Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Client outcomes in two model capitated integrated service agencies

D Chandler1, J Meisel, M McGowen

  • 1Clinical Research Center for Schizophrenia and Psychiatric Rehabilitation at the University of California, Los Angeles, USA.

Psychiatric Services (Washington, D.C.)
|February 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Palbociclib with adjuvant endocrine therapy in early breast cancer: 5-year follow-up analysis of the global multicenter, open-label, randomized phase III PALLAS trial (ABCSG-42/AFT-05/PrE0109/BIG-14-13).

Annals of oncology : official journal of the European Society for Medical Oncology·2025
Same author

Circulating tumor DNA mutational landscape and dynamics after progression on a CDK4/6 inhibitor in the PACE phase II trial for metastatic HR-positive/HER2-negative breast cancer.

ESMO open·2025
Same author

Using remote sensing to assess peatland resilience by estimating soil surface moisture and drought recovery.

The Science of the total environment·2020
Same author

Dynamics of Mixed- Candida Species Biofilms in Response to Antifungals.

Journal of dental research·2017
Same author

Views of oral antibiotics and advice seeking about acne: a qualitative study of online discussion forums.

The British journal of dermatology·2017
Same author

Predicting imminent risk for fracture in patients aged 50 or older with osteoporosis using US claims data.

Archives of osteoporosis·2016

Integrated Service Agencies (ISAs) improved outcomes for severely mentally ill individuals, showing increased workforce participation and reduced hospitalizations. This model combines financing reform with assertive continuous treatment teams for better client retention.

Area of Science:

  • Mental Health Services Research
  • Health Services Administration
  • Psychiatric Rehabilitation

Background:

  • Severely mentally ill individuals often face challenges with treatment adherence and community integration.
  • Traditional service models may not adequately address the complex needs of this population.
  • Innovative approaches are needed to improve client outcomes and reduce healthcare utilization.

Purpose of the Study:

  • To evaluate the effectiveness of a model combining financing reform with assertive continuous treatment teams.
  • To measure client outcomes in two integrated service agencies (ISAs) for severely mentally ill persons.
  • To assess the impact of the model on workforce participation, healthcare use, and treatment retention.

Main Methods:

  • A three-year study involving two pilot ISAs in California (urban and rural).

Related Experiment Videos

  • Random assignment of clients to ISA programs or usual care comparison groups.
  • Comparison of objective client record data and subjective interview information.

    • Main Results:

    • Demonstration clients showed significantly higher workforce participation at both sites.
    • Both ISAs reduced hospital care use, with the rural ISA showing a significant decrease in admissions.
    • Clients in ISA programs were retained in treatment more successfully than comparison groups.
    • Urban ISA clients reported increased participation in leisure and social activities.

    Conclusions:

    • After 12 months, the integrated service agency model led to reduced hospitalizations.
    • Demonstration clients were more likely to engage in paid work and remain in treatment.
    • The combined approach of financing reform and assertive treatment teams shows promise for improving outcomes in severely mentally ill populations.