scholarly journals Use of community-based mental health programs by HMOs: evidence from a Medicaid demonstration.

1992 ◽  
Vol 82 (6) ◽  
pp. 790-796 ◽  
Author(s):  
J B Christianson ◽  
N Lurie ◽  
M Finch ◽  
I S Moscovice ◽  
D Hartley
2015 ◽  
Vol 25 (1) ◽  
pp. 275-289 ◽  
Author(s):  
Su-chin Serene Olin ◽  
Anthony L. Hemmelgarn ◽  
Kappy Madenwald ◽  
Kimberly E. Hoagwood

2020 ◽  
Vol 26 (5) ◽  
pp. 374
Author(s):  
Renee O'Donnell ◽  
Darshini Ayton ◽  
Bengianni Pizzirani ◽  
Melissa Savaglio ◽  
Debra Fast ◽  
...  

Since 2014, Tasmania has experienced unprecedented rates of hospitalisations related to mental health issues. To address reliance on such acute-based care, government funding was invested to enhance community-based care, which, in turn, led to the development of MyCare. This paper represents the initial phase of a larger body of work (i.e. an effectiveness-controlled trial of MyCare) that describes the MyCare program and the successful implementation strategy underpinning the program. The implementation of MyCare was evaluated with 41 key stakeholders (staff, clients and senior executives) using semistructured interviews and focus groups, informed by the Consolidated Framework for Implementation Research (CFIR). According to stakeholders, three CFIR constructs that were directly addressed by the program, namely Tension for Change, Evidence Strength and Quality, and Available Resources for Implementation, facilitated the successful implementation of MyCare. In contrast, a feature of the program that impeded implementation was Patient Needs and Resources, which restricted program access to those with the most severe mental health issues. The reporting of implementation strategies underpinning mental health programs is rare. This study describes the implementation strategy underpinning a community-based mental health program that was successful in facilitating program uptake. We encourage other researchers to not only report on implementation findings, which may help avoid replication failure, but also to apply these innovative implementation processes (i.e. address the tension for change and ensure the program is evidence informed and that sufficient resources are available for implementation) within mental health programs to aid successful uptake.


Medical Care ◽  
1969 ◽  
Vol 7 (4) ◽  
pp. 271-280 ◽  
Author(s):  
Gerard E. Hogarty ◽  
William Guy ◽  
Martin Gross ◽  
Gertrude Gross

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