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Florida Medicaid Enrollees' Perceptions of Care with Mental Health Services
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| Presenter(s):
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| Roger Boothroyd, University of South Florida, boothroy@fmhi.usf.edu
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| Mary Armstrong, University of South Florida, miarmstr@usf.edu
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| Abstract:
Consumer perceptions of care are important indicators for evaluating health care quality. They are also significantly associated with treatment adherence (Bogart et al., 2003) and improvements in clinical status (Kane, et al., 1997). The Florida Agency for Health Care Administration began administering the Experience of Care and Health Outcomes Survey (ECHOļ¤) to a stratified statewide sample of Florida Medicaid mental health services users in 2009. The 51-item ECHO survey was designed to obtain users' perceptions on nine dimensions of mental health care delivery. To permit comparisons across managed care organizations (MCOs), the sample was stratified by the health care plan in which recipients were enrolled. Responses were obtained from 792 adults (41%) and 763 caregivers of children (51%). This presentation will summarize the findings of consumers' experiences from this mailing of the ECHO with an emphasis on their implications for evaluation and the provision of Medicaid mental health services in Florida.
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An Evaluation of an Innovative, Collaborative Approach to Interfacing Research Systems with the Mental Health Community
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| Presenter(s):
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| Deborah Piez, University of Maryland, Baltimore, dpiez@psych.umaryland.edu
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| Daniel Nieberding, University of Maryland, Baltimore, dnieberd@psych.umaryland.edu
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| Sandra Sundeen, University of Maryland, Baltimore, sjsundeen@comcast.net
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| Abstract:
The mission of the Practice Research Network is to build an infrastructure linking investigators at The University of Maryland, Baltimore, Department of Psychiatry with the public mental health system through an innovative approach to nurturing the development of activities that reflect the value of a collaborative and participatory approach to research. There will be an in-depth discussion evaluating the process of partnership development with local mental health authorities (Core Service Agencies), clinics, providers, advocacy organizations, and consumers throughout Maryland. A description of the initial and evolving structure of the network will underscore the importance of involving multiple stakeholders to increase access to studies. Data will be provided to illustrate the number of study referrals generated by the Network. There will be a discussion regarding the modifications that are needed to this approach based on feedback and evaluation received from clients over the past two years, since the network's inception.
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Evaluating the Perceptions of Primary Care Providers that Influence Patient Decision-Making
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| Presenter(s):
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| Snigdha Mukherjee, Louisiana Public Health Institute, smukherjee@lphi.org
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| Greer Sullivan, University of Arkansas, sullivangreer@uams.edu
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| Patrick Corrigan, Illinois Institute of Technology, corrigan@iit.edu
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| Zachary Feldman, University of Arkansas for Medical Sciences,
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| Abstract:
Mental Health stigma is known to be widespread and to have devastating effects on the lives of those with mental disorders. Yet it is not clear why, or how, these health disparities related to mental disorders actually occur in routine primary care. A 2X5 vignette survey design was used to investigate the role of stigma related to mental illness in the decision making process of primary care providers (PCPs). The diagnosis of schizophrenia was varied in the vignettes to assess the effect on the perceptions and decision-making of PCPs. The sample population was Family Medicine and Internal Medicine PCPs and 3rd Year Residents who treated adult patients (N=134). The results of this study indicate that while PCPs stereotype and have prejudicial attitudes to persons with mental illness it does not affect appropriate treatment decision. This may potentially affect patients by delaying treatment seeking or even drop out of treatment.
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Ecological Evaluation Model for Behavioral Health Interventions
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| Presenter(s):
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| Ayana Perkins, Georgia State University, aperkins@ikataninc.com
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| James Emshoff, Georgia State University, jemshoff@gsu.edu
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| Jennifer Zorland, Georgia State University, jzorland@gmail.com
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| Abstract:
The Social Action Research Lab coordinated a city wide needs assessment in Atlanta, Georgia in 2009. An evaluation model for behavioral health intervention is proposed based on findings from 2009 pathological gambling needs assessment in Georgia. Focus group data were collected from one hundred and twenty nine community residents in the Atlanta metropolitan area were included in this data collection. An intervention evaluation model emerged from data analyses that would support the evaluation of pathological gambling and other behavioral health interventions for diverse communities. This paper will describe the utility of model for practitioners specializing in behavioral health.
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