Title: Client outcomes in a three-year controlled study of an integrated service agency model
Abstract: Back to table of contents Previous article Next article No AccessClient outcomes in a three-year controlled study of an integrated service agency modelPublished Online:1 Apr 2006https://doi.org/10.1176/ps.47.12.1337AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: In a three-year controlled study, two California integrated service agency demonstration programs that combined structural and program reforms were tested to see if they produced improved outcomes for a cross-section of clients with severe and persistent mental illness. METHODS: Clients at an urban site and a rural site were randomly assigned to an integrated service agency program or to a comparison group who received the usual services. Data on client outcomes, were drawn from databases and client and family interviews. RESULTS: Compared with the comparison groups, clients served by the integrated service agencies had less hospital care, greater workforce participation, fewer group and institutional housing arrangements, less use of conservatorship, greater social support, more leisure activity, less family burden, and greater client and family satisfaction. Clients in the urban demonstration program, but not those in the rural program, did better than the comparison group on measures of financial stability, personal well-being, and friendship. At the urban site, 72.6 percent of clients participated in the work force during the three-year study period, compared with 14.6 percent of the clients in the comparison group. No differences were found at either site in rates of arrest and conviction and in self-reported ratings of self-esteem, symptoms, medication compliance, homelessness, and criminal victimization. The capitated costs for demonstration clients were much higher than the costs for services used by comparison clients. CONCLUSIONS: Three-year outcomes for a cross-section of clients with severe mental illness in the integrated service agencies were broadly favorable, but costs of services for those clients were high relative to costs for clients receiving the current standard of care. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - Psychiatric Services $35.00 Add to cart PPV Articles - Psychiatric Services Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byInterventions for obtaining and maintaining employment in adults with severe mental illness, a network meta-analysis12 September 2017 | Cochrane Database of Systematic Reviews, Vol. 2017, No. 9Intensive case management for severe mental illness6 January 2017 | Cochrane Database of Systematic Reviews, Vol. 2017, No. 1Supported employment for adults with severe mental illness13 September 2013 | Cochrane Database of Systematic Reviews, Vol. 75Forensic and Nonforensic Clients in Assertive Community Treatment: A Longitudinal StudyCraig Beach, M.D., M.Sc., Lindsay-Rose Dykema, M.D., M.P.H., Paul S. 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Stein1 April 2006 | Psychiatric Services, Vol. 48, No. 4In ReplyDaniel Chandler1 April 2006 | Psychiatric Services, Vol. 48, No. 4Inaccurate comparison24 January 2015 | Psychiatric Services, Vol. 48, No. 4The Journal of Mental Health Administration, Vol. 24, No. 2 Volume 47Issue 12 December 1996Pages 1337-1343 Metrics PDF download History Published online 1 April 2006 Published in print 1 December 1996
Publication Year: 1996
Publication Date: 1996-12-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
Access and Citation
Cited By Count: 57
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