Abstract
Three major factors suggest a healthy future for data-based decision making within mental health authorities:(1) the improved knowledge base related to the treatment and management of serious mental illness, (2) advances in data-processing technology and (3) conceptual advances in management information system design, most notably the National Institute of Mental Health (NIMH) Mental Health Statistics Improvement Package. This paper brifly outlines these three factors and goes on to examine information needed by state mental health authorities (SMHAs) to enhance decision making. The clientlevel data necessary for data-based policy decisions, while still scarce, are increasingly available and are increasingly finding homes within SMHA management information systems. As SMHAs improve their information systems to accommodate such data, they face substantial implementation challenges and substantial payoffs in terms of increased knowledge for decision making.
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Leginski, WA, Croze C, Driggers J et al.: Data Standards for Mental Health Decision Support Systems. Series FN, No. 10, DHHS Pub. No. (ADM) 89-1589, Rockville, MD: National Institute of Mental Health, 1989.
Bachrach L: An overview: model programs for the schizophrenic patient. In: Bachrach L (ed): Leona Bachrach Speaks: Selected Speeches and Lectures, San Francisco: Jossey-Bass, 1987, pp. 13–28.
Kiesler CA: Mental hospitals and alternative care: non-institutionalization as potential public policy for mental patients. American Psychologist 1982; 37:1323–1339.
National Association of State Mental Health Program Directors: Funding Sources and Expenditures of State Mental Health Agencies. Alexandria, VA., In press.
Mechanic D: The evolution of mental health services and mental health research. In: Taube CA, Mechanic D, Hohmann AA (eds): The Future of Mental health Services Research. DHHS Pub. No. (ADM) 89–1600, Rockville, MD: National Institute of Mental Health, 1989.
Harding CM, Zubin J, Strauss JS: Chronicity in schizophrenia: fact, partial fact or artifact? Hospital and Community Psychiatry 1987; 38:477–485.
Goldman H, Morrissey JP: The alchemy of mental health policy: homelessness and the fourth cycle of reform. American Journal of Public Health 1985; 727–731.
Turner JC, Ten Hoor WJ: The NIMH community support program: pilot approach to a needed reform. Schizophrenia Bulletin 1978; 4:319–349.
Anderson CM, Reiss DJ, Hogarty G: Schizophrenia and the Family. New York: Guilford Press, 1986
Stein LI, Test MA: Alternatives to mental hospital treatment. Archives of General Psychiatry 1980; 37:392–397.
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This report is an expansion of a talk given by the authors at a conference sponsored by the National Institute of Mental Health on Oct. 30, 1989, for recipients of grants to enhance the information-processing capabilities of state mental health authorities.
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Hogan, M.F., Essock, S.M. Data and decisions: Can mental health management be knowledge-based?. The Journal of Mental Health Administration 18, 12–20 (1991). https://doi.org/10.1007/BF02521129
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DOI: https://doi.org/10.1007/BF02521129