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Welfare Reform on the Web (November 2008): Mental health services - overseas

Improving public addiction treatment through performance contracting

A.T. McLellan and others

Health Policy, vol. 87, 2008, p. 296-308

This article describes the rationale, procedures and basic evaluation information regarding a novel performance contracting experiment conducted by the Delaware Division of Substance Abuse and Mental Health (DSAMH) in their outpatient addiction treatment programmes. Delaware set achievable, measurable target indicators for what 'accountable clinical management' would look like, including 90% capacity utilisation and active patient participation in treatment. They then used standard contracting methods to reward providers that met those targets. Providers responded positively to the incentives by offering extended opening hours, facility enhancements, salary incentives for counsellors, and two evidence-based therapies.

Integrating the promotion of child mental health into national policies for health sector reform

W. Caan and R. Jenkins

Journal of Public Mental Health, vol. 7, Aug. 2008, p. 9-15

The promotion of mental stability and well-being during childhood should be a major priority for governments. This paper reports recommendations suggested by a workshop held in London in 2006, organised by the World Health Organisation Collaborating Centre, Institute of Psychiatry, King's College. The workshop considered core components of effective methods of integrating mental health within health (and other public sector) reforms which would be relevant to future strategic planning in diverse national settings. One of the key policy topics considered by the workshop was child mental health.

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