ERIC Number: ED256967
Record Type: Non-Journal
Publication Date: 1985-Oct
Reference Count: N/A
The Contrasting Careers of Two Structural Types of CMHCs.
Bass, Rosalyn D.; And Others
The federally funded Community Mental Health Centers (CMHCs) Program was designed to permit centers the structural flexibility to meet a wide range of local conditions. Although centers differ along many dimensions, it is possible to classify them into two basic structural models based on whether inpatient care is provided by the grantee directly (Inpatient Provider CMHCs) or indirectly through an affiliate (Inpatient Affiliated CMHCs). Changes in funding, clientele, and services from 1971 to 1980 were examined cross-sectionally and with cohorts for Inpatient Provider and Inpatient Affiliated CMHCs. The results indicated that Inpatient Provider CMHCs grew in revenues and shifted from reliance on federal funds to revenues from services and states, while Inpatient Affiliated CMHCs fell in revenues and changed little in their proportional reliance on federal dollars. Inpatient Provider CMHCs also averaged more additions and episodes of care than Inpatient Affiliated centers. Inpatient Affiliated centers grew more from 1971 to 1976, but from 1976 to 1980 Inpatient Provider centers grew, while Inpatient Affiliated centers dropped or grew less. The data support the notion that organizational structure is an important differentiating variable in describing and evaluating federally funded CMHCs. (The appendix contains three tables and nine figures depicting revenue changes and service additions for CMHCs from 1971 to 1980.) (NRB)
Publication Type: Reports - Research; Speeches/Meeting Papers
Education Level: N/A
Authoring Institution: National Inst. of Mental Health (DHHS/PHS), Rockville, MD. Div. of Biometry and Epidemiology.