JOSEPH P contact MORRISSEY

..Looking forward, a number of methodological, structural, and communication barriers must be overcome to create useful computational models of multilevel cancer interventions and population health...

..Incorporation of trauma-specific element in the treatment of mental health and substance abuse may have been successfully implemented at the service level thereby better serve women with complex behavioral health histories...

..We designed a pilot program to demonstrate the feasibility of training/deploying GCMs into primary care settings...

..This study assessed the extent to which Medicaid enrollment increased access to and use of services by persons with severe mental illness after their release from jail...

..The extent to which persons with severe mental illness lost their Medicaid benefits while detained was determined...

..We conclude with several suggestions for how the clinical model of FACT needs to be expanded to incorporate interventions aimed at reducing criminal behavior and recidivism...

..The goal of the Women, Co-occurring Disorders, and Violence Study was to develop and test the effectiveness of new service approaches specifically designed for these women...

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..These results encourage further research to identify the longer-term effects of integrated counseling for women with co-occurring disorders and trauma histories...

..The goal of this study was to develop the best current estimates of need for mental health professionals in the United States for workforce planning and to highlight major data gaps...

..CONCLUSIONS: Managed care led to indirect cost-shifting, probably through poor access to services, which may have led to an increased probability of jail detention...

..Service delivery to persons with severe mental illness in rural areas is challenged by low population densities, limited services, and shortages of professionals...

..05% of their adult populations. Developing standardized eligibility criteria for FACT is an important first step toward developing its evidence base...

..This investigation compared trends in behavioral health services provided by community health centers nationwide during the first several years of that initiative with immediately prior trends...

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..The findings for the 24 month period followed the same pattern. These findings provide additional support for the idea that providing appropriate behavioral health services can reduce criminal justice involvement...

..Disparities in service use associated with race, residence and education point to the need to develop policy, practice and family-level interventions that can address barriers to services for children with ASD...

..This study sought to determine whether having Medicaid benefits and receiving behavioral health services are associated with a reduction in recidivism for jail detainees with severe mental illness...

..To address this gap in the literature this study addressed the following question: are consumers with a history of incarceration at greater risk of general medical problems compared with consumers without such a history?..

..These findings underscore the need for clinicians to conduct careful assessments of trauma-related symptoms and to target the most intensive trauma-related interventions to individuals with PTSD symptoms...

..A goal was to motivate discussion of the data improvements and practice standards required to develop an adequate mental health professional workforce...

..In addition to demonstrating propensity score weighting, the current study increases confidence in earlier findings by considering multiple time points simultaneously and by controlling more completely for pre-treatment differences...

..These estimates were then used to examine current conceptual guidelines for developing the number of ACT teams that communities need...

..Speech/language therapy at school was the most frequently used service and also identified as the best service. The majority (81%) of families reported they were satisfied with services...

..first of the two core questions around which the ACCESS (Access to Community Care and Effective Services and Supports) evaluation was designed: Does implementation of system-change strategies lead to better integration of service systems?..

..2005) and Morrissey et al. (2005), which favored the intervention sites, these cost findings indicate that the treatment intervention services are cost-effective as compared with the usual care received by women at the comparison sites...

..The study also compared costs with recorded clinical outcomes...

..Onsite service provision was implemented in some OSATs. The pattern of service linkages in OSATs appeared to reflect the health needs of substance abuse clients...

..There is little evidence of any change in the jail detention rate for severely mentally ill users of the county mental health system in contrast with other SMI individuals following the public managed care program...

..Military operations in Iraq and Afghanistan have involved the frequent and extended deployment of military personnel, many of whom are married. The effect of deployment on mental health in military spouses is largely unstudied...

..This study compiled national county-level data and examined the geographic distribution of providers in six mental health professions and the correlates of county-level provider supply...

..Implications of these findings for policy and further research are highlighted...

..around which the ACCESS (Access to Community Care and Effective Services and Supports) evaluation was designed: Does better integration of service systems improve the treatment outcomes of homeless persons with severe mental illness?..

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..There is great concern about fragmentation of mental health service delivery, especially for dually diagnosed homeless people, and apprehension that such fragmentation adversely affects service access and outcomes...

..01) and both alcohol (p < 0.001) and drug use problem severity (p < 0.001). The same trend is observable for reductions in post-traumatic stress symptoms, although the difference does not attain statistical significance...

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..However, self-reporting of treatment content in highly specified service categories (e.g., individual counseling during residential treatment) may not be reliable...

..Given that acquisition costs of atypical antipsychotics are generally higher than typical antipsychotics, uncertainty exists whether the newer atypicals are cost effective alternatives when used in ordinary practice settings...

..This five-site study compared Medicaid managed behavioral health programs and fee-for-service programs on use and quality of services, satisfaction, and symptoms and functioning of adults with serious mental illness...

..Detailed findings from the ACCESS evaluation are presented in two accompanying articles, and overall conclusions are offered in a fourth article...

..The objective of the study was to assess the role of state mental health authorities as agents of change...

..Research needs to identify their needs and how they can successfully reintegrated into community life without further criminal justice involvements. This proposal is addressed to this major public health problem. ..

..In addition to the five postdoctoral slots currently funded each year, a total of four new predoctoral positions (with staggered enrollments) are requested over the next five years. ..

..Findings will be targeted to a variety of local and national audiences concerned about improving care for the various population groups involved. ..

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..Findings will be related and communicated to program managers and directors who are engaged in providing appropriate and responsive care to this vulnerable population. ..

..Research needs to identify their needs and how they can successfully reintegrated into community life without further criminal justice involvements. This proposal is addressed to this major public health problem. ..