Civil Commitment in Dane County, Wisconsin: 1969 through 1984

1992 ◽  
Vol 20 (2) ◽  
pp. 207-242 ◽  
Author(s):  
Michael J. Leiber
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Research Design ◽  
Civil Commitment ◽  
Health Network ◽  
Financial Responsibility ◽  
Comprehensive Examination ◽  
Before And After

Although a number of studies have evaluated reform in commitment proceedings, these have been subject to criticism for failing to conduct a comprehensive examination and/or allow for a reasonable amount of time for the reform to be implemented. The objective of this study was to address these concerns by examining the patterns and trends of a J 975 reform on civil commitment in Dane County, Wisconsin. Utilizing a “before and after” research design, the findings suggest that the implementation of reform is specific to certain areas and varies by the year(s) assessed. The role of the mental health network and the restructuring of the financial responsibility for mental health services are seen as pivotal in why reform was more or less successful.

ADHD and transitions to adult mental health services

2018 ◽  
Author(s):  
Chris Hollis
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Adult Adhd ◽  
Neurodevelopmental Disorder ◽  
Adult Mental Health ◽  
Adult Services ◽  
Before And After

Despite the recognition of ADHD as a lifespan neurodevelopmental disorder, the majority of young people with ADHD fail to transition successfully to adult services. Health service transition marks a particularly vulnerable time for young people with ADHD, as disengagement from services and untreated ADHD lead to serious adverse psychiatric and social outcomes. Barriers to successful transition include the lack of adult ADHD services, differences in acceptance thresholds, lack of knowledge and training among practitioners in adult services, and a less family-orientated culture in adult services that may exclude parents. Young people and parents should routinely be involved in the design and evaluation of services related to transition. The role of an ADHD transition worker and increased involvement of primary care in the management of ADHD is recommended to provide greater continuity and support before and after the transfer of care from child and adolescent to adult mental health services.

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