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Hidden cost of children's outpatient mental health services: Lessons from New York state

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Abstract

The cost of outpatient mental health services for children is described in terms of services provided and management practices, and contrasted with spending for adult services. Staff in children's clinics experience more difficulty in fee collection, must schedule more evening hours, require more training and supervision, and have more problems in maintaining caseload standards and clinical records. Administrative staff spend more time marketing services and maintaining a positive community image, and sometimes sacrifice efficiency in the interest of social responsibility.

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References

  • Baglow, J.L. (1990). A multidimensional model for the treatment of child abuse: A framework for cooperation.Child Abuse and Neglect, 14, 387–395.

    Google Scholar 

  • Berlin, I.N. (1990). The role of the community mental health center in prevention of infant, child and adolescent disorders: Retrospect and prospect.Community Mental Health Journal, 20, 89–105.

    Google Scholar 

  • Friesen, B.J., & Koroloff, N.M. (1990). Family-centered services: Implications for mental health administration and research.Journal of Mental Health Administration, 17, 13–25.

    Google Scholar 

  • Jerrell, J.M., & DiPasquale, S.A. (1984). Staffing patterns in rural health service for children and adolescents.Community Mental Health Journal, 20, 212–222.

    Google Scholar 

  • Kiesler, C.A., Simpkins, C., & Morton, T. (1989). The psychiatric inpatient treatment of children and youth in general hospitals.American Journal of Community Psychology, 17, 821–830.

    Google Scholar 

  • Kranz, P.L. (1990). Personal observations on working in a community mental health center concerning clinician management interaction.The Clinical Supervisor, 8, 131–138.

    Google Scholar 

  • Mayer, H., & Schamess, G. (1973). The importance of maintaining long-term treatment services for the economically deprived family.Psychosocial Process, 2, 128–143.

    Google Scholar 

  • Mordock, J.B. (1990). Funding children's mental health services in an underfunded climate: Collaborative efforts.Journal of Mental Health Administration, 17, 108–114.

    Google Scholar 

  • Munson, C.E. (1990). Editorial: Program considerations for inexperienced supervisors.The Clinical Supervisor, 8, 1–6.

    Google Scholar 

  • Pecora, P.J., & Conroyd, M.K. (1982). Child and mental health services. In M.J. Austin & W.E. Hershey (Eds.),Handbook on Mental Health Administration. (pp. 556–577). San Francisco: Jossey-Bass.

    Google Scholar 

  • Saxe, L., Cross, T., & Silverman, N. (1988). Children's mental health: The gap between what we know and what we do.American Psychologist, 43, 800–807.

    Google Scholar 

  • Saxe, L., Cross, T., Silverman, N., & Batchelor, W.F. (1987).Children's mental health: Problems and service. Durham, NC: Duke University Press.

    Google Scholar 

  • Stroul, B.A., (1988).Sertes on community-based services for children and adolescents who are severely emotionally disturbed: Volume I: Home-based services. Washington, DC: Georgetown University, Child Development Center, CASSP Technical Assistance Center.

    Google Scholar 

  • Turico, V.S., Low, B.P., Trupin, E. & Forsyth-Stephens, A. (1989). Children's mental health service: A parents perspective.Community Mental Health Journal, 25, 313–326.

    Google Scholar 

Download references

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Mordock, J.B. Hidden cost of children's outpatient mental health services: Lessons from New York state. Adm Policy Ment Health 20, 215–229 (1993). https://doi.org/10.1007/BF00709733

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