1、NICOLE K.EBERHART,RACHEL M.BURNS,FEDERICO GIROSI,SHANNON D.DONOFRY,JONATHAN H.CANTOR,ROLAND STURM,RYAN K.McBAINFunding the Service Gap for Adult Outpatient Mental Health Services in CaliforniaA Simulation-Based Cost Analysis of Specialty CareExpanded mental health treatment is stated as a top priori
2、ty for the California legislature and the gover-nor,not least because of the vast need among the states residents.1 One in 26 Californians lives with serious mental illness that results in significant impairment.2 County mental health plans are responsible for providing spe-cialty mental health trea
3、tment to those individuals with serious mental illness and consequent significant impairment who are eligible for Medi-CalCalifornias state Medicaid programor have no other options for treatment.3 Most individuals served by this system have Medi-Cal insurance.KEY FINDINGS In Scenario1(the status quo
4、),the total cost of care to provide adult outpatient mental health care in county specialty mental health to 509,600 adults was$2.88 billion,an annual average of$5,648 per user.If all individuals who would be eligible to receive outpatient treatment in county specialty mental health received evidenc
5、e-based care in a fully funded system(Scenario2),598,314 adults would receive treat-ment costing an average of$21,166 per user.Providing expanded,evidence-based treatment packages to the existing individuals served would result in an additional$7.91 billion in annual costs relative to Scenario1,and
6、providing these expanded treatment packages to an additional 88,714 who are not being served would cost an additional$1.88 billion,resulting in a total cost of$12.66 billion.Implementing Scenario 2 would correspond to a 17-percent increase in individuals served,a 280-percent increase in costs per us
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