Dates of Project: September 2011 to March 2013
The National Resource Center for Participant-Directed Services conducted an environmental scan of the behavioral health field to determine interest in a self-direction model of care for individuals with serious mental illness or substance-use issues.
Description: Previous studies of cash and counseling programs—in which participants choose the services and supports that best suit their needs—have focused on people with physical and cognitive disabilities and not on people with serious mental illness including those with co-occurring substance-use issues.
The center’s report—An Environmental Scan of Self-Direction in Behavioral Health: Summary of Major Findings—states that:
Based on the findings, the project team recommended a randomized controlled trial of the self-direction model in behavior health and proposed a design for such a study as well as potential funding sources.
“[Self-direction] is great; I have nothing but good feelings about it. It’s so important to me, that if the government is going to cut spending, I don’t want them to cut this, because it’s needed. It’s a lifesaver—literally,”—A Participant in a Self-Directed Program.
Do self-directed assistance programs work for those w/ mental illness/substance-use issues? Report says YES