Top

Administration and Policy in Mental Health and Mental Health Services Research

Published in:

01-05-2014 | Original Article

Evaluating the Impact of California’s Full Service Partnership Program Using a Multidimensional Measure of Outcomes

Authors: Timothy Tyler Brown, Juliette S. Hong, Richard M. Scheffler

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 3/2014

Abstract

This study evaluates the impact of California’s full-service partnership (FSP) program using a multidimensional measure of outcomes. The FSP program is a key part of California’s 2005 Mental Health Services Act. Secondary data were collected from the Consumer Perception Survey, the Client and Service Information System, and the Data Collection and Reporting System, all data systems which are maintained by the California Department of Mental Health. The analytic sample contained 39,681 observations of which 588 were FSP participants (seven repeated cross-sections from May 2005 to May 2008). We performed instrumental variables (IV) limited information maximum likelihood and IV Tobit analyses. The marginal monthly improvement in outcomes of services for FSP participants was approximately 3.5 % higher than those receiving usual care with the outcomes of the average individual in the program improving by 33.4 %. This shows that the FSP program is causally effective in improving outcomes among the seriously mentally ill.

Available only for authorised users

Angrist, J., & Pischke, J. (2009). Mostly harmless econometrics: An empiricist’s companion. Princeton (NJ): Princeton University Press.

Baum, C., Schaffer, M., & Stillman, S. (2007). ivreg2: Stata module for extended instrumental variables/2SLS, GMM and AC/HAC, LIML and k-class regression. Retrieved 2 May 2012, from http://ideas.repec.org/c/boc/bocode/s425401.html.

Bianconi, J., Mahler, J., & McFarland, B. (2006). Outcomes for rural Medicaid clients with severe mental illness in fee for service versus managed care. Administration and Policy in Mental Health and Mental Health Services Research, 33, 411–422.PubMedCrossRef

Brown, T., Choi, S., Chung, J., Felton, M., & Scheffler, R. (2010). A comparison of satisfaction, services characteristics and outcomes in the full-service partnership programs relative to usual care. Nicholas C. Petris Center on Health Care Markets and Consumer Welfare. Petris Report #2010-1. Retrieved 18 Jan 2013, from http://www.dmh.ca.gov/prop_63/MHSA/Publications/docs/1_Petris%20Center_FSP_v_nonFSP_Final.pdf.

Brown, T., Chung, J., Choi, S., Scheffler, R., & Adams, N. (2012). The impact of California’s full-service partnership program on Mental Health-Related Emergency Department visits. Psychiatric Services, 63, 802–807.PubMedCrossRef

California Code of Regulations. (2010). Title 9, Rehabilitative and development services (chap 14). Division 1, Department of Mental Health, Mental Health Services Act Section, Section § 3620.05.

California Department of Mental Health. (2008). Performance outcomes data collection & submission training manual. Retrieved 2 May 2012, from http://www.dmh.ca.gov/POQI/docs/Performance_Outcomes_Manual_FINAL.pdf.

California Department of Mental Health. (2009). Performance outcomes and quality improvement (POQI): Consumer Perception Surveys. Retrieved 2 May 2012, from http://www.dmh.ca.gov/POQI/Consumer_Perception_Surveys.asp.

California Department of Mental Health. (2011). Performance outcomes system documents. Retrieved 2 May 2012, from http://www.dmh.ca.gov/POQI/Documents.asp.

Cameron, A. C., & Trivedi, P. K. (2009). Microeconometrics using stata. College Station (TX): State Press.

Castrogiovanni, P., Ipachino, S., Pacchierotti, C., & Pieraccini, F. (1998). Season of birth in psychiatry: A review. Neuropsychobiology, 37, 175–181.PubMedCrossRef

Christensen, R., & Grace, G. (1999). The prevalence of low literacy in an indigent psychiatric population. Psychiatric Services, 50, 262–263.PubMed

Eisen, S., Shaul, J., Leff, H., Stringfellow, V., Clarridge, B., & Cleary, P. (2001). Toward a National Consumer Survey: Evaluation of the CABHS and MHSIP instruments. Journal of Behavioral Health Services and Research, 28, 347–369.PubMedCrossRef

Felton, M., Cashin, C., & Brown, T. (2010). What does it take? California county funding requests for recovery-oriented full-service partnerships under the Mental Health Services Act. Community Mental Health Journal, 46, 441–451.PubMedCentralPubMedCrossRef

Gilmer, T., Stefancic, A., Ettner, S., Manning, W., & Tsemberri, S. (2010). Effect of full-service partnerships on homelessness, use and costs of mental health services, and quality of life among adults with serious mental illness. Archives of General Psychiatry, 67, 645–665.PubMedCrossRef

Grace, G., & Christensen, R. (1998). Literacy and mental health care. Psychiatric Services, 49, 7.PubMed

Hayashi, F. (2000). Econometrics. Princeton (NJ): Princeton University Press.

Leff, H., Wieman, D., McFarland, B., Morrissey, J., Rothbard, A., Shern, D., et al. (2005). Assessment of Medicaid managed behavioral health care for persons with serious mental illness. Psychiatric Services, 56, 1245.PubMedCrossRef

Lincoln, A., Espejo, D., Johnson, P., Paasche-Orlow, M., Speckman, J., Webber, T., et al. (2008). Limited literacy and psychiatric disorders among users of an urban safety-net hospital’s mental health outpatient clinic. Journal of Nervous and Mental Disease, 196, 687–693.PubMedCrossRef

Lincoln, A., Paasche-Orlow, M., Cheng, D., Lloyd-Travaglini, C., Caruso, C., Saitz, R., et al. (2006). Impact of health literacy on depressive symptoms and mental health-related quality of life among adults with addiction. Journal of General Internal Medicine, 21, 818–822.PubMedCentralPubMedCrossRef

Mental health statistics improvement program. (2011). Retrieved 2 May 2012, from http://www.mhsip.org/.

Miller, L., Brown, T., Pilon, D., Scheffer, R., & Davis, M. (2010). Patterns of recovery from severe mental illness: A pilot study of outcomes. Community Mental Health Journal, 46, 177–187.PubMedCentralPubMedCrossRef

Stock, J., & Yogo, M. (2005). Testing for weak instruments in linear IV regression. In D. W. K. Andrews & J. H. Stock (Eds.), Identification and inference for econometric models: A Festschrift in Honor of Thomas J. Rothenberg (pp. 80–108). Cambridge: Cambridge University Press.

UCLA Center for Healthier Children, Youth, and Families. (2012). Full-service partnerships: California’s investment to support children and transition-age youth with serious emotional disturbance and adults and older adults with severe mental illness. Retrieved 17 Jan 2013, from http://mhsoac.ca.gov/Meetings/docs/Meetings/2012/Nov/OAC_111512_Tab4_MHSA_CostOffset_Report_FSP.pdf.

Wooldridge, J. (2002). Econometric analysis of cross section and panel data. Cambridge (MA): The MIT Press.

Wooldridge, J. (2006). Introductory econometrics (3rd ed.). Mason, USA: Thomson/South-Western.

Yoon, J., Bruckner, T., & Brown, T. (2013). Client characteristics that influence recovery in California’s comprehensive community mental health programs. American Journal of Public Health. doi:10.2105/AJPH.2013.301233.

Title: Evaluating the Impact of California’s Full Service Partnership Program Using a Multidimensional Measure of Outcomes
Authors: Timothy Tyler Brown
Juliette S. Hong
Richard M. Scheffler
Publication date: 01-05-2014
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 3/2014
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-013-0476-6

At a glance: The STEP trials

Springer Medicine

Evaluating the Impact of California’s Full Service Partnership Program Using a Multidimensional Measure of Outcomes

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2014

Measuring Perceived Rehabilitation Needs of Caregivers of People with Schizophrenia in Mainland China

Erratum to: Trauma-Focused Treatment in a State System of Care: Is It Worth the Cost?

Attrition from Therapy Effectiveness Research Among Youth in a Clinical Service Setting

Parental Etiological Explanations and Longitudinal Medication Use for Youths with Attention Deficit Hyperactivity Disorder

Racial/Ethnic Disparities in Children’s Emergency Mental Health After Economic Downturns

Practitioners’ Views and Use of Evidence-based Treatment: Positive Attitudes but Missed Opportunities in Children’s Services