Background: In school year (SY) 2014-2015, 128 schools in 24 districts and 14 states were randomly assigned to receive either onsite or online support to implement a school-based wellness program. The objective of this study was to assess the cost-effectiveness (CE) of the 2 models of implementation support: onsite and online. Methods: We adapted…

Using a sample of graduate students at the Yale Health Plan, this paper reports on the costs and the medical findings of providing annual physical examinations in university health delivery systems. The role of alternative forms of health education are discussed, as well as recommendations for the continued efficacy of the annual physical…

In this component of the evaluation, the Circles of Care grantees assessed the feasibility of their model systems of care. The goal of the Feasibility Assessment was to assure that each model system of care was well designed with careful consideration of project goals, community resources and readiness, cultural competence and measurable outcomes.

Florida's District 12 Veterans Administration (VA) wanted to deliver medical case-management services to veterans not receiving home-based services due to the geographic restrictions of the VA's Hospital-Based Home Care Program. The Florida Department of Health and Rehabilitative Services (HRS) desired to demonstrate the effectiveness of nurse…

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…

The mental health care delivery system is undergoing a metamorphosis of unprecedented proportion as managed care covers more and more patients. This dramatic change has its critics (many mental health professionals) and its enthusiastics (the managed behavioral health care companies). Some of these issues are presented in this paper. There is…

The delivery of services in a health maintenance organization (HMO) provides many opportunities for innovation. There is a growing awareness that many outpatient medical visits are related to psychological or social needs. Because of the economic incentive for HMO's to reduce inappropriate utilization, psychologists and psychotherapists will play…

Based on a study of the component parts of the mental health continuing education system, this publication presents guidelines for the following fiscal functions: determining funding needs, obtaining funds, budgeting funds, expending funds, and cost accounting. In addition to considering these components, the guidelines explore principal issues in…

To assist mental health agency leaders and others concerned with state mental health manpower development, these guidelines (presented in ten sections) explore various issues and approaches and indications for using one approach over another. The first three sections focus on designing and conducting manpower studies, making long range projections…