Category Archives: Mental Health

Inmate Mental Health Care

Source: Wisconsin Department of Corrections, Department of Health Services, Report 09-4, March 2009

In FY 2007-08, expenditures for inmate mental health care totaled approximately $59.8 million, and the Department of Corrections identified 6,957 inmates, or 31.0 percent of adult inmates, as mentally ill. Mentally ill inmates have had a disproportionate effect on safety and discipline in the correctional institutions.
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Center for the Study of Collegiate Mental Health – 2009 Pilot Study

Source: Center for the Study of Collegiate Mental Health, 2009 Pilot Study, Executive Summary, 2009

The following report outlines a preliminary effort to describe the range of information on college student mental health that could be accessed via a comprehensive long-term strategy. As a result of nearly five years of unprecedented collaboration, a pilot test of the CSCMH infrastructure produced data on over 28,000 students receiving mental health services at 66 institutions during the fall semester of 2008. Though substantial, this accomplishment represents a fraction of the theoretical capacity of a mental health informatics infrastructure. Because it is not possible to discuss the entire range of findings in this summary, we have instead chosen to offer an overview of salient findings observable in the data. Whereas many of the findings described here will be submitted to peer-reviewed journals, we trust that these preliminary, informal findings will serve to educate, inspire, and enhance efforts to understand and improve college student mental health.

Beyond Parity: Primary Care Physicians’ Perspectives on Access to Mental Health Care

Source: Peter J. Cunningham, Health Affairs Web Exclusive, April 14, 2009

From the press release:
About two-thirds of U.S. primary care physicians reported in 2004-05 that they couldn’t get outpatient mental health services for their patients–a rate that was at least twice as high as for other services, according to a national study funded by the Commonwealth Fund published today as a Web Exclusive in the journal Health Affairs.
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A synthesis of direct service workforce demographics and challenges across intellectual/ developmental disabilities, aging, physical disabilities, and behavioral health

Source: Amy Hewitt, Sheryl Larson, Steve Edelstein, Dorie Seavey, Michael A. Hoge, John Morris, National Direct Service Workforce Resource Center, November 2008

From an abstract:
The Direct Service Worker Resource Center has released a white paper (pdf) that provides a first-ever overview of workforce challenges and practices across four critical service sectors:

intellectual and developmental disabilities
physical disabilities
behavioral health

Usually, each of these sectors is studied and written about separately, reflecting a fragmentation that is deeply rooted in the separate funding, policy, service, and advocacy worlds of each of these sectors.

But this paper-written by a team of workforce experts (including PHI’s Steve Edelstein and Dorie Seavey) who span these service systems-takes a different approach. It sets out to investigate similarities and differences across the sectors in job titles and tasks, workforce demographics, supply and demand, job conditions and compensation, codes of ethical standards, training requirements, turnover, and career paths.

Unclaimed Children Revisited -The Status of Children’s Mental Health Policy in the United States

Source: Janice L. Cooper, Yumiko Aratani, Jane Knitzer, Ayana Douglas-Hall, Rachel Masi, Patti Banghart, and Sarah Dababnah, National Center for Children in Poverty, November 2008

This report documents and assesses the effectiveness of mental health services for children and youth with mental health problems, those at risk, and their families. Our data demonstrate that states are still struggling to deliver adequate care, while federal leadership is lacking. Based on these findings, we propose key policy changes necessary to improving service delivery.
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Press release
Executive summary

Future Funding For Mental Health And Substance Abuse: Increasing Burdens For The Public Sector

Source: Katharine R. Levit, Cheryl A. Kassed, Rosanna M. Coffey, Tami L. Mark, Elizabeth M. Stranges, Jeffrey A. Buck, Rita Vandivort-Warren, Health Affairs, Web Exclusives, Vol. 27, no. 6, October 6, 2008
(subscription required)

From the abstract:
Spending on mental health (MH) and substance abuse (SA) treatment is expected to double between 2003 and 2014, to $239 billion, and is anticipated to continue falling as a share of all health spending. By 2014, our projections of SA spending show increasing responsibility for state and local governments (45 percent); deteriorating shares financed by private insurance (7 percent); and 42 percent of SA spending going to specialty SA centers. For MH, Medicaid is forecasted to fund an increasingly larger share of treatment costs (27 percent), and prescription medications are expected to capture 30 percent of MH spending by 2014.

Improving Responses to People with Mental Illness: The Essential Elements of a Specialized Law Enforcement-Based Program

Source: Matt Schwarzfeld, Melissa Reuland, Martha Plotkin, Council of State Governments Justice Center in partnership with the Police Executive Research Forum For the Bureau of Justice Assistance, Office of Justice Programs U.S. Department of Justice, 2008

The ten essential elements comprising a specialized law enforcement-based program are described. Elements are: collaborative planning and implementation; program design; specialized training; call-taker and dispatcher protocols; stabilization, observation, and disposition; transportation and custodial transfer; information exchange and confidentiality; treatment, supports, and services; organizational support; and program evaluation and sustainability.

Minnesota Juvenile Justice and Mental Health Initiative: Findings and Recommendations: Final Report

Source: Minnesota Dept. of Corrections, 2008

Services needed by youth with mental health disorders involved with Minnesota’s justice system are assessed. Sections of this report in addition to an executive summary include: introduction; the Minnesota Juvenile Justice and Mental Health Initiative; the process — the most critical issues to address involving collaboration, identification, diversion, and treatment; first-round Initiative issues to be tackled; summary of Task Force recommendations; and a comprehensive list of recommendations considered by the Initiative.