The 130th Annual Meeting of APHA

4214.0: Tuesday, November 12, 2002 - 3:15 PM

Abstract #43190

Evaluation of an integrated mental health and substance abuse pilot program for children, adolescents and adults

Cynthia M Zubritsky, PhD1, Aileen Rothbard, PhD2, Sherry Snyder, BA3, and Marian Mullahy, MSS1. (1) Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., Philadelphia, PA 19104, 215-662-2886, cdz@mail.med.upenn.edu, (2) Center for Mental Health Policy, #713, University of Pennsylvania, 3600 Market Street, Philadelphia, PA 19012, (3) Pennsylvania Office of Mental Health and Substance Abuse Services, Room 502 Health and Welfare Building, Harrisburg, PA 17120

This study examines the impact of five best practice models of integrated services and systems of care for persons with co-occurring mental illness and substance abuse disorders (MISA). Funded by the Pennsylvania Office of Mental Health and Substance Abuse and the Bureau of Drug and Alcohol, these MISA pilot projects represent a variety of intervention strategies for adult and adolescent services and employ a common evaluation model. Results of the study will be used to direct future MISA policy efforts. The presentation will describe the various interventions with respect to the target population, program content and evaluation methodology which involves: 1) a descriptive analysis of outcomes per program objective; 2) an analyses of system integration changes; and 3) a cost effectiveness analysis of treatment specific MISA interventions and their outcomes. The evaluation employs a prospective cohort analysis with a matched cohort group. Time frame is the 12 month follow-up period after the initial MISA treatment episode. Sites will be studied individually and when appropriate, aggregated across sites. The total number of study subjects will be approximately 500. Baseline and 6 month follow-up data will be available at the time of presentation. The research questions are the extent to which MISA integrated services: 1) increase program participation levels by persons with co-occurring disorders; 2) increase retention in treatment; 3) reduce psychiatric symptoms and substance use; 4) reduce criminal justice involvement; 5) increase consumer satisfaction; 6) reduce costly acute inpatient, detoxification and emergency room services and 7) increase the continuum of ambulatory care.

Learning Objectives:

  • At the end of this presentation attendees will be able to

    Keywords: Adult and Child Mental Health, Evaluation

    Presenting author's disclosure statement:
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

    Prevention and Treatment of Co-Occurring Disorders

    The 130th Annual Meeting of APHA