RESUMO
This column describes a partnership between the Maryland Mental Hygiene Administration (MHA) and the Division of Psychiatric Services Research, Department of Psychiatry, University of Maryland School of Medicine, that has implemented several evidence-based and emerging practices, such as supported employment, family psychoeducation, assertive community treatment, treatment for co-occurring mental and substance use disorders, and services for transition-age youths. The public-academic partnership has also created a separate center that employs a variety of approaches and tools to evaluate implementation fidelity and the quality and outcomes of services. These data are used by the legislature and by the governor and his executive staff to develop new policies and improvement strategies and monitor priority initiatives.
Assuntos
Centros Médicos Acadêmicos , Serviços Comunitários de Saúde Mental , Comportamento Cooperativo , Política de Saúde , Transtornos Mentais/reabilitação , Associações de Ajuda a Doentes Mentais , Formulação de Políticas , Readaptação ao Emprego , Prática Clínica Baseada em Evidências , Humanos , Maryland , Desenvolvimento de Programas , Melhoria de Qualidade , Qualidade da Assistência à Saúde , Reabilitação VocacionalRESUMO
The purpose of this study was to determine whether individuals with serious mental illness could consistently report their use of medical services. Twenty-nine individuals with schizophrenia completed a test-retest protocol using a modified version of the Medical Expenditure Panel Survey; there was a one-week interval between the two administrations of the instrument. Consistency of reporting was generally strong and was strongest for items indicating whether a service had been used in the past six months, which suggests that people with schizophrenia can provide reliable information about their use of health services. Continued research in this area will increase understanding of the types and quality of medical care received by persons with schizophrenia.
