IMPACT OF ALCOHOL, DRUG ABUSE, AND MENTAL HEALTH TREATMENT ON MEDICAL CARE UTILIZATION: A REVIEW OF THE RESEARCH LITERATURE—supplement toMedical Care,Vol. 17, December 1979, 82 pages. Single copies available for $5 fromMedical Care,J. B. Lippincott Company, East Washington Square, Philadelphia, Pennsylvania 19105

1980 ◽  
Vol 31 (6) ◽  
pp. 426-c-426
Medical Care ◽  
1984 ◽  
Vol 22 (3) ◽  
pp. 216-222 ◽  
Author(s):  
Simon H. Budman ◽  
Annette B. Demby ◽  
Michael L. Feldstein

PEDIATRICS ◽  
1990 ◽  
Vol 85 (1) ◽  
pp. 114-118 ◽  
Author(s):  
Kelly Kelleher ◽  
Barbara Starfield

Reduction in medical care utilization is one criteria for assessing the impact of mental health treatment for children with psychosocial problems. This reduction has been termed the "offset" effect. Almost all published research concerning offset after mental health treatment concerns adults, and the few studies in pediatric populations are limited by methodologic problems. A study of health care utilization after mental health treatment for children was conducted. Mental health treatment for psychosocial problems was significantly associated with decreased use of medical care only for older children, after potentially confounding variables were controlled for. Furthermore, this decreased use was found only for nonmental health specialty care visits. No reduction in primary care visits occurred. Other factors such as previous patterns of use and the presence of other morbidity were stronger predictors of subsequent primary health care use than was mental health treatment. Mental health treatment does not have a major impact on the high utilization of most children with psychosocial problems in pediatric settings. Because the reasons for this may be particular morbidity patterns in these children, future studies should include some measure of case mix as a potentially important variable in assessment of mental health treatment effects.


1994 ◽  
Author(s):  
Ramon J. Miro ◽  
◽  
Marilyn L. Majeska ◽  

1994 ◽  
Vol 40 (2) ◽  
pp. 197-221 ◽  
Author(s):  
Merry Morash ◽  
Robin N. Haarr ◽  
Lila Rucker

This article examines programming for women in U.S. prisons in the 1980s, a decade marked by an increased number of incarcerated women and by court pressure to correct biases in programming. Data from a census of facilities and a sample of inmates reveal that regardless of gender, the prison experience does little to overcome marginalization from the workforce and leaves many who have history of drug abuse, or who are parents, untouched by relevant programming. Moreover, gender stereotypes shape the nature of the work and vocational training, and women disproportionately receive psychotropic drugs for mental health treatment.


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