Public sector financing of community-based services for children with serious emotional disabilities and their families: results of a national survey.
This article presents the results of a survey of all state directors of mental health programs for children on the agreement with and use of financial policies and practices which promote home- and community-based mental health care for children and adolescents and their families. Whereas only five states reported the implementation of all the financial mechanisms feasible in their states, a majority of states reported the use of mechanisms such as federal funds, state resources and incentives, and flexible funds to encourage the development of community-based care. Results also indicated that states with a local form of government or local district or board that served as the local mental health authority tended to have more of the community-based financial practices in place than did states that contracted directly with providers at the local level.
Florida Mental Health Institute, University of South Florida, Tampa 33612.
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Kutash
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Rivera
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Hall
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Friedman
D000293:Adolescent; D016497:Adolescent Health Services / Q000191:economics* / Q000706:statistics & numerical data; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D002648:Child; D002653:Child Behavior Disorders / Q000191:economics; D002662:Child Health Services / Q000191:economics* / Q000706:statistics & numerical data; D003156:Community Mental Health Services / Q000191:economics* / Q000706:statistics & numerical data; D003625:Data Collection; D006699:Home Care Services / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D008483:Medical Assistance / Q000706:statistics & numerical data*; D011635:Public Health Administration; D014481:United States