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Clinical outcomes of a children’s mental health managed care demonstration

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Abstract

The Fort Bragg Evaluation Project hypothesized that the mental health of children treated in the Demonstration’s continuum of care would improve more than that of children receiving traditional mental health services at a comparison site. Program theory further predicted site differences in outcome for certain subgroups of children, such as those with severe mental health problems. These hypotheses were tested at 6-month and 1-year follow-ups in several ways, but results showed only slightly more site differences than expected by chance. For the evaluation sample ofN=984 treated children aged 5–17, site differences favored the Comparison about as often as the Demonstration. Children at both sites improved, but there was no overall superiority in mental health outcomes at the Demonstration.

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Authors and Affiliations

  1. VIPPS Center for Mental Health Policy, Vanderbilt University, 1207 18th Aye. South, 37212, Nashville, TN

    E. Warren Lambert Ph.D. (Research Associate)

  2. Mountain Comprehensive Care Center, Prestonsburg, KY

    Pamela R. Guthrie Ph.D. (a clinical psychologist)

Authors
  1. E. Warren Lambert Ph.D.
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  2. Pamela R. Guthrie Ph.D.
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Correspondence to E. Warren Lambert Ph.D..

Additional information

This research was supported by the U.S. Army Health Services Command (DADA 10-89-C-0013) as a subcontract from the North Carolina Department of Human Resources, Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, and a grant to Dr. Leonard Bickman (R01MH-46136-01) from the National Institute of Mental Health. This article is part of a special issue that focuses on the Fort Bragg Evaluation. These articles are best understood when read together. The articles are cross-referenced where most appropriate.

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Lambert, E.W., Guthrie, P.R. Clinical outcomes of a children’s mental health managed care demonstration. The Journal of Mental Health Administration 23, 51–68 (1996). https://doi.org/10.1007/BF02518643

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