Human Services Research Institute, 2336 Massachusetts Avenue, Cambridge, MA, 02140, USA.
Boston College School of Social Work, 140 Commonwealth Ave., Chestnut Hill, MA, 02467, USA.
Adm Policy Ment Health. 2020 Jan;47(1):36-46. doi: 10.1007/s10488-019-00969-4.
Mental health self-direction involves participant control of an individualized budget to support recovery and wellness goals. This quasi-experimental study examined whether self-direction is associated with changes in service utilization. The study involved 2 years of administrative data for 94 self-directing participants and a matched comparison group of 529 non-participants with similar observed characteristics. Difference-in-differences were examined using four regression models predicting changes in four service utilization categories. Self-directing participants had greater increases in outpatient and rehabilitation services than the non-self-directing group, controlling for relevant covariates. There were no between-group differences in residential and emergency service utilization.
心理健康自我指导涉及参与者对个性化预算的控制，以支持康复和健康目标。这项准实验研究考察了自我指导是否与服务利用的变化有关。该研究涉及 94 名自我指导参与者和 529 名具有相似观察特征的非参与者的两年行政数据。使用四个回归模型来预测四个服务利用类别的变化，检验了差分法。控制了相关协变量后，自我指导参与者的门诊和康复服务利用增加幅度大于非自我指导组。在住院和急诊服务利用方面，两组之间没有差异。
