San Francisco Collaborative Provides Continuum of Care for Severely Mentally Ill Youth

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.

Key Results

  • 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.