Evaluation of a Congressionally Mandated Wraparound Demonstration

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Bibliographic Details
Title: Evaluation of a Congressionally Mandated Wraparound Demonstration
Language: English
Authors: Bickman, Leonard, Smith, Catherine M., Lambert, E. Warren
Source: Journal of Child and Family Studies. Jun 2003 12(2):135-156.
Availability: Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
Peer Reviewed: Y
Physical Description: PDF
Page Count: 22
Publication Date: 2003
Document Type: Journal Articles
Reports - Research
Descriptors: Health Services, Expenditures, Quasiexperimental Design, Life Satisfaction, Mental Health Programs, Demonstration Programs, Mental Health, Evaluation, Dependents, Cost Effectiveness, Statistics, Military Personnel, Military Service
DOI: 10.1023/A:1022854614689
ISSN: 1062-1024
Abstract: In order to determine whether expenditures for mental health could be reduced and quality improved, Congress mandated that the Department of Defense conduct a demonstration project utilizing a wraparound mental health service system for child and adolescent military dependents. A longitudinal quasiexperimental design was used to evaluate the cost-effectiveness of the demonstration. The results showed that children in the Wraparound Group received more wraparound services than those in the treatment as usual (TAU) Comparison Group. These services included case management, in-home treatment, and other nontraditional services. The Demonstration also provided better continuity of care. Multiple methods were used to investigate the impact of wraparound. Both groups showed some improvement on some measures but there were no differences between the groups in functioning, symptoms, life satisfaction, positive functioning, or sentinel events. Regardless of which statistical model was used to estimate costs, the Demonstration was also more expensive. The higher level of expenditures for the Wraparound group was a result of some expensive traditional care and the addition of nontraditional services. Several possible explanations of these results are provided.
Abstractor: As Provided
Entry Date: 2011
Accession Number: EJ943457
Database: ERIC
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  Data: Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
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  Data: In order to determine whether expenditures for mental health could be reduced and quality improved, Congress mandated that the Department of Defense conduct a demonstration project utilizing a wraparound mental health service system for child and adolescent military dependents. A longitudinal quasiexperimental design was used to evaluate the cost-effectiveness of the demonstration. The results showed that children in the Wraparound Group received more wraparound services than those in the treatment as usual (TAU) Comparison Group. These services included case management, in-home treatment, and other nontraditional services. The Demonstration also provided better continuity of care. Multiple methods were used to investigate the impact of wraparound. Both groups showed some improvement on some measures but there were no differences between the groups in functioning, symptoms, life satisfaction, positive functioning, or sentinel events. Regardless of which statistical model was used to estimate costs, the Demonstration was also more expensive. The higher level of expenditures for the Wraparound group was a result of some expensive traditional care and the addition of nontraditional services. Several possible explanations of these results are provided.
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      – Text: English
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      – SubjectFull: Health Services
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      – SubjectFull: Expenditures
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      – SubjectFull: Quasiexperimental Design
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      – SubjectFull: Life Satisfaction
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      – SubjectFull: Demonstration Programs
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      – SubjectFull: Evaluation
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      – SubjectFull: Dependents
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      – SubjectFull: Cost Effectiveness
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      – SubjectFull: Statistics
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      – SubjectFull: Military Personnel
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      – SubjectFull: Military Service
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      – TitleFull: Evaluation of a Congressionally Mandated Wraparound Demonstration
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