Carl Taube Award Lecture: Stephen Leff, PhD
Monday, November 4, 2013
: 10:30 a.m. - 10:50 a.m.
The original planning for the deinstitutionalization of persons with serious mental illness (that is persons diagnosed with schizophrenia, bipolar disorder, major depression and other disorders that can result in significant functional impairments) underestimated the need for community-based services and service coordination. This was because the initial planning for deinstitutionalization was motivated by unproven theory and the vision of advocates, but not evidence. Are we about to make the same mistakes when it comes to planning for integrated care for persons with serious mental illness? Research on types and outcomes of integrated care for persons with serious mental illness is in short supply. Yet successes using integrated care for persons with depression and aspects of the Affordable Care Act have resulted in a movement to use integrated care for persons with serious mental illness. This presentation will review the available evidence on integrated care for persons with serious mental illness. Further, given the shortage of research, it will illustrate how a simulation model developed by the presenter, in combination with available evidence, can be used to provide a theoretical basis for and inform the planning of integrated systems of care for persons with serious mental illness. Finally, it will discuss the theoretical questions such as the relationship of simulation outcomes to recovery and data needs stemming from this simulation model. The presentation will include a demonstration of the simulation model and a description of where resources for planning services for persons with serious mental illness can be found.
Social and behavioral sciences
Describe the available research on integrated care for persons
with serious mental illness.
Describe a simulation model developed to plan integrated care
for persons with serious mental illness.
Discuss the theoretical questions and data needs posed by the
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have been the principal investigator of a number of multi-site
evaluations of programs and systems for persons with serious mental
illness. I have developed and implemented in over 20 sites a
simulation model for planning service systems for persons with
serious mental illness. This work has been funded by federal grants and
state and federal contracts. The planning of service systems has been
and continues to be a focus of my scientific work.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.