In this paper, we explore the unmet need for substance use disorder (SUD) treatment among youth, its consequences, and the opportunity to address this gap due to the expansion of behavioral health services to school-based settings under the Parity and Affordable Care Acts. We discuss the importance of using evidence-based approaches to assessment…

Given today's climate of economic uncertainty and fiscal restraint, organizations providing child and youth mental health services are required to do so with limited resources. Within this context, service providers face added pressure to deliver evidence-based programs and demonstrate program effectiveness. The Ontario Centre of Excellence for…

The Connecticut Department of Children and Families Title IV-E waiver demonstration evaluated whether the well-being of children approved for residential mental health services could be improved, and lengths of stay in restrictive placements reduced, by providing case rate payments to community agencies to provide continuum of care services.…

Comprehensive wellness programs, offered in hospitals, universities, and large and small businesses, generally involve a health assessment followed by intervention. This article describes assessment tools and procedures recommended for health enhancement programs. (MT)

Three evaluation methodologies used in studies of volunteer utilization are reviewed: model-program comparison, benefit-cost analysis; and qualitative program review. The importance of utilizing a comprehensive evaluation incorporating all three methodologies is discussed using an ongoing community mental health center volunteer program as an…

An overview of the theoretical concepts of capitation, a method of paying a provider a fixed price per person served, is presented in conjunction with practical lessons from the literature documenting capitation efforts in public mental health. An analytic framework identifies five major planning concerns in capitation. (SLD)

Many higher education institutions today are struggling with the costs of their retiree health plans. The answer to controlling these costs may come in the form of a defined contribution retiree health plan for both current and future retirees. This article examines how such a plan can maximize availability of Medicare Part D prescription…

This report represents the second North Carolina Family Impact Seminar in a series designed to connect research and state policymaking. Family Impact Seminars analyze the impact an issue, policy, or program may have on families. This Family Impact Seminar briefing report discusses strategies for providing high quality and cost-effective children's…

Takes issue with the preceding article on the National Preventive Dentistry Demonstration Program. Argues that while the program's report has made a useful contribution to public health planning, its results are not valid as a reference for cost or effectiveness data for school-based dental health programs. (KH)

The author discusses the relationship between education and health care costs. He examines the causes for increased costs, health promotion, cost effectiveness, the personal health passport, and nutrition programs. (CT)

A methodology was developed for conducting a benefit-cost analysis of an innovative supported employment intervention for the psychiatrically disabled. Results indicated that the program, which targeted 19 participants, approached cost efficiency of almost .90 of benefits to costs. The value of the methodology for program evaluation is discussed.…

This document describes the TEACH (Train the Elderly And their Caregivers at Home) project, a demonstration project developed by Florida's District 12 Veterans Administration and the Florida Department of Health and Rehabilitative Services to reduce Medicaid nursing home expenditures by delaying or avoiding nursing home placement and to provide…

A methodology is presented for collection of cost data in evaluation of community-level health interventions that coincides with the intervention implementation. The seven discrete steps of the analysis are described, and the Minimal Contact Education for Cholesterol Change study is used as an example of how the strategy is used. (SLD)

The debate about cost as it pertains to medical technology misses the mark by not pressing on the central problem of increased prevalence of chronic illness. Far from cost containment, what are needed are additional services which may in the end reduce total costs. (Author/MJL)

Presents an introduction to current equivalence methodology, a preferred alternative to usual power analyses when one wishes to determine if performances on given outcome measures for different samples are equivalent (could have come from the same population). Examples of the approach are presented. (SLD)