| 结论 |
PEI Programs for Children and TAY- LAC DMH's PEI programs provided services to almost 130,000 youth, the vast majority of whom were members of ethnic minorities. Almost 65 percent of these clients were new clients, suggesting that PEI programs are successfully reaching youth who have not previously gotten care.
- Utilization of treatments, such as therapy and case management, increased with use of PEI programs.
- PEI programs are associated with staying well and getting better. Of those receiving preventative care (i.e., those who scored below a widely used threshold for psychological distress at entry into care), almost nine out of ten remained below the threshold for clinically significant symptoms over time. Of those who had symptoms levels at or above a clinical cut point for psychological distress at the start of their PEI service, more than half no longer had clinically significant symptoms after care.
- Hispanic and Asian youth responded particularly well to PEI services, in comparison to white and black youth. However, all racial/ethnic groups experienced significant improvements in symptoms.
FSP Programs for Children, TAY, and Adults- FSP enrollment increased over the five years evaluated for children, TAY, and adults. Further, the majority of those enrolled actively engaged in the program.
- FSP programs provide services to vulnerable and diverse populations. The programs are located throughout the county, but they are primarily in areas with more households in poverty, where LAC DMH services are likely to be needed the most. The individuals served by the programs tend to have severe diagnoses (e.g., psychotic disorders) and relatively high rates of homelessness. Qualitative interviews also revealed that FSP clients were simultaneously experiencing problems with mental health, physical health, and social issues. The programs predominately serve racial/ethnic minorities.
- FSP clients experienced improvements in their life circumstances and functioning. FSP clients experienced decreased rates of homelessness and justice system detention, as well as decreased utilization of inpatient hospitalization for mental health. Adults in particular had increased rates of having a primary care provider, suggesting a better connection to physical health care.
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