Performance Improvement 2009. For Adults with Serious Mental Illness, Which States Have Developed Self-Directed Care Programs; With What Impact; and What Barriers Prevent Their Extension?


This study compiled descriptions and impacts of self-directed care programs for adults with serious mental illness. Self-directed care gives consumers greater control over the services they receive to meet their mental health needs. It provides a more consumer- and family-driven mental health system.

In this early evaluation, self-directed care programs satisfied consumers more than traditional services. Self-directed care changed the pattern of mental health services used by consumers. Remaining to be seen are longer term impacts on mental health outcomes and costs. The difficulty of supporting self-directed care through Medicaid was seen as a significant barrier to extending the approach.

Report Title: The Contribution of Self-Direction to Improving the Quality of Mental Health Services
Agency Sponsor: ASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy
Federal Contact: Vidhya Alakeson, 202-690-6443
Performer: Staff; Office of the Assistant Secretary for Planning and Evaluation
PIC ID: 8910

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