From March through June of 2007 the Sheps Center, with funding from the NC Foundation for Advanced Health Programs, Inc., developed an ICARE evaluation plan to assess the impact of the ICARE initiative that includes analyses of Medicaid claims, surveys of providers and patients, and implementation of the pilot projects.
This project was stimulated by the policy concerns that continue to be raised as to whether vulnerable populations, such as persons with SMI, are disadvantaged by the rapid transition to Medicaid managed care programs.
The overall goal of the evaluation was to conduct an experimental evaluation of system integration strategies at 18 sites: 9 receiving funding to develop ACT services plus system integration activites (experimental sites) and 9 to develop ACT services only (comparison sites).
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.
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.
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.
This innovation lab will use a variety of system dynamics modeling tools in partnership with community representatives to address the use of state psychiatric hospitals and alternative community-based services.