UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
1995-09-01Keywords
Community Mental Health Servicesdistribution
Cost-Benefit Analysis
Crisis Intervention
Emergency Services, Psychiatric
distribution
Humans
Mobile Health Units
Quality of Health Care
Questionnaires
United States
Health Services Research
Mental and Social Health
Psychiatric and Mental Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
OBJECTIVE: Although mobile crisis services have been widely accepted as an effective approach to emergency service delivery, no systematic studies have documented the prevalence or effectiveness of these services. This survey gathered national data on the use and evaluation of mobile crisis services. METHODS: In 1993 mental health agencies in 50 states, the District of Columbia, and U.S. territories were surveyed. Repeated follow-up was done to ensure a 100 percent response. RESULTS: A total of 39 states have implemented mobile crisis services, dispatching teams to a range of settings. Although respondents reported that use of mobile crisis services is associated with favorable outcomes for patients and families and with lower hospitalization rates, the survey found that few service systems collect evaluative data on the effectiveness of these services. CONCLUSIONS: The claims of efficacy made for mobile crisis services, which have led to their widespread dissemination, are based on little or no empirical evidence. More rigorous evaluation of new and existing modes of service delivery is needed. The need for such evaluation will increase in the climate promulgated by managed care, in which greater emphasis is placed on cost-effectiveness.Source
Psychiatr Serv. 1995 Sep;46(9):893-7.Permanent Link to this Item
http://hdl.handle.net/20.500.14038/45069PubMed ID
7583498Related Resources
Link to Article in PubMedCollections
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