TY - JOUR
KW - Cohort Studies
KW - Community Mental Health Services/standards
KW - Continuity of Patient Care/standards
KW - Delivery of Health Care, Integrated/standards
KW - Employment
KW - Female
KW - Humans
KW - Male
KW - Mental Disorders/therapy
KW - Middle Aged
KW - Organizational Case Studies
KW - Outcome and Process Assessment (Health Care)
KW - Program Evaluation
AU - C. Zubritsky
AU - A. B. Rothbard
AU - S. Dettwyler
AU - S. Kramer
AU - S. Chhatre
A1 - 
AB - OBJECTIVE: To evaluate effectiveness of an "Continuum of Care Program" (CCCP) for persons with serious mental health conditions in reducing inpatient use, and building a continuum of integrated care that enhanced employment and residential stability. The program combined components of Assertive Community Treatment with a comprehensive wrap-around program. METHODS: A cohort of 1154 individuals admitted to four outpatient CCCPs between December 2003 and May 31 2004 was identified and followed for 1 year. Outcome measures included clinical functioning level, drug/alcohol use, employment, residential arrangement and inpatient use. Regression was employed to explain changes in outcomes between baseline and follow-up as a function of services. RESULTS: Statistically significant changes were seen over a 1-year period in all outcomes. Housing, employment and mental health improved, whereas inpatient utilization and level of care need increased. Older individuals receiving higher levels of care at baseline and those with higher case management and medical service utilization reported higher inpatient use. Outcomes also varied by provider suggesting the contribution of workforce differences to outcomes. CONCLUSIONS: Although significant, changes in outcomes were small. Outcome effectiveness was mixed and generally unrelated to services. These findings imply that significant changes in outcomes may require several years to obtain.
BT - Journal of mental health (Abingdon, England)
C5 - General Literature
CP - 1
CY - England
DO - 10.3109/09638237.2012.670882
IS - 1
JF - Journal of mental health (Abingdon, England)
N2 - OBJECTIVE: To evaluate effectiveness of an "Continuum of Care Program" (CCCP) for persons with serious mental health conditions in reducing inpatient use, and building a continuum of integrated care that enhanced employment and residential stability. The program combined components of Assertive Community Treatment with a comprehensive wrap-around program. METHODS: A cohort of 1154 individuals admitted to four outpatient CCCPs between December 2003 and May 31 2004 was identified and followed for 1 year. Outcome measures included clinical functioning level, drug/alcohol use, employment, residential arrangement and inpatient use. Regression was employed to explain changes in outcomes between baseline and follow-up as a function of services. RESULTS: Statistically significant changes were seen over a 1-year period in all outcomes. Housing, employment and mental health improved, whereas inpatient utilization and level of care need increased. Older individuals receiving higher levels of care at baseline and those with higher case management and medical service utilization reported higher inpatient use. Outcomes also varied by provider suggesting the contribution of workforce differences to outcomes. CONCLUSIONS: Although significant, changes in outcomes were small. Outcome effectiveness was mixed and generally unrelated to services. These findings imply that significant changes in outcomes may require several years to obtain.
PP - England
PY - 2013
SN - 1360-0567; 0963-8237
SP - 12
EP - 21
EP - 
T1 - Evaluating the effectiveness of an integrated community continuum of care program for individuals with serious mental illness
T2 - Journal of mental health (Abingdon, England)
TI - Evaluating the effectiveness of an integrated community continuum of care program for individuals with serious mental illness
U1 - General Literature
U2 - 22548455
U3 - 10.3109/09638237.2012.670882
VL - 22
VO - 1360-0567; 0963-8237
Y1 - 2013
ER -