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The Community Transition Program: Policy, process, and outcome
Abstract
The purpose of this project was to examine the process, policy issues, and outcomes of an intensive psychosocial rehabilitation program, the Community Transition Program (CTP) of the Lincoln Regional Center. Results indicate that overall, the CTP did produce positive outcomes in terms of reduced time in the hospital and improved cognitive and behavioral functioning for the majority of patients. Positive changes in socio-cognitive functioning were not as prevalent, but this is to be expected since these areas are, for the most part, not directly targeted by treatment in the CTP. The vast majority of patients were also found to be discharged to less restrictive settings. Significant cost savings were found for all but a minority of patients, who happened to be those that the CTP staff rated as having “poor” outcome. However, time series analyses also indicate that those patients rated as having “poor” outcome performed better behaviorally and functionally throughout treatment than those in both the “good” and “excellent” outcome groups. These findings indicate that outcome ratings by staff were most likely based on other factors, including change in time hospitalized from pre- to post-CTP treatment. Treatment plan problem titles were found to be influenced by some predictor variables, and, in turn, were related to a small number of outcome variables, including length of stay in the program. Stochastic models that were developed indicate that some areas of outcome, namely change in the number of days hospitalized from pre- to post-CTP treatment and length of stay in the program, can be predicted by a number of predictor and moderator variables. Overall, findings indicate that the CTP does continue to fill an important role in the mental health service continuum in Nebraska, despite the current push towards outpatient treatment. However, the CTP's role in the mental health service continuum will need persistent monitoring as the service system evolves so as to continually inform administrators and policy makers as to the impact of these changes on the population being served.
Subject Area
Psychotherapy|Mental health
Recommended Citation
Browne, Myla, "The Community Transition Program: Policy, process, and outcome" (2005). ETD collection for University of Nebraska-Lincoln. AAI3186849.
https://digitalcommons.unl.edu/dissertations/AAI3186849