Abstract:
:This paper analyzes the impact of the Kansas Mental Health Reform Act on client outcomes. The Act is of general interest because it reflects a trial of greater accountability without major changes in financial incentives. It made Community Mental Health Centers [CMHCs] gatekeepers that were accountable for services for adults with severe and persistent mental illnesses. The Act sought reductions in hospitalizations rates, expanded use of community support services, and increased independent living. The structure of the Act and Client Status Reports allow rigorous examination of these outcomes. The number of clients served increased significantly. Even though hospital days fell by 23%, there is no clear evidence that the Act itself reduced hospital days per client. The proportion of community support program clients residing independently rose significantly; the proportion participating meaningfully in the labor market fell. The goals of the Act were realized overall, but the performance of CMHCs varied considerably.
journal_name
Community Ment Health Jjournal_title
Community mental health journalauthors
Lee RH,Chamberlain R,Rapp Cdoi
10.1023/a:1017532130035subject
Has Abstractpub_date
2001-10-01 00:00:00pages
437-45issue
5eissn
0010-3853issn
1573-2789journal_volume
37pub_type
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