@article{ref1,
title="Effects of capitated mental health services on youth contact with the juvenile justice system",
journal="Journal of the American Academy of Child and Adolescent Psychiatry",
year="2002",
author="Scott, M. A. and Snowden, L. and Libby, A. M.",
volume="41",
number="12",
pages="1462-1469",
abstract="OBJECTIVE: To evaluate the association between Medicaid mental health capitation and youth's involvement with the juvenile justice system. <br><br>METHOD: A longitudinal, quasi-experimental pre/post design was used. Using administrative databases, juvenile justice contact, defined as any detention or commitment, was assessed for 13,365 Medicaid-eligible youths, aged 10-17 years, who received public mental health services over a 3-year period (1994-1997) in the state of Colorado. <br><br>RESULTS: There was no significant effect of financing when secular time was controlled for (interaction financing X time: hazard rate = 0.92, p =.62).The main effects model demonstrates a significant secular trend with juvenile justice contacts decreasing over time for both types of financing (hazard rate = 0.80, p =.002) and a significant effect of financing with eventually capitated sites having higher rates of juvenile justice contact compared with sites that remained fee-for-service (hazard rate = 1.24, p =.009). Multivariate analyses controlled for demographics, mental health and substance use diagnoses, and other risk factors for juvenile justice contact. <br><br>CONCLUSIONS: After adjustment for secular trends, capitation was not associated with a reduction in juvenile justice contact. Nonetheless, these findings provide evidence that capitation did not increase the risk of juvenile justice contact. J. Am. Acad. Child Adolesc. Psychiatry, 2002, 41 (12):1462-1469.<p /><p>Language: en</p>",
language="en",
issn="0890-8567",
doi="10.1097/01.CHI.0000024868.60748.A2",
url="http://dx.doi.org/10.1097/01.CHI.0000024868.60748.A2"
}