Ingrid Goldstrom - Academia.edu (original) (raw)
Papers by Ingrid Goldstrom
Psychiatric Services, Aug 1, 2004
This study examined trends in the availability and use of mental health services in state adult c... more This study examined trends in the availability and use of mental health services in state adult correctional facilities. Results from the 1988 Inventory of Mental Health Services in State Adult Correctional Facilities of the Center for Mental Health Services were compared with those from the 2000 Census of State and Federal Adult Correctional Facilities survey of the Bureau of Justice Statistics. The two surveys were chosen because they occurred more than a decade apart, had a reasonable amount of data, and could be made comparable. This analysis used data from 757 state adult correctional facilities that were sampled in 1988. The number of such facilities increased to 1,097 in 2000, a 44.9 percent increase. A dramatic increase was also seen in the prison population, from 505,712 in 1988 to 1,084,625 in 2000, a 114.5 percent increase. Mental health services were offered in significantly more facilities in 2000 than in 1988. However, the relative percentage of facilities that offered mental health services decreased overall. Simultaneously, the percentage of inmates who used these services increased overall. The growth in prison facilities and the growth in prisoner populations are outstripping the more meager growth in mental health services. These results suggest that mental health services are becoming less available to the prison population, and service populations are becoming more concentrated in the facilities that do offer such services.
PsycEXTRA Dataset, 1993
State-by-State data concerning the sources of funding, expenditures, and staffing for mental heal... more State-by-State data concerning the sources of funding, expenditures, and staffing for mental health services in State correctional facilities are reported for 1988 from the first national survey of prison mental health services conducted by the Center for Mental Health Services. Among all States, the total annual funding per prison inmate for mental health services varied widely, ranging from 5.67to5.67 to 5.67to3,159.41 per inmate, with a mean of 469.67andmedianof469.67 and median of 469.67andmedianof303.48 per inmate. States that administered 24-hour hospital mental health care to prisoners solely through the Department of Corrections (DOC) also tended to fund all types of mental health services solely through the DOC. However, in States where the Department of Mental Health (DMH) had primary administrative responsibility for 24-hour hospital mental health care, funding sources for all types of mental health services available to prison inmates were more likely to be mixed--i.e., funded through DOC as well as through DMH and other administrative entities. Master's-level mental health providers outnumbered doctoral-level professionals by more than two to one. At both of these educational levels, psychologists were numerically the largest category of provider, followed by social workers among master's-trained professionals, and followed by psychiatrists among those with doctorates. The single largest category was mental health workers with bachelor's-level training or less; this group accounted for about 44 percent of all mental health staff on State prison payrolls.
Journal of Gerontology, Mar 1, 1987
Community Mental Health Journal, 1983
PsycEXTRA Dataset, 1993
The demographic and diagnostic characteristics of inmates in State adult correctional facilities ... more The demographic and diagnostic characteristics of inmates in State adult correctional facilities who received 24-hour hospital mental health care, residential treatment care, and counseling/therapy in 1988 are reported by State and by type of administrative auspices under which the services are provided. Rates under treatment for 24-hour hospital mental health care were highest for the youngest (under 18) and oldest (65 and over) age groups, for females, and for whites. For counseling/therapy, rates were also highest for the youngest, for females, and for whites, but they declined with age. Rates in residential treatment were highest for the young and old and for whites, but about equal for males and females. Primary diagnoses of major psychoses predominated in 24-hour hospital mental health care. In residential treatment, a comparatively small proportion of the caseload had major psychotic disorders and a comparatively large proportion had substance abuse and mental retardation diagnoses. In counseling/therapy, personality disorders predominated. Individual State figures vary widely on these characteristics, both within and between service auspice types.
PubMed, Jul 1, 1993
State-by-State data concerning the sources of funding, expenditures, and staffing for mental heal... more State-by-State data concerning the sources of funding, expenditures, and staffing for mental health services in State correctional facilities are reported for 1988 from the first national survey of prison mental health services conducted by the Center for Mental Health Services. Among all States, the total annual funding per prison inmate for mental health services varied widely, ranging from 5.67to5.67 to 5.67to3,159.41 per inmate, with a mean of 469.67andmedianof469.67 and median of 469.67andmedianof303.48 per inmate. States that administered 24-hour hospital mental health care to prisoners solely through the Department of Corrections (DOC) also tended to fund all types of mental health services solely through the DOC. However, in States where the Department of Mental Health (DMH) had primary administrative responsibility for 24-hour hospital mental health care, funding sources for all types of mental health services available to prison inmates were more likely to be mixed--i.e., funded through DOC as well as through DMH and other administrative entities. Master's-level mental health providers outnumbered doctoral-level professionals by more than two to one. At both of these educational levels, psychologists were numerically the largest category of provider, followed by social workers among master's-trained professionals, and followed by psychiatrists among those with doctorates. The single largest category was mental health workers with bachelor's-level training or less; this group accounted for about 44 percent of all mental health staff on State prison payrolls.
Administration and Policy in Mental Health, Oct 21, 2005
Objectives. The objectives of this study are to (1) examine the characteristics of adults with a ... more Objectives. The objectives of this study are to (1) examine the characteristics of adults with a past year arrest by their mental illness and substance use status and (2) investigate the prevalence and correlates of arrests among adults with mental illness in the general U.S. population. Previous studies suggesting that the prevalence of arrest may be higher among individuals with mental illness have typically been conducted among persons in the criminal justice setting or among individuals receiving mental health treatment and may not be representative of all adults with mental illness. Also, little is known about the prevalence and correlates of arrest among adults with mental illness in the general U.S. population. Information on this link in the general population is critical for targeting programs to those most at risk for arrest. Methods. Data are from the 2008 and 2009 National Surveys on Drug Use and Health (NSDUHs). Past year arrest was defined as being arrested and booked ...
Psychiatric Services, 2015
Objective-The authors reported use of mental health services among children in the United States ... more Objective-The authors reported use of mental health services among children in the United States between ages six and 11 who were described by their parents as having emotional or behavioral difficulties (EBDs). Methods-Using data from the 2010-2012 National Health Interview Survey, the authors estimated the national percentage of children ages six to 11 with serious or minor EBDs (N=2,500) who received treatment for their difficulties, including only mental health services other than medication (psychosocial services), only medication, both psychosocial services and medication, and neither type of service. They calculated the percentage of children who received school-based and non-school-based psychosocial services in 2011-2012 and who had unmet need for psychosocial services in 2010-2012. Results-In 2010-2012, 5.8% of U.S. children ages six to 11 had serious EBDs and 17.3% had minor EBDs. Among children with EBDs, 17.8% were receiving both medication and psychosocial services, 28.8% psychosocial services only, 6.8% medication only, and 46.6% neither medication nor psychosocial services. Among children with EBDs in 2011-2012, 18.6% received school-based psychosocial services only, 11.4% non-school-based psychosocial services only, and 17.3% both school-and non-school-based psychosocial services. In 2010-2012, 8.2% of children with EBDs had unmet need for psychosocial services. Conclusions-School-age children with EBDs received a range of mental health services, but nearly half received neither medication nor psychosocial services. School-based providers played a role in delivering psychosocial services, but parents reported an unmet need for psychosocial services among some children. In 2013, the Centers for Disease Control and Prevention published a report highlighting the central influence of mental health on the well-being of young school-age children (1). Diagnosed mental disorders were shown to be among the most prevalent chronic health conditions of children between the ages of six and 11. According to parent reports, 8.4% of The authors report no financial relationships with commercial interests.
Journal of Gerontology, 1987
PsycEXTRA Dataset
The demographic and diagnostic characteristics of inmates in State adult correctional facilities ... more The demographic and diagnostic characteristics of inmates in State adult correctional facilities who received 24-hour hospital mental health care, residential treatment care, and counseling/therapy in 1988 are reported by State and by type of administrative auspices under which the services are provided. Rates under treatment for 24-hour hospital mental health care were highest for the youngest (under 18) and oldest (65 and over) age groups, for females, and for whites. For counseling/therapy, rates were also highest for the youngest, for females, and for whites, but they declined with age. Rates in residential treatment were highest for the young and old and for whites, but about equal for males and females. Primary diagnoses of major psychoses predominated in 24-hour hospital mental health care. In residential treatment, a comparatively small proportion of the caseload had major psychotic disorders and a comparatively large proportion had substance abuse and mental retardation diagnoses. In counseling/therapy, personality disorders predominated. Individual State figures vary widely on these characteristics, both within and between service auspice types.
PsycEXTRA Dataset
State-by-State data concerning the sources of funding, expenditures, and staffing for mental heal... more State-by-State data concerning the sources of funding, expenditures, and staffing for mental health services in State correctional facilities are reported for 1988 from the first national survey of prison mental health services conducted by the Center for Mental Health Services. Among all States, the total annual funding per prison inmate for mental health services varied widely, ranging from 5.67to5.67 to 5.67to3,159.41 per inmate, with a mean of 469.67andmedianof469.67 and median of 469.67andmedianof303.48 per inmate. States that administered 24-hour hospital mental health care to prisoners solely through the Department of Corrections (DOC) also tended to fund all types of mental health services solely through the DOC. However, in States where the Department of Mental Health (DMH) had primary administrative responsibility for 24-hour hospital mental health care, funding sources for all types of mental health services available to prison inmates were more likely to be mixed--i.e., funded through DOC as well as through DMH and other administrative entities. Master's-level mental health providers outnumbered doctoral-level professionals by more than two to one. At both of these educational levels, psychologists were numerically the largest category of provider, followed by social workers among master's-trained professionals, and followed by psychiatrists among those with doctorates. The single largest category was mental health workers with bachelor's-level training or less; this group accounted for about 44 percent of all mental health staff on State prison payrolls.
Psychiatric Services, 2004
This study examined trends in the availability and use of mental health services in state adult c... more This study examined trends in the availability and use of mental health services in state adult correctional facilities. Results from the 1988 Inventory of Mental Health Services in State Adult Correctional Facilities of the Center for Mental Health Services were compared with those from the 2000 Census of State and Federal Adult Correctional Facilities survey of the Bureau of Justice Statistics. The two surveys were chosen because they occurred more than a decade apart, had a reasonable amount of data, and could be made comparable. This analysis used data from 757 state adult correctional facilities that were sampled in 1988. The number of such facilities increased to 1,097 in 2000, a 44.9 percent increase. A dramatic increase was also seen in the prison population, from 505,712 in 1988 to 1,084,625 in 2000, a 114.5 percent increase. Mental health services were offered in significantly more facilities in 2000 than in 1988. However, the relative percentage of facilities that offered mental health services decreased overall. Simultaneously, the percentage of inmates who used these services increased overall. The growth in prison facilities and the growth in prisoner populations are outstripping the more meager growth in mental health services. These results suggest that mental health services are becoming less available to the prison population, and service populations are becoming more concentrated in the facilities that do offer such services.
International Journal of Geriatric Psychiatry, 1988
Ninety‐six per cent of mentally ill elderly persons who are not in the community reside in nursin... more Ninety‐six per cent of mentally ill elderly persons who are not in the community reside in nursing homes, yet the mental health care they receive here is minimal or unavailable. Data are presented from the 1984 pretest of the National Nursing Home Survey. Five hundred and twenty‐six patients in 112 nursing homes in four US metropolitan areas were sampled. Overall, the prevalence of mental disorder was found to be 68%; 39% of the patients had a diagnosis of organic brain syndrome (OBS) and 29% had other mental disorders (OMD). Only about one‐third (31%) of residents had no mental disorder. These three patient groups, those with OBS, those with OMD, and those with no mental disorder, were compared on demographic, clinical, and treatment characteristics. The authors conclude that the balance between the Federal and State roles in financing care for the mentally ill in nursing homes needs to result in a more equitable system of care which does not discriminate against the mentally ill. ...
Evaluation & the Health Professions, 1983
A comprehensive set of five needs assessment techniques designed to facilitate informed decisions... more A comprehensive set of five needs assessment techniques designed to facilitate informed decisions about mental health services planning at the state or local level are presented. These include: (1) estimating the size of the target population based on statistical extrapolationsftom prevalence rates or inferences from indirect indicators; (2) surveys of institution-based populations; (3) surveys of service providers; (4) client-targeted surveys; and (5) surveys of key informants. Each technique is discussed in terms of its unique design considerations, strengths and weaknesses, thephase 's association with its application, and estimated resource requirements. Mental health needs assessments can be conducted in a cost-effective manner, especially important in an era when rational decisions about the allocation of scarce resources are essential.
Community Mental Health Journal, 1983
Administration in Mental Health, 1983
The authors present a descriptive analysis of the chronically mentally ill. They include such cha... more The authors present a descriptive analysis of the chronically mentally ill. They include such characteristics as target population size, demographic and clinical characteristics, service availability and utilization, unmet service needs, and barriers that prevent the chronic ...
Administration and Policy in Mental Health and Mental Health Services Research, 2005
The authors report on a 2002 national survey of mental health mutual support groups (MSG) and sel... more The authors report on a 2002 national survey of mental health mutual support groups (MSG) and self-help organizations (SHO) run by and for mental health consumers and/or family members, and consumer-operated services (COS). They found 7467 of these groups and organizations-3315 MSGs, 3019 SHOs, and 1133 COSs-greatly eclipsing the number of traditional mental health organizations (4546). MSGs reported that 41,363 people attended their last meetings. SHOs reported a total of 1,005,400 members. COSs reported serving 534,551 clients/members in 1 year. The array of services and supports provided within each of these types (MSG, SHO, COS) is reported, and implications for the President's New Freedom Commission on Mental Health recommendations are explicated.
Psychiatric Services, Aug 1, 2004
This study examined trends in the availability and use of mental health services in state adult c... more This study examined trends in the availability and use of mental health services in state adult correctional facilities. Results from the 1988 Inventory of Mental Health Services in State Adult Correctional Facilities of the Center for Mental Health Services were compared with those from the 2000 Census of State and Federal Adult Correctional Facilities survey of the Bureau of Justice Statistics. The two surveys were chosen because they occurred more than a decade apart, had a reasonable amount of data, and could be made comparable. This analysis used data from 757 state adult correctional facilities that were sampled in 1988. The number of such facilities increased to 1,097 in 2000, a 44.9 percent increase. A dramatic increase was also seen in the prison population, from 505,712 in 1988 to 1,084,625 in 2000, a 114.5 percent increase. Mental health services were offered in significantly more facilities in 2000 than in 1988. However, the relative percentage of facilities that offered mental health services decreased overall. Simultaneously, the percentage of inmates who used these services increased overall. The growth in prison facilities and the growth in prisoner populations are outstripping the more meager growth in mental health services. These results suggest that mental health services are becoming less available to the prison population, and service populations are becoming more concentrated in the facilities that do offer such services.
PsycEXTRA Dataset, 1993
State-by-State data concerning the sources of funding, expenditures, and staffing for mental heal... more State-by-State data concerning the sources of funding, expenditures, and staffing for mental health services in State correctional facilities are reported for 1988 from the first national survey of prison mental health services conducted by the Center for Mental Health Services. Among all States, the total annual funding per prison inmate for mental health services varied widely, ranging from 5.67to5.67 to 5.67to3,159.41 per inmate, with a mean of 469.67andmedianof469.67 and median of 469.67andmedianof303.48 per inmate. States that administered 24-hour hospital mental health care to prisoners solely through the Department of Corrections (DOC) also tended to fund all types of mental health services solely through the DOC. However, in States where the Department of Mental Health (DMH) had primary administrative responsibility for 24-hour hospital mental health care, funding sources for all types of mental health services available to prison inmates were more likely to be mixed--i.e., funded through DOC as well as through DMH and other administrative entities. Master's-level mental health providers outnumbered doctoral-level professionals by more than two to one. At both of these educational levels, psychologists were numerically the largest category of provider, followed by social workers among master's-trained professionals, and followed by psychiatrists among those with doctorates. The single largest category was mental health workers with bachelor's-level training or less; this group accounted for about 44 percent of all mental health staff on State prison payrolls.
Journal of Gerontology, Mar 1, 1987
Community Mental Health Journal, 1983
PsycEXTRA Dataset, 1993
The demographic and diagnostic characteristics of inmates in State adult correctional facilities ... more The demographic and diagnostic characteristics of inmates in State adult correctional facilities who received 24-hour hospital mental health care, residential treatment care, and counseling/therapy in 1988 are reported by State and by type of administrative auspices under which the services are provided. Rates under treatment for 24-hour hospital mental health care were highest for the youngest (under 18) and oldest (65 and over) age groups, for females, and for whites. For counseling/therapy, rates were also highest for the youngest, for females, and for whites, but they declined with age. Rates in residential treatment were highest for the young and old and for whites, but about equal for males and females. Primary diagnoses of major psychoses predominated in 24-hour hospital mental health care. In residential treatment, a comparatively small proportion of the caseload had major psychotic disorders and a comparatively large proportion had substance abuse and mental retardation diagnoses. In counseling/therapy, personality disorders predominated. Individual State figures vary widely on these characteristics, both within and between service auspice types.
PubMed, Jul 1, 1993
State-by-State data concerning the sources of funding, expenditures, and staffing for mental heal... more State-by-State data concerning the sources of funding, expenditures, and staffing for mental health services in State correctional facilities are reported for 1988 from the first national survey of prison mental health services conducted by the Center for Mental Health Services. Among all States, the total annual funding per prison inmate for mental health services varied widely, ranging from 5.67to5.67 to 5.67to3,159.41 per inmate, with a mean of 469.67andmedianof469.67 and median of 469.67andmedianof303.48 per inmate. States that administered 24-hour hospital mental health care to prisoners solely through the Department of Corrections (DOC) also tended to fund all types of mental health services solely through the DOC. However, in States where the Department of Mental Health (DMH) had primary administrative responsibility for 24-hour hospital mental health care, funding sources for all types of mental health services available to prison inmates were more likely to be mixed--i.e., funded through DOC as well as through DMH and other administrative entities. Master's-level mental health providers outnumbered doctoral-level professionals by more than two to one. At both of these educational levels, psychologists were numerically the largest category of provider, followed by social workers among master's-trained professionals, and followed by psychiatrists among those with doctorates. The single largest category was mental health workers with bachelor's-level training or less; this group accounted for about 44 percent of all mental health staff on State prison payrolls.
Administration and Policy in Mental Health, Oct 21, 2005
Objectives. The objectives of this study are to (1) examine the characteristics of adults with a ... more Objectives. The objectives of this study are to (1) examine the characteristics of adults with a past year arrest by their mental illness and substance use status and (2) investigate the prevalence and correlates of arrests among adults with mental illness in the general U.S. population. Previous studies suggesting that the prevalence of arrest may be higher among individuals with mental illness have typically been conducted among persons in the criminal justice setting or among individuals receiving mental health treatment and may not be representative of all adults with mental illness. Also, little is known about the prevalence and correlates of arrest among adults with mental illness in the general U.S. population. Information on this link in the general population is critical for targeting programs to those most at risk for arrest. Methods. Data are from the 2008 and 2009 National Surveys on Drug Use and Health (NSDUHs). Past year arrest was defined as being arrested and booked ...
Psychiatric Services, 2015
Objective-The authors reported use of mental health services among children in the United States ... more Objective-The authors reported use of mental health services among children in the United States between ages six and 11 who were described by their parents as having emotional or behavioral difficulties (EBDs). Methods-Using data from the 2010-2012 National Health Interview Survey, the authors estimated the national percentage of children ages six to 11 with serious or minor EBDs (N=2,500) who received treatment for their difficulties, including only mental health services other than medication (psychosocial services), only medication, both psychosocial services and medication, and neither type of service. They calculated the percentage of children who received school-based and non-school-based psychosocial services in 2011-2012 and who had unmet need for psychosocial services in 2010-2012. Results-In 2010-2012, 5.8% of U.S. children ages six to 11 had serious EBDs and 17.3% had minor EBDs. Among children with EBDs, 17.8% were receiving both medication and psychosocial services, 28.8% psychosocial services only, 6.8% medication only, and 46.6% neither medication nor psychosocial services. Among children with EBDs in 2011-2012, 18.6% received school-based psychosocial services only, 11.4% non-school-based psychosocial services only, and 17.3% both school-and non-school-based psychosocial services. In 2010-2012, 8.2% of children with EBDs had unmet need for psychosocial services. Conclusions-School-age children with EBDs received a range of mental health services, but nearly half received neither medication nor psychosocial services. School-based providers played a role in delivering psychosocial services, but parents reported an unmet need for psychosocial services among some children. In 2013, the Centers for Disease Control and Prevention published a report highlighting the central influence of mental health on the well-being of young school-age children (1). Diagnosed mental disorders were shown to be among the most prevalent chronic health conditions of children between the ages of six and 11. According to parent reports, 8.4% of The authors report no financial relationships with commercial interests.
Journal of Gerontology, 1987
PsycEXTRA Dataset
The demographic and diagnostic characteristics of inmates in State adult correctional facilities ... more The demographic and diagnostic characteristics of inmates in State adult correctional facilities who received 24-hour hospital mental health care, residential treatment care, and counseling/therapy in 1988 are reported by State and by type of administrative auspices under which the services are provided. Rates under treatment for 24-hour hospital mental health care were highest for the youngest (under 18) and oldest (65 and over) age groups, for females, and for whites. For counseling/therapy, rates were also highest for the youngest, for females, and for whites, but they declined with age. Rates in residential treatment were highest for the young and old and for whites, but about equal for males and females. Primary diagnoses of major psychoses predominated in 24-hour hospital mental health care. In residential treatment, a comparatively small proportion of the caseload had major psychotic disorders and a comparatively large proportion had substance abuse and mental retardation diagnoses. In counseling/therapy, personality disorders predominated. Individual State figures vary widely on these characteristics, both within and between service auspice types.
PsycEXTRA Dataset
State-by-State data concerning the sources of funding, expenditures, and staffing for mental heal... more State-by-State data concerning the sources of funding, expenditures, and staffing for mental health services in State correctional facilities are reported for 1988 from the first national survey of prison mental health services conducted by the Center for Mental Health Services. Among all States, the total annual funding per prison inmate for mental health services varied widely, ranging from 5.67to5.67 to 5.67to3,159.41 per inmate, with a mean of 469.67andmedianof469.67 and median of 469.67andmedianof303.48 per inmate. States that administered 24-hour hospital mental health care to prisoners solely through the Department of Corrections (DOC) also tended to fund all types of mental health services solely through the DOC. However, in States where the Department of Mental Health (DMH) had primary administrative responsibility for 24-hour hospital mental health care, funding sources for all types of mental health services available to prison inmates were more likely to be mixed--i.e., funded through DOC as well as through DMH and other administrative entities. Master's-level mental health providers outnumbered doctoral-level professionals by more than two to one. At both of these educational levels, psychologists were numerically the largest category of provider, followed by social workers among master's-trained professionals, and followed by psychiatrists among those with doctorates. The single largest category was mental health workers with bachelor's-level training or less; this group accounted for about 44 percent of all mental health staff on State prison payrolls.
Psychiatric Services, 2004
This study examined trends in the availability and use of mental health services in state adult c... more This study examined trends in the availability and use of mental health services in state adult correctional facilities. Results from the 1988 Inventory of Mental Health Services in State Adult Correctional Facilities of the Center for Mental Health Services were compared with those from the 2000 Census of State and Federal Adult Correctional Facilities survey of the Bureau of Justice Statistics. The two surveys were chosen because they occurred more than a decade apart, had a reasonable amount of data, and could be made comparable. This analysis used data from 757 state adult correctional facilities that were sampled in 1988. The number of such facilities increased to 1,097 in 2000, a 44.9 percent increase. A dramatic increase was also seen in the prison population, from 505,712 in 1988 to 1,084,625 in 2000, a 114.5 percent increase. Mental health services were offered in significantly more facilities in 2000 than in 1988. However, the relative percentage of facilities that offered mental health services decreased overall. Simultaneously, the percentage of inmates who used these services increased overall. The growth in prison facilities and the growth in prisoner populations are outstripping the more meager growth in mental health services. These results suggest that mental health services are becoming less available to the prison population, and service populations are becoming more concentrated in the facilities that do offer such services.
International Journal of Geriatric Psychiatry, 1988
Ninety‐six per cent of mentally ill elderly persons who are not in the community reside in nursin... more Ninety‐six per cent of mentally ill elderly persons who are not in the community reside in nursing homes, yet the mental health care they receive here is minimal or unavailable. Data are presented from the 1984 pretest of the National Nursing Home Survey. Five hundred and twenty‐six patients in 112 nursing homes in four US metropolitan areas were sampled. Overall, the prevalence of mental disorder was found to be 68%; 39% of the patients had a diagnosis of organic brain syndrome (OBS) and 29% had other mental disorders (OMD). Only about one‐third (31%) of residents had no mental disorder. These three patient groups, those with OBS, those with OMD, and those with no mental disorder, were compared on demographic, clinical, and treatment characteristics. The authors conclude that the balance between the Federal and State roles in financing care for the mentally ill in nursing homes needs to result in a more equitable system of care which does not discriminate against the mentally ill. ...
Evaluation & the Health Professions, 1983
A comprehensive set of five needs assessment techniques designed to facilitate informed decisions... more A comprehensive set of five needs assessment techniques designed to facilitate informed decisions about mental health services planning at the state or local level are presented. These include: (1) estimating the size of the target population based on statistical extrapolationsftom prevalence rates or inferences from indirect indicators; (2) surveys of institution-based populations; (3) surveys of service providers; (4) client-targeted surveys; and (5) surveys of key informants. Each technique is discussed in terms of its unique design considerations, strengths and weaknesses, thephase 's association with its application, and estimated resource requirements. Mental health needs assessments can be conducted in a cost-effective manner, especially important in an era when rational decisions about the allocation of scarce resources are essential.
Community Mental Health Journal, 1983
Administration in Mental Health, 1983
The authors present a descriptive analysis of the chronically mentally ill. They include such cha... more The authors present a descriptive analysis of the chronically mentally ill. They include such characteristics as target population size, demographic and clinical characteristics, service availability and utilization, unmet service needs, and barriers that prevent the chronic ...
Administration and Policy in Mental Health and Mental Health Services Research, 2005
The authors report on a 2002 national survey of mental health mutual support groups (MSG) and sel... more The authors report on a 2002 national survey of mental health mutual support groups (MSG) and self-help organizations (SHO) run by and for mental health consumers and/or family members, and consumer-operated services (COS). They found 7467 of these groups and organizations-3315 MSGs, 3019 SHOs, and 1133 COSs-greatly eclipsing the number of traditional mental health organizations (4546). MSGs reported that 41,363 people attended their last meetings. SHOs reported a total of 1,005,400 members. COSs reported serving 534,551 clients/members in 1 year. The array of services and supports provided within each of these types (MSG, SHO, COS) is reported, and implications for the President's New Freedom Commission on Mental Health recommendations are explicated.