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Consumer evaluation of mental health and substance abuse providers - sharing experiences on the web
Feb 14

Written by: Matthew Hile
2/14/2008 7:42 AM

From NRI's State Mental Health Agency Services Research, Program Evaluation and Policy in DC, Grading the States: Assessing State Mental Health Systems, Michael Fitzpatrick & Laudan Aron (NAMI) www.nami.ogg/grades

NAMHI ad ranked states previously but decided grades would be fairer to the states. They also offered suggestions of ways to move from a lower to a higher grade in each area. The report is aligned it with the President's New Freedom Commission recommendations and the transformational language it embodies. Will be doing this biannually with hopes of doing it annually.

In the 2006 report the national average D

Positive trends

  • Increase focus on evidence based services
  • more consumer/family involvement
  • increased linkages to other departments and partners
  • 'pockets of innovation in virtually every state, even those receiving an "F"'

Negative trends

  • Budget cuts or flat funding
  • Medicaid changes (e.g., eligibility, cost-sharing)
  • Shortage of inpatient beds
  • Cost shifting to other systems
  • Long waiting lists for community services

They are now working on the 2008 survey trying to refine the methodology and gather information from additional systematic databases. The presenters took a lot of feedback and welcomed more. So if you have suggestions about how to improve their methodology shoot them an email.

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