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Barriers to individualized community support services: The impact of some current funding and conceptual models

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Abstract

Methods now used to fund and monitor community support services for long term mentally ill persons work at cross purposes to the goals they are to promote. Commonly, community supports are offered through a limited number of programs selected by systems managers. Often these programs have a primary goal of providing treatment or helping consumers achieve some higher purpose with only a secondary focus on the consumer obtaining wanted goods and services needed to develop and sustain an individualized community support network. Consumer directed vouchers offer a preferred alternative to these approaches.

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References

  • Bertsch, E.F. (1991).Consumer directed funding of services through a voucher system in Nassau County, NY. Unpublished manuscript.

  • Grob, G.N. (1983). Historical origins of deinstitutionalization. In L.L. Bachrach (Ed.),Deinstitutionalization, (pp. 15–29). New directions for mental health services, Number 17. San Francisco: Jossey-Bass.

    Google Scholar 

  • Grosser, R.C., Mort, K.R. (1988)Prevalence of mental illness among adults in New York State, Albany, NY: New York State Office of Mental Health.

    Google Scholar 

  • Hadley, T.R., Schinnar, A.P., Rothbard A.B., Kinosian, M.S. (1988).Capitation of mental health services for the chronically mentally ill (Wharton PMW Report No. 8801) Philadelphia: University of Pennsylvania, The Warton School.

    Google Scholar 

  • Hogan, M. (1989). An integrated analysis of the three systems.In D. Mauch & E. Morrison (Eds.),Refining vision and promoting action: Identifying affirmative approaches to sound mental health systems(pp. 10–13). Rhode Island Department of Mental Health Retardation and Hospitals Cranston, RI.

    Google Scholar 

  • Johnson, A.B. (1990).Out of bedlam: The truth about deinstitutionalization. New York: Basic Books.

    Google Scholar 

  • Martin, M. A. (1990, October). The homeless mentally ill and community-based care: Changing a mindset.Community Mental Health Journal, 26, 435–447.

    Google Scholar 

  • McCullough, L.B. (1990, September 23).New York Times Magazine, [Letter to the editor], p. 16.

  • McLaughlin, M., & Pepper, B. (1990).The young and the restless: Programming for the crisisridden young adult patient. In N.L. Cohen (Ed.),Psychiatry takes to the streets (pp. 137–155). New York: Guilford Press.

    Google Scholar 

  • National Institute of Mental Health (1987).Toward a model plan for a comprehensive, community based mental health system. Rockville, MD: Division of Education and Service System Liaison.

    Google Scholar 

  • New York State Office of Mental Health. (1988).Statewide comprehensive plan for mental health services 1989–1991. Albany, NY.

  • New York State Office of Mental Health. (1990).Community residential monthly statistical report. Albany, NY.

  • Stroul, B.A. (1989).Models of community support services: Approaches to helping persons with longterm mental illness. Boston: Boston University, Center for Psychiatric Rehabilitation.

    Google Scholar 

  • Stroul, B.A. (1989).Community support program: Past accomplishments future directions. Rockville, MD National Institute of Mental Health, Community Support Program.

    Google Scholar 

  • Stein, L.I., & Diamond, R.J. (1985). A program for difficult-to-treat patients. In L.I. Stein & M.A. Test (Eds.),The training in community living model: A decade of experience (pp. 29–38). New Directions for Mental Health Services, Number 26, San Francisco: Jossey-Bass.

    Google Scholar 

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Bertsch, E.F. Barriers to individualized community support services: The impact of some current funding and conceptual models. Community Ment Health J 27, 337–345 (1991). https://doi.org/10.1007/BF00752384

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