sources of funding for public and voluntary organizations diverge, their behavior will diverge. Because English and Welsh voluntary hospitals prior to the National Health Service were heavily dependent on the voluntary sector for funding and the public hospitals were primarily dependent on the public sector for their funding, the data set is especially valuable for observing how divergent sources of funding influence the behavior of organizations.

Services for clients of community support programs in rural Wisconsin.

To improve understanding of services provided or coordinated by rural community support programs (CSPs) for people with severe mental illness, this article identifies services most used by clients and the amounts of services used. Data on publicly funded services for more than 900 clients in 13 rural CSPs in a midwestern state have been analyzed. Virtually all clients were Caucasian. Information about types and amounts of client services for 12 consecutive months was obtained from county information systems, local records, and Medicaid claims. Most CSP clients use case management, community support, medication checks, counseling, and medication counseling services. Much smaller percentages use other outpatient, residential, vocational, and inpatient services. Significant amounts of only two services, case management and community support, are reported. The findings emphasize the ability of rural mental health providers to supply general services, but some limitation in provision of specialized services and facilities.To improve understanding of services provided or coordinated by rural community support programs (CSPs) for people with severe mental illness, this article identifies services most used by clients and the amounts of services used. Data on publicly funded services for more than 900 clients in 13 rural CSPs in a midwestern state have been analyzed. Virtually all clients were Caucasian. Information about types and amounts of client services for 12 consecutive months was obtained from county information systems, local records, and Medicaid claims. Most CSP clients use case management, community support, medication checks, counseling, and medication counseling services. Much smaller percentages use other outpatient, residential, vocational, and inpatient services. Significant amounts of only two services, case management and community support, are reported. The findings emphasize the ability of rural mental health providers to supply general services, but some limitation in provision of specialized services and facilities.

Use of Medicaid for Mental Health Care by Clients of Community Support Programs

The use of Medicaid for mental health services by the severely mentally ill is examined using paid Medicaid claims for clients of Community Support Programs in Wisconsin. The extent to which clients participate in Medicaid, the types and amounts of mental health services, and the costs of services are discussed. A narrow majority of CSP clients use Medicaid, which provides a substantial amount of case management service for program participants. Psychotropic medications are also used by a large percentage of clients. Other relatively common services covered by Medicaid are medication checks and psychotherapy. Average annual Medicaid payments for mental health services (including medications) are

Advancing socio-economics : an institutionalist perspective

2438.The use of Medicaid for mental health services by the severely mentally ill is examined using paid Medicaid claims for clients of Community Support Programs in Wisconsin. The extent to which clients participate in Medicaid, the types and amounts of mental health services, and the costs of services are discussed. A narrow majority of CSP clients use Medicaid, which provides a substantial amount of case management service for program participants. Psychotropic medications are also used by a large percentage of clients. Other relatively common services covered by Medicaid are medication checks and psychotherapy. Average annual Medicaid payments for mental health services (including medications) are

China: The end of the science superpowers

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