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  • 1
    Online Resource
    Online Resource
    Learning from experience : the public health response to West Nile virus, SARS, monkeypox, and hepatitis A outbreaks in the United States (2005)
    Santa Monica, CA : Rand Health
    Details
    ISBN: 9780833059994 , 0833059998
    Language: English
    Pages: 1 Online-Ressource
    Keywords: Epidemics Prevention ; Epidemics ; Bioterrorism prevention & control ; Disaster Planning ; Civil Defense ; Communicable Diseases epidemiology ; Communicable Disease Control ; Disease Outbreaks prevention & control ; MEDICAL ; Public Health ; United States ; Epidemics ; Prevention ; United States ; Electronic books
    Abstract: Describes the response of state and local health departments to outbreaks of Severe Acute Respiratory Syndrome (SARS), monkeypox, West Nile virus, and hepatitis A that took place from 1999 to 2003. In general, public health agencies demonstrated a robust ability to implement the major components of response to a public health emergency. Researchers found that the most pervasive problem involved communication difficulties within public health agencies and with public health partners
    Abstract: Describes the response of state and local health departments to outbreaks of Severe Acute Respiratory Syndrome (SARS), monkeypox, West Nile virus, and hepatitis A that took place from 1999 to 2003. In general, public health agencies demonstrated a robust ability to implement the major components of response to a public health emergency. Researchers found that the most pervasive problem involved communication difficulties within public health agencies and with public health partners
    Note: "TR-285-DHHS"--Homepage , At head of title: Report , Includes bibliographical references , Title from PDF title page (viewed Oct. 19, 2005)
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  • 2
    Online Resource
    Online Resource
    The economic impact of Medicaid expansion on Pennsylvania (2013)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833081223 , 0833081225 , 9780833080301 , 083308030X
    Language: English
    Pages: 1 Online-Ressource (xiii, 30 pages)
    Parallel Title: Print version Price, Carter C Economic impact of Medicaid expansion on Pennsylvania
    Keywords: United States ; United States ; Insurance ; Federal government ; Medicaid Economic aspects ; Insurance ; Federal government ; Medicaid ; Patient Protection and Affordable Care Act ; Insurance, Health ; Medicaid economics ; Government ; Insurance ; Appalachian Region ; Social Sciences ; United States ; Public Assistance ; Anthropology, Education, Sociology and Social Phenomena ; Organizations ; Financing, Organized ; Social Control, Formal ; Health Care Economics and Organizations ; Financing, Government ; North America ; Delivery of Health Care ; Americas ; Geographic Locations ; Geographicals ; Economics ; Federal Government ; Medical Assistance ; Legislation as Topic ; Insurance Coverage ; Public Health ; Health & Biological Sciences ; Medical Care Plans ; Pennsylvania ; MEDICAL ; Medicaid & Medicare ; Patient Protection and Affordable Care Act (United States) ; Federal government ; Insurance ; Medicaid ; Economic aspects ; Pennsylvania ; Electronic book
    Abstract: The Affordable Care Act is a substantial reform of the U.S. health care insurance system. Using the RAND COMPARE model, researchers assessed the act's potential economic effects on Pennsylvania, factoring in an optional expansion of Medicaid, and found the state would enjoy significant net benefits. With or without the expansion of Medicaid, the act will increase insurance coverage to hundreds of thousands of Pennsylvanians, but the COMPARE model estimates that the expansion of Medicaid eligibility would cover an additional 350,000 people and bring more than $2 billion in federal spending into the state annually than if the state did not expand. Should the state expand Medicaid, the additional spending will add more than $3 billion a year to the state's GDP and support 35,000 jobs. But Medicaid expansion is not without cost for the state; the estimated cumulative effect on Pennsylvania's Medicaid spending will be $180 million higher with the expansion than without between 2014 and 2020. Substantial reductions in uncompensated care costs for hospitals are possible even without expansion, but savings to hospitals for uncompensated care funding are even larger with the Medicaid expansion, amounting to $550 million or more each year
    Abstract: The Affordable Care Act is a substantial reform of the U.S. health care insurance system. Using the RAND COMPARE model, researchers assessed the act's potential economic effects on Pennsylvania, factoring in an optional expansion of Medicaid, and found the state would enjoy significant net benefits. With or without the expansion of Medicaid, the act will increase insurance coverage to hundreds of thousands of Pennsylvanians, but the COMPARE model estimates that the expansion of Medicaid eligibility would cover an additional 350,000 people and bring more than $2 billion in federal spending into the state annually than if the state did not expand. Should the state expand Medicaid, the additional spending will add more than $3 billion a year to the state's GDP and support 35,000 jobs. But Medicaid expansion is not without cost for the state; the estimated cumulative effect on Pennsylvania's Medicaid spending will be $180 million higher with the expansion than without between 2014 and 2020. Substantial reductions in uncompensated care costs for hospitals are possible even without expansion, but savings to hospitals for uncompensated care funding are even larger with the Medicaid expansion, amounting to $550 million or more each year
    Note: "RAND Health , Includes bibliographical references (pages 29-30)
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  • 3
    Online Resource
    Online Resource
    Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy (2013)
    Santa Monica, CA : Rand Corp
    Details
    ISBN: 9780833082213 , 0833082213 , 9780833082206 , 0833083627 , 0833082205 , 9780833083623
    Language: English
    Pages: 1 Online-Ressource (150 pages)
    Series Statement: Research report
    Parallel Title: Print version Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy
    Keywords: Physicians Attitudes ; Physicians Job satisfaction ; Medical care Quality control ; Medicine Practice ; Physicians ; Physicians ; Medical care ; Medicine ; Job Satisfaction ; Quality of Health Care ; Professional Practice ; Electronic Health Records utilization ; Physicians psychology ; Electronic books ; Physicians ; Job satisfaction ; Medicine ; Practice ; Medical Professional Practice ; Medical care ; Quality control ; MEDICAL ; Evidence-Based Medicine ; Physicians ; Attitudes ; United States ; Health & Biological Sciences ; Medicine ; United States ; Electronic books
    Abstract: One of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry
    Abstract: One of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry
    Note: "RR-439-AMA , "Produced within RAND Health, a division of the RAND Corporation , Includes bibliographical references
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  • 4
    Online Resource
    Online Resource
    Understanding the Public Health Implications of Prisoner Reentry in California : State-of-the-State Report (2011)
    Santa Monica : RAND Corp
    Details
    ISBN: 9780833059147 , 0833059149 , 9780833059161 , 0833059165
    Language: English
    Pages: 1 Online-Ressource (251 pages)
    Keywords: Ex-convicts Health and hygiene ; Community health services Evaluation ; Parole Health aspects ; Ex-convicts Medical care ; Prisoners Health and hygiene ; Ex-convicts ; Community health services ; Parole ; Ex-convicts ; Prisoners ; Socioeconomic Factors ; Health Services Needs and Demand ; Prisoners ; Community Health Services ; Medical Indigency ; Medically Uninsured ; SOCIAL SCIENCE ; Penology ; MEDICAL ; Public Health ; Community health services ; Evaluation ; Prisoners ; Health and hygiene ; California ; California ; Electronic books
    Abstract: 2.2. Prevalence of Drug Abuse/Dependence and Mental Illness Among Male Prison Inmates in the United States and California, by Race Ethnicity for California Inmates2.3. Demographic Characteristics and Term Served of California Parolees, Overall and for Four Counties; 2.4. Socioeconomic Characteristics of the Seven Cluster Categories; 2.5. Summary of Accessibility Results for Hospitals and Clinics, by County; 2.6. Summary of Accessibility Results for Hospitals and Clinics, by County and Race/Ethnicity
    Abstract: 2.7. Summary of Accessibility Results for Mental Health and Alcohol and Drug Treatment Providers, by County2.8. Summary of Mental Health and Alcohol and Drug Treatment Accessibility Results by County and Race/Ethnicity; 5.1. Characteristics of the Families; Summary; Acknowledgments; Abbreviations; Chapter One: Introduction; Background; Health Care Needs of Returning Prisoners Are High; The Size and Composition of California's Prison Population Are Changing; Recent Policy Changes Will Influence How California Approaches Meeting the Health Care Needs of the Reentry Population
    Abstract: 2.7. Summary of Accessibility Results for Mental Health and Alcohol and Drug Treatment Providers, by County2.8. Summary of Mental Health and Alcohol and Drug Treatment Accessibility Results by County and Race/Ethnicity; 5.1. Characteristics of the Families; Summary; Acknowledgments; Abbreviations; Chapter One: Introduction; Background; Health Care Needs of Returning Prisoners Are High; The Size and Composition of California's Prison Population Are Changing; Recent Policy Changes Will Influence How California Approaches Meeting the Health Care Needs of the Reentry Population
    Abstract: Cover; Title Page; Copyright; Preface; Contents; Figures; 2.1. Relative Concentrations of Parolees in California, by County; 2.2. Relative Concentrations of Parolees in Alameda County; 2.3. Relative Concentrations of Parolees in Kern County; 2.4. Relative Concentrations of Parolees in Los Angeles County; 2.5. Relative Concentrations of Parolees in San Diego County; 2.6. Summary of Statewide Socioeconomic Clusters of Census Tract; 2.7. Conceptual Framework for Evaluating the Health Care Safety Net for the Reentry Population
    Abstract: Study Objective and ScopeStudy Limitations; Organization of This Report; Chapter Two: What Do We Know About Prisoners' Health Care Needs and the Capacity of the Safety Net to Meet the Needs of the Reentry Population?; Introduction; What Are the Health Care Needs of the Reentry Population?; Where Do Prisoners Go Upon Release from Prison?; Concentration and Distribution of Parolees Within California; What Are the Demographic Characteristics of Parolees and of the Socioeconomic Areas in Which They Locate?; Results of Analysis of Demographic Characteristics of California Parolees
    Abstract: Study Objective and ScopeStudy Limitations; Organization of This Report; Chapter Two: What Do We Know About Prisoners' Health Care Needs and the Capacity of the Safety Net to Meet the Needs of the Reentry Population?; Introduction; What Are the Health Care Needs of the Reentry Population?; Where Do Prisoners Go Upon Release from Prison?; Concentration and Distribution of Parolees Within California; What Are the Demographic Characteristics of Parolees and of the Socioeconomic Areas in Which They Locate?; Results of Analysis of Demographic Characteristics of California Parolees
    Note: Includes bibliographical references and index , Results of Analysis of Demographic and Socioeconomic Characteristics of Areas in Which Parolees Locate
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  • 5
    Online Resource
    Online Resource
    Final report on assessment instruments for a prospective payment system : appendices (2004)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833059949 , 0833059947 , 9780833032225 , 0833032224
    Language: English
    Pages: 1 Online-Ressource (1 online resource)
    Parallel Title: Print version Final report on assessment instruments for prospective payment system
    Keywords: Medicare ; Hospitals Rehabilitation services ; Prospective payment ; Medicare ; Hospitals ; Prospective Payment System economics ; Rehabilitation Centers economics ; Medicare ; MEDICAL ; Health Policy ; Hospitals ; Rehabilitation services ; Prospective payment ; Electronic books
    Abstract: These appendices accompany a report that evaluates alternative assessment tools for use in a prospective payment system (PPS) for inpatient rehabilitation facilities. They include samples of study forms and instructions; descriptions of measures; recruitment and participation letters; characteristics of participating facilities; sample study newsletters; and sampling protocols. The PPS was designed for use with the Functional Independence Measure. Policymakers hoped to substitute a new, more comprehensive, multipurpose assessment instrument, the Minimum Data Set-Post-Acute Care (MDS-PAC). This study compares the potential effects of this substitution. The MDS-PAC is a comprehensive data collection tool, with over 300 items, including sociodemographic information, pre-admission history, advance directives, cognitive and communication patterns, mood and behavior patterns, functional status, bladder/bowel management, diagnoses, medical complexities, pain status, oral/nutritional status, procedures/services, functional prognosis, and resources for discharge. To use the MDS-PAC in the new payment system, researchers needed a way to create a FIM-like motor score and a FIM-like cognitive score. A proposed translation was refined and evaluated. The goal of the report was to determine whether the planned substitution of the MDS-PAC for the FIM in the proposed inpatient rehabilitation hospital prospective payment system would adversely affect system performance, patients, or hospitals
    Abstract: These appendices accompany a report that evaluates alternative assessment tools for use in a prospective payment system (PPS) for inpatient rehabilitation facilities. They include samples of study forms and instructions; descriptions of measures; recruitment and participation letters; characteristics of participating facilities; sample study newsletters; and sampling protocols. The PPS was designed for use with the Functional Independence Measure. Policymakers hoped to substitute a new, more comprehensive, multipurpose assessment instrument, the Minimum Data Set-Post-Acute Care (MDS-PAC). This study compares the potential effects of this substitution. The MDS-PAC is a comprehensive data collection tool, with over 300 items, including sociodemographic information, pre-admission history, advance directives, cognitive and communication patterns, mood and behavior patterns, functional status, bladder/bowel management, diagnoses, medical complexities, pain status, oral/nutritional status, procedures/services, functional prognosis, and resources for discharge. To use the MDS-PAC in the new payment system, researchers needed a way to create a FIM-like motor score and a FIM-like cognitive score. A proposed translation was refined and evaluated. The goal of the report was to determine whether the planned substitution of the MDS-PAC for the FIM in the proposed inpatient rehabilitation hospital prospective payment system would adversely affect system performance, patients, or hospitals
    Note: "RAND Health , Document formatted into pages; contains 128 pages , Title from title screen (viewed on June 10, 2004)
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  • 6
    Online Resource
    Online Resource
    Analyses for the initial implementation of the inpatient rehabilitation facility prospective payment system (2002)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833031488 , 0833056638 , 0833031481 , 9780833056634
    Language: English
    Pages: 1 Online-Ressource (xxii, 338 pages)
    Keywords: Hospitals Rehabilitation services ; Prospective payment ; Hospitals ; United States ; MEDICAL ; Health Policy ; Hospitals ; Rehabilitation services ; Prospective payment ; Electronic books
    Abstract: In the Balanced Budget Act of 1997, Congress mandated that Health Care Financing Administration (HCFA) implement a Prospective Payment System (PPS) for inpatient rehabilitation. The Centers for Medicare and Medicaid Services (CMS, the successor agency to HCFA) issued the final rule governing such a PPS on August 7, 2001 and the system went into effect on January 1, 2002. This report details the analyses that RAND performed to support HCFA's efforts to design, develop, and implement the PPS. It describes RAND's research on new function-related groups, comorbidities, unusual cases, facility-level adjustments, outlier payments, facility-level adjustments, and assessment instruments. In addition, it presents RAND's recommendations concerning the payment system and discusses the researchers' plans for further research on the monitoring and refinement of the PPS
    Abstract: In the Balanced Budget Act of 1997, Congress mandated that Health Care Financing Administration (HCFA) implement a Prospective Payment System (PPS) for inpatient rehabilitation. The Centers for Medicare and Medicaid Services (CMS, the successor agency to HCFA) issued the final rule governing such a PPS on August 7, 2001 and the system went into effect on January 1, 2002. This report details the analyses that RAND performed to support HCFA's efforts to design, develop, and implement the PPS. It describes RAND's research on new function-related groups, comorbidities, unusual cases, facility-level adjustments, outlier payments, facility-level adjustments, and assessment instruments. In addition, it presents RAND's recommendations concerning the payment system and discusses the researchers' plans for further research on the monitoring and refinement of the PPS
    Note: "RAND Health , Includes bibliographical references (pages 335-338)
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  • 7
    Online Resource
    Online Resource
    Trends in special Medicare payments and service utilization for rural areas in the 1990s (2002)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833032133 , 0833056867 , 0833032135 , 9780833056863
    Language: English
    Pages: 1 Online-Ressource (xxxii, 192 pages)
    Parallel Title: Print version Trends in special medicare payments and service utilization for rural areas in the 1990s
    Keywords: Rural hospitals Prospective payment ; Medicare Cost control ; Rural health services Finance ; Medicare ; Rural hospitals ; Medicare ; Rural health services ; Medicare ; Rural Health Services ; Health Care Costs ; Medically Underserved Area ; Insurance, Health, Reimbursement ; Economics ; Health Planning ; Insurance ; Health Care Quality, Access, and Evaluation ; Public Assistance ; Health Care Facilities, Manpower, and Services ; Social Control, Formal ; Health Care Economics and Organizations ; Financing, Government ; Legislation as Topic ; Financing, Organized ; Delivery of Health Care ; Health Services ; Regional Health Planning ; Costs and Cost Analysis ; Health Services Needs and Demand ; Medicare ; Medical Assistance ; Insurance, Health ; Medicare ; Medicare ; Cost control ; Rural health services ; Finance ; Rural hospitals ; Prospective payment ; Public Health ; Medical Care Plans ; Health & Biological Sciences ; United States ; MEDICAL ; Health Policy ; Electronic books
    Abstract: This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties
    Abstract: This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties
    Note: "RAND Health , Includes bibliographical references (pages 177-181)
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  • 8
    Online Resource
    Online Resource
    Improving the deployment of Army health care professionals : an evaluation of PROFIS (2013)
    Santa Monica, CA : RAND Corporation
    Details
    ISBN: 9780833081124 , 0833081128 , 9780833078049 , 0833078046
    Language: English
    Pages: 1 Online-Ressource (xxii, 99 pages)
    Series Statement: Report TR-1227-A
    Series Statement: RAND Corporation technical report series TR1227
    DDC: 355.3/450973
    Keywords: United States Operational readiness ; United States Medical personnel ; United States Personnel management ; United States ; United States ; United States ; Military planning ; Military planning ; Persons ; Named Groups ; Disciplines and Occupations ; Military Personnel ; Military Medicine ; Occupational Groups ; Medicine ; Health Occupations ; Military planning ; Military & Naval Science ; Law, Politics & Government ; Military Administration ; United States ; United States ; Armed Forces ; Medical personnel ; Armed Forces ; Operational readiness ; Armed Forces ; Personnel management ; Electronic books
    Abstract: The Army Medical Department's Professional Filler System was developed in 1980 to support continuous overseas contingency operations while simultaneously balancing the Army's requirement to maintain a healthy force, deploy a medical force to support military operations, and manage/meet access-to-care demands for all military health system beneficiaries. PROFIS allows health care providers to practice in a military treatment facility when not deployed, which contributes to the maintenance of their medical and technical skills. The PROFIS Deployment System, developed in 2005, is an internal management system that is used to battle roster deploying units with the correct PROFIS personnel so that the U.S. Army Medical Command can plan proactively for deployments. Recently, there have been concerns over how PROFIS affects the medical readiness and availability of providers for training with the unit preparing to deploy. This report describes the functionality of the Army's PROFIS in the current operating environment and assesses potential modifications or improvements to the system. Using a literature review, interviews, a survey, and administrative data, this research sought to identify and understand the effect of PROFIS, and deployments more broadly, on providers and other military personnel. The study also assessed modifications and alternatives to the current PROFIS that might address the identified issues
    Abstract: The Army Medical Department's Professional Filler System was developed in 1980 to support continuous overseas contingency operations while simultaneously balancing the Army's requirement to maintain a healthy force, deploy a medical force to support military operations, and manage/meet access-to-care demands for all military health system beneficiaries. PROFIS allows health care providers to practice in a military treatment facility when not deployed, which contributes to the maintenance of their medical and technical skills. The PROFIS Deployment System, developed in 2005, is an internal management system that is used to battle roster deploying units with the correct PROFIS personnel so that the U.S. Army Medical Command can plan proactively for deployments. Recently, there have been concerns over how PROFIS affects the medical readiness and availability of providers for training with the unit preparing to deploy. This report describes the functionality of the Army's PROFIS in the current operating environment and assesses potential modifications or improvements to the system. Using a literature review, interviews, a survey, and administrative data, this research sought to identify and understand the effect of PROFIS, and deployments more broadly, on providers and other military personnel. The study also assessed modifications and alternatives to the current PROFIS that might address the identified issues
    Note: "The research described in this report was sponsored by the Army Office of the Surgeon General , Includes bibliographical references (pages 97-99)
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  • 9
    Online Resource
    Online Resource
    Evaluating the impact of prevention and early intervention activities on the mental health of California's population (2012)
    Santa Monica, CA : RAND Health
    Details
    ISBN: 9780833078186 , 0833078186
    Language: English
    Pages: 1 Online-Ressource (1 PDF file (x, 274 pages)))
    Series Statement: Technical report
    Parallel Title: Print version Watkins, Katherine E Evaluating the Impact of Prevention and Early Intervention Activities on the Mental Health of California's Population
    Keywords: Community mental health services Statistics ; Mentally ill Statistics Care ; Community mental health services ; Mentally ill ; Outcome Assessment (Health Care) ; State Government ; Mental Disorders prevention & control ; Mental Health Services economics ; MEDICAL ; Clinical Medicine ; MEDICAL ; Diseases ; MEDICAL ; Evidence-Based Medicine ; MEDICAL ; Internal Medicine ; Community mental health services ; Mentally ill ; Care ; Psychiatry ; Health & Biological Sciences ; Psychiatry - General ; HISTORY ; United States ; State & Local ; West (AK, CA, CO, HI, ID, MT, NV, UT, WY) ; California ; HEALTH & FITNESS ; Diseases ; General ; Statistics ; California ; Electronic books
    Abstract: In 2004, California voters passed the Mental Health Services Act, which was intended to transform California's community mental health system from a crisis-driven system to one that included a focus on prevention and wellness. The vision was that prevention and early intervention (PEI) services comprised the first step in a continuum of services designed to identify early symptoms and prevent mental illness from becoming severe and disabling. Twenty percent of the act's funding was dedicated to PEI services. The act identified seven negative outcomes that PEI programs were intended to reduce: suicide, mental health-related incarcerations, school failure, unemployment, prolonged suffering, homelessness, and removal of children from the home. The Mental Health Services Oversight and Accountability Commission (MHSOAC) coordinated with the California Mental Health Services Authority (CalMHSA), an independent administrative and fiscal intergovernmental agency, to seek development of a statewide framework for evaluating and monitoring the short- and long-term impact of PEI funding on the population. CalMHSA selected the RAND Corporation to develop a framework for the statewide evaluation. This report describes the approach, the data sources, and the frameworks developed: an overall approach framework and outcome-specific frameworks
    Abstract: Cover; Title Page; Copyright; Preface; Contents; Summary; Acknowledgments; Abbreviations; I. Background; II. Goals and Approach; III. Methods; Interviewing Key Stakeholders; Developing Frameworks; Identifying Databases; IV. Evaluation Frameworks; Overall Approach Framework; Figure 4.1 An Approach to Understanding the Impact of Statewide Prevention and Early Intervention Funding; Outcome-Specific Frameworks; Figure 4.2 Suicide-Prevention Framework; Figure 4.3 Reduced-Suffering Framework; V. Data Sources and Measures Specifications; VI. Analytic Approaches to Evaluating the Impact of PEI
    Abstract: Time-Trend Analysis of Observational Data (Before-and-After Design)Difference-in-Differences Design; Table 6.1 An Illustration of the Difference-in-Differences Design: Suicide Rates (%); Synthetic Control Method; Using Descriptive Statistics for Inference; VII. Conclusions; Usefulness of the Evaluation Framework; Applying the Framework to the Broader Evaluation of the Mental Health Services Act; Data Development; Other Important Evaluation Issues; Next Steps; A. Framework Logic Models; B. Database Descriptions; C. Measures Descriptions; D. Technical Approach
    Abstract: In 2004, California voters passed the Mental Health Services Act, which was intended to transform California's community mental health system from a crisis-driven system to one that included a focus on prevention and wellness. The vision was that prevention and early intervention (PEI) services comprised the first step in a continuum of services designed to identify early symptoms and prevent mental illness from becoming severe and disabling. Twenty percent of the act's funding was dedicated to PEI services. The act identified seven negative outcomes that PEI programs were intended to reduce: suicide, mental health-related incarcerations, school failure, unemployment, prolonged suffering, homelessness, and removal of children from the home. The Mental Health Services Oversight and Accountability Commission (MHSOAC) coordinated with the California Mental Health Services Authority (CalMHSA), an independent administrative and fiscal intergovernmental agency, to seek development of a statewide framework for evaluating and monitoring the short- and long-term impact of PEI funding on the population. CalMHSA selected the RAND Corporation to develop a framework for the statewide evaluation. This report describes the approach, the data sources, and the frameworks developed: an overall approach framework and outcome-specific frameworks
    Note: Includes bibliographical references , Title from PDF title page
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  • 10
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    Ready to serve : community-based provider capacity to deliver culturally competent, quality mental health care to veterans and their families (2014)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833087683 , 0833089420 , 0833087681 , 9780833089427
    Language: English
    Pages: 1 Online-Ressource (30 pages)
    Parallel Title: Print version Tanielian, Terri L Ready to serve
    Keywords: Community mental health services ; Soldiers Mental health services ; Veterans Mental health services ; Mental health personnel ; Cultural competence ; Families of military personnel Services for ; Community mental health services ; Soldiers ; Veterans ; Mental health personnel ; Cultural competence ; Families of military personnel ; Veterans psychology ; Military Family psychology ; Quality of Health Care statistics & numerical data ; Culturally Competent Care statistics & numerical data ; Community Mental Health Services statistics & numerical data ; United States ; Community mental health services ; Cultural competence ; Families of military personnel ; Services for ; Mental health personnel ; Veterans ; Mental health services ; PSYCHOLOGY ; Psychopathology ; Depression ; United States ; Electronic books ; Statistics
    Abstract: Ensuring that military veterans and their families have access to high-quality mental health care is a national priority. Over the past several years, the Departments of Defense and Veterans Affairs have increased the number of mental health professionals working within their facilities and have rolled out training and quality improvement initiatives designed to promote the use of evidence-based treatments. Despite these important efforts, research continues to demonstrate that many veterans prefer to seek services outside the Department of Defense and/or the Department of Veterans Affairs. Thus, providers working in the civilian sector are an increasingly important part of the overall workforce addressing veterans' mental health needs. To better understand a key aspect of our nation's ability to provide veterans and their families with access to high-quality mental health care, RAND conducted a survey of civilian mental health providers to gather information about their competency with military and veteran culture and their training and experience treating posttraumatic stress disorder and depression. This report provides the results of that survey. The findings and recommendations from this study should be relevant to individuals, organizations, and policy officials concerned about the capacity of the civilian health care sector to deliver culturally competent, high-quality services to veterans and their families
    Note: "This research was sponsored by the United Health Foundation in collaboration with the Military Officers Association of America and conducted within RAND Health"--Page 30 , Includes bibliographical references (pages 25-28)
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