This report would not have been possible without the cooperation we received from a variety of program administrators and agency staff. Mental health services program administrators Celia Wilson, Florida; Christa Sprinkle and Carol Krager, Oregon; Holly Cook, Tennessee; and Dan Thornhill, Utah, provided us with an overview of mental health services in their respective states and described their experience and the lessons they learned in designing and delivering these services. Administrators from the welfare office helped us to understand the general welfare environment in which mental health services are provided and how mental health and employment services are integrated. Mental health staff described the types of mental health conditions they see in their clients and shared with us even the smallest details involved in mental health services. Employment staff from the welfare office explained how they identify and refer clients to mental health services and how they monitor client participation in treatment. They also described the benefits of mental health services from the perspective of client employability. Administrators from community mental health agencies took time out of their busy schedules to talk with us about the types of mental health treatment available to welfare recipients and about their general perception of the program in their area.
The authors would also like to thank the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (ASPE). Martha Ross developed the project and contributed to its overall design. Elizabeth Lower-Basch, our project officer, also played an active role in shaping this project and helped us produce a report that we hope will be useful to program administrators and other individuals interested in learning about mental health services for welfare recipients. We also appreciate the thorough reviews that Nancye Campbell at the Administration for Children and Families and Evvie Becker at ASPE gave to this report. Their knowledge of the mental health and welfare systems have added a great deal to the overall quality of this report.
At Mathematica Policy Research, LaDonna Pavetti, project director, provided valuable guidance and helped to conceptualize this study and the final report. Henry Ireys, who has extensive experience in mental health treatment systems, reviewed several drafts of this report. Debbie Draper carefully reviewed an earlier draft and offered valuable suggestions. Donna Dorsey provided administrative support for the project, and Daryl Hall and Bernard Adelsberger provided editorial support.
The authors gratefully acknowledge these many contributions and accept sole responsibility for any errors that remain.