Frederick Altaffer

Learn More
BACKGROUND In 1992, Massachusetts launched a state-wide managed care plan for all Medicaid beneficiaries. METHODS This retrospective, multi-year, cross-sectional study used administrative data from the Massachusetts Division of Medical Assistance and Department of Mental Health, consisting of claims for 16,400 disabled adult patients insured by Medicaid(More)
OBJECTIVE To examine the cost-effectiveness of community-based mental health care. DATA SOURCES/STUDY SETTING Administrative data from Medicaid and the Massachusetts Department of Mental Health; primary data from 144 psychiatrically disabled adult Medicaid beneficiaries who lived in Boston, central Massachusetts, and western Massachusetts. STUDY DESIGN(More)
OBJECTIVE The authors examined the propositions that a revolving state hospital door is an inevitable consequence of deinstitutionalization and that enhancing resources for community-based care can limit this phenomenon. METHOD They analyzed the recidivism patterns of state hospital patients in a region of Massachusetts where, because of a federal court(More)
The limitations of medicines for perpenter, 1999; Delano & Zucker, 1994; Hirschfeld, Winslade, & Krause, 1997; Misons with severe mental illness (Appelbaum, 1996; Michaels, 1999) suggest the chaels, 1999). Because the Food and Drug Administration and the National Institute need for continued research into newer and more efficacious agents. This area of of(More)
  • 1