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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 1,513 records · Page 84Linked to original sources
PubMed1997

The rate of public shelter admission among Medicaid-reimbursed users of behavioral health services.

This study examined the rate of admission to public shelters between 1990 and 1992 among persons who received Medicaid-reimbursed inpatient and outpatient psychiatric services and inpatient substance abuse services in Philadelphia between 1985 and 1993. Results show that 7.5 percent of such persons were admitted to public shelters during the three-year period, nearly 2.7 times the rate of shelter use by the general population (2.8 percent). Medicaid recipients treated for serious mental disorders had a three-year rate of shelter use of 8.4 percent. Those receiving inpatient treatment for substance use disorders, including detoxification services, had a three-year rate of shelter admission of 10.2 percent.

Cross-Sectional Studies↗
PubMed1997

Automated pharmacy databases and behavioral health care quality assurance.

Randomized, double-blind, placebo-controlled trials suggest that medications can be efficacious in several psychiatric disorders. The effectiveness of medications as they are used in practice remains to be seen. Automated pharmacy data give evaluation researchers tools to examine the quality of care for people using psychotropic medications. Reasonably convincing data indicates that automated pharmacy records are valid measures of medication consumption. Evaluation research is needed in areas such as standard setting, risk adjustment, and the linking of pharmacy data to outcome measures.

Clinical Pharmacy Information Systems↗
PubMed2000

Translating behavioral health services research into benefits policy.

This article uses a 4-pronged statistical approach to examine the impact of a mental health carve-out at a major employer. To examine net financial impact of the carve-out, the authors perform a pre-post, multivariate regression analysis of changes in costs. Using a random-effects model, the authors explore the ultimate financial impact of the carve-out for patients and for the firm. Using a multinomial logistic regression, they examine differing program effects by intensity of use. A fixed-effects negative binomial regression models the episodic nature of outpatient care, controlling for patient-specific unobserved characteristics that influence health care utilization. The carve-out slightly reduced overall mental health costs and utilization while expanding entry-level access to routine services. At the same time, the specific carve-out shifted financial burdens from the firm onto high-utilization patients. Therefore, this carve-out appears poorly suited to the care of individuals experiencing severe and debilitating psychiatric disorders.

Adult↗
PubMed1995

The effects of managed behavioral health care utilization review on hospital substance abuse detoxification.

Four groups drawn from patients in a hospital substance abuse detoxification unit were compared to determine if staff training on the basics of managed care would impact the length of the hospital stay authorized by private health insurance providers. Pre- and post-intervention groups were drawn from patients carrying the most frequently used insurance, Blue Cross/Blue Shield (BC/BS) and from patients of all other private insurance providers. Results indicate that the most frequently used provider was authorizing lengths of stay consistent with those of other private providers. However, results also indicated that significantly shorter lengths of stay were being authorized by all of the private insurance providers during the post-intervention period of the study. This study (1) confirms clinical observations showing a trend toward shorter lengths of hospital stays for patients with substance use disorders and (2) confirms that these decisions are being made primarily by insurance providers.

Blue Cross Blue Shield Insurance Plans↗
PubMed2003

Developing capacity for integrated trauma-related behavioral health services for women: start-up costs from five community sites.

Violence against women is a growing public health concern. Many community agencies are interested in expanding their service delivery capacity to better meet these needs, but little information is currently available about the costs of implementing comprehensive services for women who have experienced various types of trauma. This article responds to this need by presenting findings from a study of start-up costs incurred by five regionally-diverse sites in the Women, Co-Occurring Disorders, and Violence Study (Women's Study) during the initial two years of a 5-year federal demonstration grant. Using a cost-finding approach that included project-related expenditures without regard to the source of funding, information was obtained with a structured data collection instrument that was completed during in-person interviews with local project staff. Phase 1 start-up project costs ranged from 0.6 million dollars to almost 1.2 million dollars per site. Of the five sites, start-up costs were lowest in the two mixed urban/suburban settings, and highest in the two rural settings, where few of the project-related services had been in place prior to grant funding. Implications for public health interventions are highlighted.

Delivery of Health Care, Integrated↗