Impact of an Alternatives Program on Client Utilization of Services in a County Mental Health System
Daniel D. Jordan Ph.D.1
1 Services, The Los Angeles County Department of Mental Health
The department, 2415 West 6th Street, Los Angeles, California 90057
To evaluate the effectiveness of a county alternatives-to-hospitalization program in reducing patients' use of inpatient services, the author compared use of services by 357 clients before and after their admission to the alternatives program. Program admission was followed by overall reductions in clients' use of mental health services, particularly inpatient services, and in their rate of return to an inpatient setting. The type of program a client was involved in immediately before entering the alternatives program was predictive of the amount and type of subsequent treatment. Clients who transferred to the alternatives program from an inpatient setting subsequently used inpatient services the most. The author belives information about patterns of service use can be helpful in designing treatment strategies and programs.
Note:
The author thanks Lisbeth Goldberg for her assistance with computer programmings and Dale Berger, Ph.D., for his conceptual input.
