The United States is at a time of promise for historic transformation in mental health care. This report provides recommendations for mental health system change to improve the lives of the millions of Americans in need of care.
Jan 11, 2021
This tool is designed by RAND researchers to help connect mental health systems, policy leaders, and decisionmakers with resources and evidence-based solutions that could help transform the complex mental health landscape in the United States.
Jan 11, 2021
A RAND team identified three goals for transforming the U.S. mental health care system and pinpointed 15 opportunities to drive systemic improvements in access, use, and quality that would help tens of millions of Americans.
Jan 11, 2021
This tool provides a visualization of the concepts in "Strengthening the Entry-Level Health Care Workforce: Finding a Path" which reviews strategies, strengthens and expands the entry-level health care workforce, and identifies opportunities for stakeholders.
Dec 17, 2020
Update of Markov Model on the Cost-effectiveness of Nonpharmacologic Interventions for Chronic Low Back Pain Compared to Usual Care
Markov modeling facilitates comparisons across interventions for lower back pain not directly compared in trials.
Dec 16, 2020
Distress, Impairment, and Racial/Ethnic Differences in Perceived Need for Mental Health Treatment in a Nationally Representative Sample
Differences in perceived need across racial/ethnic groups are not attributable to differences in psychological distress and impairment.
Dec 16, 2020
The goal of this research was to review evidence on promising strategies, strengthen and expand the entry-level health care workforce, and identify potential opportunities for stakeholders to consider.
Dec 15, 2020
The Effect of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: A Review of the Scientific Literature
Researchers reviewed literature about blast-related burn injury, which is common among service members and is associated with infection, disability, military discharge, and mortality. Further research is needed on burn prevention and field care.
Sep 21, 2020
Health Service Utilization and Costs at the Outset of a Permanent Supportive Housing Program: Baseline Evaluation Report
This report presents a baseline assessment of an innovative permanent supportive housing program to help address homelessness, examining demographic and clinical characteristics of enrollees and health care service utilization and costs.
Aug 10, 2020
This observational study examined personal recovery in a representative sample of adults in California with elevated psychological distress.
May 12, 2020
Mixed-methods Study of Integration of Housing and Medical Data Systems for Enhanced Service Coordination of People with HIV
Improving service coordination through integrated data systems requires a number of complex steps at the organizational, technical, end user, and educational levels. Successful integration includes extensive need for human engagement, training, and buy-in, as well as allowing for sufficient time to complete all steps.
Apr 21, 2020
This study sheds light on the distribution of buprenorphine-waivered prescribers over the past decade. Growth has been rapid in communities affected by the opioid crisis, but slower in rural communities, and those with lower levels of education.
Jan 8, 2020
Despite the increased ratio of child psychiatrists per children over the past decade, a shortage remains, particularly in places with lower levels of income and education.
Nov 6, 2019
Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic
This study highlights factors that affect Community Health Centers' ability to reduce infectious disease transmission related to the opioid epidemic.
Jun 18, 2019
The 33 studies reviewed identify multiple workforce-related challenges for families seeking treatment for children with autism spectrum disorder-including lack of primary care providers to serve these children, lack of specialty providers, and sociodemographic and geographic disparities in access to ASD services.
Jun 10, 2019
Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models: Materials for a Report to Congress
This report examines the quality of evidence for the effectiveness of health care models that connect generalist providers with specialist teams via technology to provide additional training.
Mar 6, 2019
This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improved provider- and patient-related outcomes.
To help the Centers for Medicare & Medicaid Services (CMS) reimburse primary care practices for investing in "comprehensive primary care" capabilities, the authors developed and piloted a method for estimating related practice expenses.
Nov 15, 2018
Evaluating Cost Savings Associated with Los Angeles County's Mental Health Full Service Partnerships
This report estimates government spending and cost savings associated with outcomes targeted by Full Service Partnership programs in Los Angeles County: homelessness, criminal justice detention, health care (inpatient and outpatient), and employment.
Oct 29, 2018
RAND estimated government spending and cost savings associated with outcomes targeted by Full Service Partnership programs in Los Angeles County: homelessness, criminal justice detention, health care (inpatient and outpatient), and employment.
Oct 29, 2018
To date, the stigma associated with opioid dependence has had the untoward effect of discouraging treatment-seeking behavior before the occurrence of an adverse event.
Jun 1, 2018
Older age was the strongest predictor of undergoing potentially inappropriate prescribing (PIP) among individuals who were prescribed opioids. PIP was also associated with risk of adverse outcomes in both older and younger adults.