From 1996 to 1998, the City and County of San Francisco developed blended funding streams and wraparound services under a capitated managed care system.
The project was part of the Robert Wood Johnson Foundation (RWJF) Mental Health Services Program for Youth (MHSPY) Replication national program.
- The grantee developed a capitated managed care system of behavioral health services for emotionally disturbed children and their families, which it had piloted in the Family Mosaic project that had been developed earlier under a previous grant from the MHSPY program. The managed care system was available to all children throughout the City and County of San Francisco, including children who were in foster care.
- Outcomes included a decrease in hospital use of more than one-third, residential placements at one-half of projected rate, and re-arrests reduced by 28 percent.