Résumé :
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This volume represents the first comprehensive study of a managed behavioural health plan, describing the quality, cost, and effectiveness of a system of care. Based on a five year evaluation of an $80 million demonstration program funded by the US Army, the research examines the cost and effectiveness of a continuum of care models for children and adolescents with mental health and substance addiction problemes. These models include the delivery of individualized and coordinated services using case management and interdisciplinary treatment teams for patients and their families, and involves residential, intermediate, and nonresidential services. Dr Leonard Bickman (...) and his colleagues address issues critical to providing a full range of mental health services in community settings. They assess the clinical outcomes of about 1000 families and the cost and service utilization data of and additional 4000 families. The authors provide an exhaustive and in-depth presentation of their methodology. They identify new approaches to measurement and analyses that will benefit future investigations on managed care. The thorough discussions of thought-provoking findings shed valuable light on the effectiveness of this broadranging mental health service system, as well as raise questions about fundamental issues in the training and supervision of therapists. (...).
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