We focus on a number of topic areas identified by state health policy leaders as important to population health.
Keep up with news and updates from the Milbank Memorial Fund. Get the latest from thought leaders, including Christopher F. Koller, president of the Fund.
We publish The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to population health.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
March 1994 (Volume 72)
March 1994 | Anthony F. Lehman, Leticia T. Postrado, Dee Roth, Scot W. McNary, Howard H. Goldman
The impact on services and outcomes of the local mental health authorities (LMHAs) developed under the RWJF Program on Chronic Mental Illness (CMI) was evaluated in Baltimore, Cincinnati, Columbus, and Toledo. Two cohorts of clients with CMI discharged from an episode of acute 24-hour care were recruited in each city: the first cohorts were drawn shortly after the demonstration began and the second, two years later. The LMHAs in the three Ohio cities increased case management for the second cohorts at two months, but not at 12 months, after hospital discharge. The second cohorts in Baltimore and Cincinnati experienced lower turnover among case managers during the year after discharge, but there was no significant improvement in client outcomes. Creation of LMHAs may be a necessary, but not sufficient, step toward improving outcomes and should be followed by improvement in the quantity and quality of services.
Author(s): Anthony F. Lehman; Leticia T. Postrado; Dee Roth; Scot W. McNary; Howard H. Goldman
Download the Article
Read on JSTOR
Volume 72, Issue 1 (pages 105–122)
Published in 1994
Client Outcomes II: Longitudinal Client Data from the Colorado Treatment Outcome Study
Fiscal Decentralization of Public Mental Health Care and the Robert Wood Johnson Foundation Program on Chronic Mental Illness
Get the Latest from the Milbank Memorial Fund