Literature DB >> 10154324

The costs of mental health services under the Fort Bragg Demonstration.

E M Foster1, W T Summerfelt, R C Saunders.   

Abstract

This article examines the costs of treatment under the Fort Bragg Demonstration. It focuses on the direct costs of mental health services and suggests that expenditures on those services were much higher at the Demonstration. Increased access and greater "doses" of services provided at the Demonstration are identified as the proximal causes of the system-level cost difference. Consideration is given to whether these differences in costs and in service use can be attributed to the continuum of care per se or to differences in the financial arrangements under which care was provided. Supplemental analyses suggest that these expenditures were not offset by cost savings elsewhere. Implications for mental health policy are discussed.

Mesh:

Year:  1996        PMID: 10154324     DOI: 10.1007/bf02518646

Source DB:  PubMed          Journal:  J Ment Health Adm        ISSN: 0092-8623


  17 in total

1.  Using hospital-specific costs to improve the fairness of prospective reimbursement.

Authors:  G C Pope
Journal:  J Health Econ       Date:  1990-11       Impact factor: 3.883

2.  How much will coverage for universal access to comprehensive behavioral healthcare really cost?

Authors:  S M Melek
Journal:  Behav Healthc Tomorrow       Date:  1994 Sep-Oct

3.  Payment systems and hospital resource use: a comparative analysis of psychiatric, medical and obstetric services.

Authors:  K L Grazier; T G McGuire
Journal:  Adv Health Econ Health Serv Res       Date:  1987

4.  Effect of the structure of hospital payment on length of stay.

Authors:  J R Lave; R G Frank
Journal:  Health Serv Res       Date:  1990-06       Impact factor: 3.402

5.  Demand for outpatient mental health services in a heavily insured population: the case of the Blue Cross and Blue Shield Association's Federal Employees Health Benefits Program.

Authors:  C A Watts; R M Scheffler; N P Jewell
Journal:  Health Serv Res       Date:  1986-06       Impact factor: 3.402

6.  Use of inpatient services by a national population: do benefits make a difference?

Authors:  C Patrick; D K Padgett; B J Burns; H J Schlesinger; J Cohen
Journal:  J Am Acad Child Adolesc Psychiatry       Date:  1993-01       Impact factor: 8.829

7.  The effect of insurance benefit changes on use of child and adolescent outpatient mental health services.

Authors:  D K Padgett; C Patrick; B J Burns; H J Schlesinger; J Cohen
Journal:  Med Care       Date:  1993-02       Impact factor: 2.983

8.  Measuring the economic costs of schizophrenia.

Authors:  T G McGuire
Journal:  Schizophr Bull       Date:  1991       Impact factor: 9.306

9.  Health insurance and the demand for medical care: evidence from a randomized experiment.

Authors:  W G Manning; J P Newhouse; N Duan; E B Keeler; A Leibowitz; M S Marquis
Journal:  Am Econ Rev       Date:  1987-06

10.  Provider behavior under prospective reimbursement. Cost sharing and supply.

Authors:  R P Ellis; T G McGuire
Journal:  J Health Econ       Date:  1986-06       Impact factor: 3.883

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  12 in total

1.  The Fort Bragg Demonstration Project: a look back.

Authors:  M L Paris
Journal:  J Ment Health Adm       Date:  1996

2.  The evaluation of the Fort Bragg Demonstration Project: an alternative interpretation of the findings.

Authors:  R M Friedman; B J Burns
Journal:  J Ment Health Adm       Date:  1996

3.  Policy implications of the evaluation of the Fort Bragg Child and Adolescent Mental Health Demonstration Project.

Authors:  L Behar
Journal:  J Ment Health Adm       Date:  1996

4.  Comment on the final report of the Fort Bragg Evaluation Project.

Authors:  T W Lane
Journal:  J Ment Health Adm       Date:  1996

5.  Reinterpreting the Fort Bragg Evaluation findings: the message does not change.

Authors:  L Bickman
Journal:  J Ment Health Adm       Date:  1996

6.  Rejoinder to Mordock's critique of the Fort Bragg Evaluation Project: the sample is generalizable and the outcomes are clear.

Authors:  L Bickman; M S Salzer; E W Lambert; R Saunders; W T Summerfelt; C A Heflinger; K Hamner
Journal:  Child Psychiatry Hum Dev       Date:  1998

7.  Use of the Child and Adolescent Functional Assessment Scale to predict service utilization and cost.

Authors:  K Hodges; M M Wong
Journal:  J Ment Health Adm       Date:  1997

8.  Do aftercare services reduce inpatient psychiatric readmissions?

Authors:  E M Foster
Journal:  Health Serv Res       Date:  1999-08       Impact factor: 3.402

9.  Is more better than less? An analysis of children's mental health services.

Authors:  E M Foster
Journal:  Health Serv Res       Date:  2000-12       Impact factor: 3.402

10.  Use of the Child and Adolescent Functional Assessment Scale (CAFAS) as an outcome measure in clinical settings.

Authors:  K Hodges; M M Wong; M Latessa
Journal:  J Behav Health Serv Res       Date:  1998-08       Impact factor: 1.505

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