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N A Mazade

Publications and source records attributed to N A Mazade.

9 recordsLinked to original sources

Environmental scan 2000: issues facing state mental health agencies.

With the new millennium, state mental health agencies (SMHAs) are facing a variety of new issues. In this article, the authors report on the changes in state mental health systems that have occurred during the 2 years between interviews conducted with directors of each SMHA. While issues such as managed care, the influence of state Medicaid waivers on the development of public/private partnerships, and federal welfare reform continued to be key concerns, directors are focusing more on other issues such as assessing SMHA operations, establishing linkages with other state health and human service agencies, and inculcating new knowledge, technologies, and model practices.

Forecasting↗

Expenditures and revenues of state mental health agencies, 1981-1985.

Data compiled by the National Association of State Mental Health Program Directors were used to compare expenditures and revenues of state mental health agencies in fiscal years 1981, 1983, and 1985. The agencies had direct control of funds totaling $8.3 billion in 1985, compared with $7.1 billion in 1983 and $6.1 billion in 1981, but spending in the three years varied by less than 1 percent in inflation-adjusted dollars. Spending for state mental hospitals declined by 5 percent, while spending for community-based programs grew by 10 percent. The great majority of the agencies' funds, 78 percent in 1985, were provided by state governments. Information about the budgets of state mental health agencies can help fill the financial information gap that confronts policymakers in the federal, state, and local mental health service delivery systems.

Community Mental Health Services↗

American mental health policy: changing directions in the 80s.

Mental health programs always reflect changes in the political environment. For instance, under the Carter administration the President's Commission on Mental Health displayed great interest in reforming the community mental health center service system, expanding mental health research, and developing a new national health insurance package. In contrast, the Reagan administration has sought to minimize the federal government's role in operating many health programs. The authors examine the repercussions that block grants and reduced federal funds will have on mental health research, training, and insurance policies. Competition for funding between community mental health centers and state hospitals, future strategies for mental health services, and fundamental policy questions are also discussed.

Community Mental Health Services↗

Trends in community mental health programming.

One hundred-seventy-three mental health centers responded to a survey inquiring about allocation of staff time for mental health services and about the availability of an array of services at present, 3 years previous, and 3 years hence. The data reflect an emphasis upon reactive services as opposed to those considered proactive, and on services directed to individuals as opposed to other groups. However, this emphasis seems to be changing. Future projections call for a de-emphasis on individual reactive programs and increased emphasis on programs directed toward families and small groups, and toward proactive programs directed to the communities-at-large. Data about specific programs and services further suggest de-emphasis of services that involve the mental health professional and the client in direct interaction, and continued growth in services that can be delivered by less formally trained mental health workers or volunteers.

Community Mental Health Services↗

Fiscal resource development for state mental health agencies.

As funds for human service programs grow scarcer, state mental health departments must become more aggressive in seeking out new funding sources. The development of a fiscal resource development unit at the state level is proposed as one approach to the problem.

Community Mental Health Services↗