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BACKGROUND Limited English proficiency (LEP) may contribute to mental health care disparities, yet empirical data are limited. OBJECTIVE To quantify the language barriers to mental health care by race/ethnicity using a direct measure of LEP is the objective of the study. DESIGN Cross-sectional analysis of the 2001 California Health Interview Survey is(More)
OBJECTIVE Study findings indicating that involuntary outpatient commitment can improve treatment outcomes among persons with severe mental illness remain controversial. Opponents of outpatient commitment argue that its coerciveness is unacceptable even given its arguable benefits. However, it is unclear to what extent the public debate surrounding(More)
OBJECTIVE This study explored the extent and nature of agreement on outcome and service priorities between consumers, their providers, and their family members as well as providers' and family members' awareness of consumers' priorities. METHODS Interviews were conducted with members of 60 stakeholder sets that included a person with schizophrenia, one of(More)
OBJECTIVES We examined whether providing active outreach and assistance to crime victims as part of comprehensive psychosocial services reduced disparities in access to state compensation funds. METHODS We analyzed data from a randomized trial of injured crime victims (N = 541) and compared outcomes from comprehensive psychosocial services with usual(More)
OBJECTIVE This study measured state public policy makers' ratings of the importance of several key schizophrenia treatment outcomes and compared them with the ratings of primary stakeholders in schizophrenia treatment. METHODS Three groups of policy makers (40 administrative decision makers, 40 state legislators, and 20 legislative aides) and three groups(More)
PURPOSE To examine the influence of translation when measuring and comparing self-rated health (SRH) measured with five response categories (excellent, very good, good, fair, and poor), across racial/ethnic groups. METHODS Using data from the California Health Interview Survey, which were administered in five languages, we analyzed variations in the(More)
OBJECTIVE As a gateway to the mental health system, psychiatric emergency services (PES) are charged with assessing a heterogeneous array of short-term and long-term psychiatric crises. However, few studies have examined factors associated with inpatient psychiatric hospitalization following PES in a racially diverse sample. We examine the demographic,(More)
This study examined the impact of case management on hospital service use, hospital costs, homelessness, substance abuse, and psychosocial problems in frequent users of a public urban emergency department (ED). Subjects were 53 patients who used the ED five times or more in 12 months. Utilization, cost, and psychosocial variables were compared 12 months(More)
PURPOSE This study evaluated the cost-effectiveness of an automated telephone self-management support with nurse care management (ATSM) intervention for patients with type 2 diabetes, which was tested among patients receiving primary care in publicly funded (safety net) clinics, focusing on non-English speakers. METHODS We performed cost analyses in the(More)
OBJECTIVE The objective of the study was to test the hypothesis that clinical case management is more cost-effective than usual care for frequent users of the emergency department (ED). METHODS The study is a 24-month randomized trial obtaining data on psychosocial problems through interviews and service usage and cost data from administrative records. (More)