California Agency Develops a Treatment Model for Women with Complex Needs

Development of a long-term intervention for AFDC women with special needs

From 1995 to 1996, staff at the Santa Barbara Regional Health Authority developed a long-term intervention model for treating Medicaid-eligible women diagnosed with both mental health and substance abuse problems.

The project was part of the Robert Wood Johnson Foundation (RWJF) Chronic Care Initiatives in HMOs national program.

Key Findings

  • Project staff proposed a comprehensive treatment model based on long-term, intensive case management.

  • Project staff identified strengths and gaps in service through a project survey.

  • Project staff recommended a cost-effectiveness evaluation plan to help managed care organizations determine if savings from this model, which could be expected to lower use of services over time, would justify the cost of such an intervention.