This project, funded by the National Institute on Drug Abuse, focuses on an important issue affecting the delivery of substance abuse services across the nation: the implementation of managed care funding mechanisms on the service relationships involving outpatient substance abuse services.
The goal of this study was to describe and assess the process by which integration spreads through a multi-sector service delivery network for adults with Serious Mental Illness (SMI).
In this pilot study funded by The University of North Carolina Research Council, Dr. Sleath is working with the Wake County Continuum-of-Care Collaborative (CCC) to learn more about the problems that homeless women encounter when trying to follow medications prescribed for themselves and their children.
With funding from the National Institute of Justice, administrative data from two large urban counties were examined to assess the extent to which Medicaid benefits lead to service receipt and the extent to which receipt of services serves as a deterrent to subsequent jail incarcerations in a one-year post-release interval for persons with severe mental illness.
The project focuses on elderly patients with rheumatoid arthritis who may have difficulty communicating their wants and opinions to their doctor.
Pilot project to identify area-level predictors of the prevalence of psychotropic medication use among North Carolina Medicaid enrollees ages 0-4
Psychotropic medications are part of the standard of care for many mental disorders, but their increasing use among preschool children has raised concern because of insufficient clinical guidelines and because of possible racial and economic disparities.
The project will involve recruiting a sample of 75 women at the Alamance county health department (25 Hispanic, 25 African American, and 25 white) at their second trimester visits (preferably the fifth month) and using the interviewer-administered version of the Beck Depression Inventory, the Edinburgh Postnatal Depression Scale, self esteem, hopefulness, positive well-being, and social support instruments.
This two year project will focus on one of the least studied aspects of delivering care to persons with a dual diagnosis of serious substance abuse and mental health disorders- the process of creating and maintaining service linkages.
A Randomized Clinical Trial Assessing the Cost-Effectiveness of Generalist Care Managers for the Treatment of Depression in Medicaid Recipients in Primary Care Settings
The goal is to assess the cost-effectiveness of generalist care managers vs. usual care in the treatment of depression in Medicaid patients seen in community-based primary health care practices.
This 4-year study, 2002-2006, funded by the National Institute of Mental Health, and carried out in conjunction with Division TEACCH at the University of North Carolina, seeks to develop a services research approach to understanding the structure, utilization, and expenditures for the care and treatment of autism.
This multidisciplinary program was funded by a seven-year (1993-00) research center grant from the National Institute of Mental Health
Detainees with behavioral health service needs present management and financial burdens to criminal justice systems, and are thought to suffer from poor clinical care, victimization by fellow inmates, and unjust treatment by social service systems.
The coordinating center managed a 9-site quasi-experimental cost-effectiveness study of integrated services for women with co-occurring mental health and substance abuse disorders and histories of violence.
One of the most comprehensive and continuously maintained state-level data systems available to track the supply and distribution of health professionals in the nation.
This project will: 1) develop an evidence-based protocol, toolkit, and training materials for improving oral hygiene care in nursing homes , with a focus on persons with dementia and physical disabilities whose care is difficult to provide; 2) conduct a pre-post trial of the mouth care program in three nursing homes in North Carolina, evaluating… Read more »