Skip to main content

Advertisement

Springer Nature Link
Log in

State mental health policy: Effect on outcomes for priority populations

  • Articles
  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

This study uses service and policy information derived from the National Association of State Mental Health Program Directors Research Institute'sState Mental Health Authority Profiling System and from data on 1990 mental health services collected through theInventory of Mental Health Organizations. The aim of this study was to examine the relationship of policies identifying children with severe emotional disturbance (SED) and elderly mentally ill as priority populations with actual utilization. Two outcome variables were used: (1) the proportion of children with SED or elderly clients in the total service population (service utilization), and (2) the proportion of treated individuals with mental illness in the state population (relative access). Initial analyses suggest a need for improving the systematic reporting of identified priority populations and provide planning implications for state and federal officials.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Aday, L.A., & Andersen, R. (1974). A framework for the study of access to medical care.Health Services Research, 9, 208–220.

    PubMed  Google Scholar 

  • Adlakha, A., Hogan, H., & Robinson, J.G. (1991). A report on the internal consistency of the post-enumeration survey estimates. Unpublished manuscript, U.S. Bureau of the Census.

  • Brandenburg, N.A., Friedman, R.M., & Silver, S.E. (1990). Epidemiology of childhood psychiatric disorders: Prevalence findings from recent studies.Journal of the American Academy of Child and Adolescent Psychiatry, 29, 76–83.

    PubMed  Google Scholar 

  • Burns, B.J. (1991). Mental health service use by adolescents in the 1970s and 1980s.Journal of the American Academy of Child and Adolescent Psychiatry, 30, 114–150.

    Google Scholar 

  • Callahan, D. (1994). Setting mental health priorities: Problems and possibilities.The Milbank Quarterly, 72, 451–470.

    PubMed  Google Scholar 

  • Costello, E.J., Burns, B.J., Angold, A., & Leaf, P. (1993). How can epidemiology improve mental health services for children and adolescents?Journal of the American Academy of Child and Adolescent Psychiatry, 32, 1106–1113.

    PubMed  Google Scholar 

  • Department of Health and Human Services, Public Health Services, ADAMHA, NIMH. (1990).Fiscal year 1990 report to congress on activities under P.L. 99-660, Title V: State Comprehensive Mental Health Services Plan Act of 1986. Washington, DC: U.S. Government Printing office.

    Google Scholar 

  • English, A., Shang, W., Schleifer, R., & Sellstrom, O. (1993).Early & Periodic Screening Diagnosis & Treatment (EPSDT) Program: Summary of litigation. San Francisco: National Center for Youth Law.

    Google Scholar 

  • Fay, R., Passel, J.S., & Robinson, J.G. (1988). The coverage of population in the 1980 Census.Evaluation and Research Reports, PHC80-E4.

  • Fein, D. (1990). Racial and ethnic differences in U.S. Census omission rates.Demography, 27, 285–301.

    PubMed  Google Scholar 

  • Fergusson, D.M., Horwood, L.J., & Lynskey, M.T. (1993). Prevalence and comorbidity of DSM-III-R diagnoses in a birth cohort of 15-year-olds.Journal of the American Academy of Child and Adolescent Psychiatry, 32, 1127–1134.

    PubMed  Google Scholar 

  • German, P.S., Shapiro, S., & Skinner, E.A. (1985). Mental health of the elderly: Use of health and mental health services.Journal of the American Geriatrics Society, 33, 246–252.

    PubMed  Google Scholar 

  • Manderscheid, R.W. (1991). (Chief, Survey and Reports Branch, National Institute of Mental Health) Personal Communication with Dr. Dennis Culhane, March 1991.

  • National Association of State Mental Health Program Directors (NASMHPD) Research Institute, Inc. (1992).State Mental Health Agency Profiling System. Alexandria, VA: Author.

    Google Scholar 

  • National Institute of Mental Health. (1991).The 1990 inventory of mental health organizations. Rockville, MD: Author.

    Google Scholar 

  • Robins, L.N., Locke, B.Z., & Regier, D.A. (1991). An overview of psychiatric disorders in America. In L.M. Robins & D.A. Regier (Eds.),Psychiatric disorders in America — The epidemiologic catchment area study. New York, NY: The Free Press.

    Google Scholar 

  • Robinson, J.G., Ahmed, B., Das Gupta, P., & Woodrow, K.A. (1991). Estimation of population coverage in the 1990 United States Census based on demographic analysis.Journal of the American Statistical Association, 88, 1061–1071.

    Google Scholar 

  • Robinson, J.G., Ahmed, B., & Fernandez, E.W. (1993).Demographic analysis as an expanded program for early coverage evaluation of the 2000 census. Paper presented at the 1993 Annual Research Conference, March 21–24, Arlington, VA.

  • Silver, S.E., Duchnowski, A.J., Kutash, K., Friedman, R.M., Eisen, M., Prange, M.E., Grandenburg, N.A., & Greenbaum, P.E. (1992). A comparison of children with serious emotional disturbance served in residential and school settings.Journal of Child and Family Studies, 1(1), 43–59.

    Article  Google Scholar 

  • Smith, K.G. (1992).Profiling system: Profile/HARRI Software. University of Pennsylvania, Section on Public Psychiatry and Mental Health Services Research. Unpublished proposal.

Download references

Author information

Author notes

  1. Suzanne Markel-Fox Ph.D., NCSP

    Present address: State of Delaware, Department of Services for Children, Youth and Their Families, 1825 Faulkland Road, 19805, Wilmington, DE

  2. Paul G. Stiles J.D., Ph.D.

    Present address: Department of Mental Health Law and Policy, Florida Mental Health Institute, Tampa, FL

Authors and Affiliations

  1. University of Pennsylvania Center for Mental Health Policy and Services Research, USA

    Suzanne Markel-Fox Ph.D., NCSP

  2. University of Pennsylvania Center for Mental Health Policy and Services Research, USA

    Paul G. Stiles J.D., Ph.D.

Authors
  1. Suzanne Markel-Fox Ph.D., NCSP
    View author publications

    You can also search for this author inPubMed Google Scholar

  2. Paul G. Stiles J.D., Ph.D.
    View author publications

    You can also search for this author inPubMed Google Scholar

Additional information

The authors are grateful to the NASMHPD Research Institute, Inc., for making the SMHA Profiles available; and to J. Gregg Robinson of the U.S. Bureau of the Census, H. Samuel Wieand of the Mayo Clinic, and Lloyd Edwards of the University of North Carolina at Chapel Hill, for their helpful comments.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Markel-Fox, S., Stiles, P.G. State mental health policy: Effect on outcomes for priority populations. Adm Policy Ment Health 24, 25–38 (1996). https://doi.org/10.1007/BF02106481

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02106481

Keywords