G2TT
来源类型Research Reports
规范类型报告
DOIhttps://doi.org/10.7249/RR2783
来源IDRR-2783-CMHSA
Evaluating Cost Savings Associated with Los Angeles County's Mental Health Full Service Partnerships
Ryan K. McBain; J. Scott Ashwood; Nicole K. Eberhart; Cheryl K. Montemayor; Gulrez Shah Azhar
发表日期2018
出版年2018
页码36
语种英语
结论

Over the five-year period, there were cost savings of $82.9 million associated with the FSP outcomes

  • Those savings represent a 24 percent reduction in non-FSP government spending.
  • For the five outcomes studied, non-FSP government spending on the 24,282 FSP beneficiaries was reduced from $345 million to $262 million.
  • The largest cost savings came from reductions in criminal justice detention ($63.1 million in savings). This was followed by savings for behavioral health inpatient stays ($14.2 million, or 18 percent) and homelessness ($2.6 million, or 4 percent).
  • When comparing cost savings by group (children, transition-age youth, and adults), the largest cost savings in relative terms came from transition-age youth (30 percent) and in absolute terms from adults ($51.6 million).
  • Cost savings were observed across four of the five outcomes examined. The exception was connection to outpatient primary care, where there was a 16 percent increase in spending; however, this increase likely mitigated the risk — and associated costs — of inpatient care for physical health conditions.

The average annual FSP program expenditure for 2012–2016 was $13,807 per client

  • The total expenditures for the first year of enrollment for the 24,282 enrollees were $335.3 million.
  • The estimates of costs and savings are intentionally conservative but indicate that at least 24.7 percent of the expenditures for clients' first year in FSP programs was offset by savings, without accounting for indirect financial benefits, other potential financial benefits not associated with the five outcomes, or any nonfinancial benefits associated with improved health, housing, and employment among beneficiaries.
摘要
  • LAC DMH should strengthen its data collection efforts by collecting data on a wider range of outcomes of interest, using multiple-item scales instead of single-item measures, and ensuring that data are collected at regular time intervals. These efforts would improve the value of the data for tracking changes in outcomes over time.
  • Improving measurement of client status over time through the key-event records would allow for more-accurate measurements of housing, education, and employment status.
  • LAC DMH should measure items that more accurately capture social engagement and meaningful activity.
主题Child Health ; Health Care Program Evaluation ; Health Interventions ; Homeless Populations ; Los Angeles ; Mental Health Treatment
URLhttps://www.rand.org/pubs/research_reports/RR2783.html
来源智库RAND Corporation (United States)
引用统计
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/108960
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GB/T 7714
Ryan K. McBain,J. Scott Ashwood,Nicole K. Eberhart,et al. Evaluating Cost Savings Associated with Los Angeles County's Mental Health Full Service Partnerships. 2018.
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