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Related Experiment Videos

Evaluating the Robert Wood Johnson Foundation program on chronic mental illness

H H Goldman1, J P Morrissey, M S Ridgely

  • 1University of Maryland, Department of Psychiatry, Baltimore 21201-1549.

The Milbank Quarterly
|January 1, 1994
PubMed
Summary

The Program on Chronic Mental Illness (CMI) improved quality of life for some individuals but showed structural changes alone are insufficient for broad improvement. Quality of care is essential for effective community-based mental health services.

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Area of Science:

  • Public Health
  • Mental Health Services Research
  • Health Policy

Background:

  • Community-based mental health services have historically been fragmented and uncoordinated.
  • The Robert Wood Johnson Foundation (RWJF) launched the Program on Chronic Mental Illness (CMI) to address these challenges.
  • The program aimed to improve services for individuals with chronic mental illness.

Purpose of the Study:

  • To evaluate the effectiveness of a large-scale, multi-city demonstration program for individuals with chronic mental illness.
  • To assess the impact of structural changes and quality of care improvements on this population.
  • To understand the role of public policy in addressing chronic mental illness.

Main Methods:

  • A five-year demonstration program implemented in nine cities.

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  • Involved collaboration between RWJF and the U.S. Department of Housing and Urban Development.
  • Focused on both structural improvements and quality of care interventions.

    • Main Results:

    • The program successfully placed chronic mental illness on the public policy agenda.
    • Specific improvements in quality of life were observed for some individuals with CMI.
    • No general improvement in outcomes was observed for the entire CMI population.
    • Demonstrated that structural changes alone are insufficient; quality of care is critical.

    Conclusions:

    • Structural changes in community-based mental health services must be accompanied by improvements in the quality of care.
    • Interventions can be successfully implemented, yielding positive results despite program limitations.
    • Further research and policy attention are needed to enhance community-based mental health services for individuals with chronic mental illness.