Promoting Readiness of Minors in Supplemental Security Income (PROMISE): Early Impacts from a Multi-Site Random Assignment Evaluation

2021 ◽  
pp. 0193841X2110555
Author(s):  
Ankita Patnaik ◽  
Michael Levere ◽  
Gina Livermore ◽  
Arif Mamun ◽  
Jeffrey Hemmeter
Keyword(s):  
Transition To Adulthood ◽  
Service Use ◽  
Controlled Trial ◽  
Transition Services ◽  
Supplemental Security Income ◽  
School Enrollment ◽  
Family Outcomes ◽  
Vocational Rehabilitation Services ◽  
Service Areas ◽  
Use Of Services

Background PROMISE was a federal initiative to support youth receiving Supplemental Security Income (SSI) during the transition to adulthood. Objectives This article presents estimates of the impacts of the six PROMISE projects on youth and family outcomes as of 18 months after enrolling in PROMISE. Research Design The study uses a randomized controlled trial design. Subjects The six PROMISE projects each enrolled a minimum of 2000 treatment and control youth (and their parents) residing in their service areas who were aged 14 to 16 and receiving SSI. Measures We estimated impacts on outcomes related to youth and family service use, school enrollment, training, employment, earnings, and federal disability program participation using survey and administrative data. Results The projects succeeded in connecting more youth to transition services and more families to support services during the 18 months after enrollment, and most increased the likelihood that youth applied for state vocational rehabilitation services. On average, there was no impact on youth’s school enrollment, but there were favorable impacts on youth’s receipt of job-related training, employment, earnings, and total income. The projects did not affect parents’ employment, earnings, or income, on average. For most outcomes PROMISE affected, the impacts varied substantially across the projects. Conclusions The positive short-term impacts of PROMISE on youth’s use of transition services, youth employment, and families’ use of services are consistent with the program logic model and suggest there might be potential for longer-term favorable impacts on youth and family outcomes.

scholarly journals Online screening and feedback to increase help-seeking for mental health problems: population-based randomised controlled trial

BJPsych Open ◽  
2016 ◽  
Vol 2 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Philip J. Batterham ◽  
Alison L. Calear ◽  
Matthew Sunderland ◽  
Natacha Carragher ◽  
Jacqueline L. Brewer
Keyword(s):  
Mental Health ◽  
Social Anxiety ◽  
Help Seeking ◽  
Service Use ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Population Based ◽  
Health Problems ◽  
Professional Service ◽  
Negative Effect

BackgroundCommunity-based screening for mental health problems may increase service use through feedback to individuals about their severity of symptoms and provision of contacts for appropriate services.AimsThe effect of symptom feedback on service use was assessed. Secondary outcomes included symptom change and study attrition.MethodUsing online recruitment, 2773 participants completed a comprehensive survey including screening for depression (n=1366) or social anxiety (n=1407). Across these two versions, approximately half (n=1342) of the participants were then randomly allocated to receive tailored feedback. Participants were reassessed after 3 months (Australian New Zealand Clinical Trials Registry ANZCTR12614000324617).ResultsA negative effect of providing social anxiety feedback to individuals was observed, with significant reductions in professional service use. Greater attrition and lower intentions to seek help were also observed after feedback.ConclusionsOnline mental health screening with feedback is not effective for promoting professional service use. Alternative models of online screening require further investigation.

scholarly journals Persistent physical symptoms reduction intervention: a system change and evaluation in secondary care (PRINCE secondary) – a CBT-based transdiagnostic approach: study protocol for a randomised controlled trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Trudie Chalder ◽  
Meenal Patel ◽  
Kirsty James ◽  
Matthew Hotopf ◽  
Philipp Frank ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Randomised Controlled Trial ◽  
Health Service ◽  
Social Adjustment ◽  
Secondary Care ◽  
Service Use ◽  
Controlled Trial ◽  
Physical Symptoms ◽  
Medium Effect ◽  
Randomised Controlled

Abstract Background Persistent physical symptoms (PPS), also known as medically unexplained symptoms (MUS), affect approximately 50% of patients in secondary care and are often associated with disability, psychological distress and increased health care costs. Cognitive behavioural therapy (CBT) has demonstrated both short- and long-term efficacy with small to medium effect sizes for PPS, with larger treatment effects for specific PPS syndromes, including non-cardiac chest pain, irritable bowel syndrome (IBS) and chronic fatigue syndrome (CFS). Research indicates that PPS conditions share similar cognitive and behavioural responses to symptoms, such as avoidance and unhelpful beliefs. This suggests that a transdiagnostic approach may be beneficial for patients with PPS. Methods A randomised controlled trial (RCT) will be conducted to evaluate the efficacy and cost-effectiveness of a transdiagnostic CBT-based intervention for PPS. 322 participants with PPS will be recruited from secondary care clinics. Participants stratified by clinic and disability level will be randomised to CBT plus standard medical care (SMC) versus SMC alone. The intervention consists of 8 CBT sessions delivered by a qualified therapist over a period of 20 weeks. Outcomes will be assessed at 9, 20, 40- and 52-weeks post randomisation. Efficacy will be assessed by examining the difference between arms in the primary outcome Work and Social Adjustment Scale (WSAS) at 52 weeks after randomisation. Secondary outcomes will include mood, symptom severity and clinical global impression at 9, 20, 40 and 52 weeks. Cost-effectiveness will be evaluated by combining measures of health service use, informal care, loss of working hours and financial benefits at 52 weeks. Discussion This trial will provide a powered evaluation of the efficacy and cost-effectiveness of a transdiagnostic CBT approach versus SMC for patients with PPS. It will also provide valuable information about potential healthcare pathways for patients with PPS within the National Health Service (NHS). Trial registration ClinicalTrials.gov NCT02426788. Registered 27 April 2015. Overall trial status: Ongoing; Recruitment status: No longer recruiting.

scholarly journals Exploring the components and impact of social prescribing

2015 ◽  
Vol 14 (3) ◽  
pp. 127-134 ◽  
Author(s):  
Alexis Kilgarriff-Foster ◽  
Alicia O'Cathain
Keyword(s):  
Narrative Analysis ◽  
Service Use ◽  
Controlled Trial ◽  
Well Being ◽  
Drop Out ◽  
Psychosocial Needs ◽  
Content Type ◽  
Quantitative Evidence ◽  
Social Prescribing ◽  
Potential Impact

Purpose – Social prescribing are short-term intermediary services that facilitate patients with psychosocial needs to engage in non-clinical support. However, little is known about the components and potential impact of social prescribing. The paper aims to discuss this issue. Design/methodology/approach – A review was conducted to explore the evidence based on social prescribing including mapping its key components and potential impact. Database, internet and hand searching was utilised to identify relevant studies. Data extraction and narrative analysis was undertaken to explore the issues. Findings – In total, 24 studies met the inclusion criteria. The studies were diverse in their methodologies and the services evaluated. Stakeholders such as general practitioners and patients perceived that social prescribing increased patients’ mental well-being and decreased health service use. However, the quantitative evidence supporting this was limited. The only randomised-controlled trial showed a decrease in symptoms and increase in functional well-being at four months. The other non-controlled designs had large drop-out rates limiting their value in determining effectiveness. Research limitations/implications – Further research is needed on the effectiveness and cost-effectiveness of social prescribing using robust evaluative designs. Originality/value – This is the first review of generic social prescribing services focusing on the general evidence base.

Direct medical mental health care costs of schizophrenia in France, Germany and the United Kingdom – Findings from the European Schizophrenia Cohort (EuroSC)

2009 ◽  
Vol 24 (4) ◽  
pp. 216-224 ◽  
Author(s):  
Dirk Heider ◽  
Sebastian Bernert ◽  
Hans-Helmut König ◽  
Herbert Matschinger ◽  
Theresa Hogh ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
United Kingdom ◽  
Mental Health Care ◽  
Service Use ◽  
Unit Cost ◽  
United States Dollar ◽  
The United Kingdom ◽  
Day Clinic ◽  
Use Of Services

AbstractObjectivesTo quantify and compare the resource consumption and direct costs of medical mental health care of patients suffering from schizophrenia in France, Germany and the United Kingdom.MethodsIn the European Cohort Study of Schizophrenia, a naturalistic two-year follow-up study, patients were recruited in France (N = 288), Germany (N = 618), and the United Kingdom (N = 302). Data about the use of services and medication were collected. Unit cost data were obtained and transformed into United States Dollar Purchasing Power Parities (USD-PPP). Mean service use and costs were estimated using between-effects regression models.ResultsIn the French/German/UK sample estimated means for a six-month period were respectively 5.7, 7.5 and 6.4 inpatient days, and 11.0, 1.3, and 0.7 day-clinic days. After controlling for age, sex, number of former hospitalizations and psychopathology (CGI score), mean costs were 3700/2815/3352 USD-PPP.ConclusionsService use and estimated costs varied considerably between countries. The greatest differences were related to day-clinic use. The use of services was not consistently higher in one country than in the others. Estimated costs did not necessarily reflect the quantity of service use, since unit costs for individual types of service varied considerably between countries.

Knowledge and Use of Services by the Elderly: A Critical Review of the Literature

1983 ◽  
Vol 17 (3) ◽  
pp. 153-167 ◽  
Author(s):  
John A. Krout
Keyword(s):  
Critical Review ◽  
Service Use ◽  
The Elderly ◽  
Review Of The Literature ◽  
Informal Networks ◽  
Services Utilization ◽  
Positive Attitudes ◽  
Use Of Services ◽  
Research Findings

This article critically reviews the existing literature on the perceptions, knowledge, and use of services by the elderly. Definitive statements concerning these topics are difficult to make because of the contradictory research findings and inadequacies of existing studies. However, the following observations are supported by this review: many elderly do not hold positive attitudes towards services, a bare majority appear aware of services, utilization rates are extremely low, and the correlates of service use are not well understood. In addition, this article identifies a number of weaknesses with the existing research and discusses the following specific recommendations for improvement: conceptualization and operationalization of knowledge and use as continuums, not as discrete phenomena, examination of the processes by which individuals come to know of and use services, and consideration of the roles played by informal networks as facilitators or deterrents to knowledge and use of services.

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