Estimating the Cost of Preventive Services in Mental Health and Substance Abuse Under Managed Care;Technical rept

摘要

This document presents cost estimates for six preventive interventions previously identified through a literature review and analysis of peer-reviewed, published research in mental health or substance abuse services (Dorfman, 2000). That report was commissioned by the Center for Mental Health Services and yielded a number of well-designed research studies. Twenty-one of those studies supported six preventive interventions that demonstrated patient benefits (i.e., better outcomes) or lower use and cost of medical care. In this technical report, models are presented to project the range of potential cost for the following interventions when they are provided to members of a managed care organization (MCO). The services span the developmental stages from prenatal to later life: (1) Prenatal and infancy home visits for high-risk mothers; (2) Targeted cessation education/counseling for smokers; (3) Targeted short-term mental health therapy; (4) Health promotion through self-care education; (5) Presurgical educational intervention with adults; and (6) Brief counseling/advice to reduce alcohol use.