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Policy Reports & Recommendations
- DMA is pleased to have collaborated with Public Consulting Group on the development of two reports for the State of Texas Legislature on the Behavioral Health System in Texas. DMA was primarily involved in the review of other state innovations. The analysis is available here and the full recommendations are available here.
- DMA contributed a background paper entitled "Supplement 3 Aids to Assist Shared Decision Making in Mental Health Care" in the report Shared Decision-Making in Mental Health Care: Practice, Research, and Future Directions, HHS Publication No. SMA-09-4371. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2011.
- Commonwealth of Massachusetts, Substance Abuse Plan Update FY2011 - FY2016; July 2010.
- Maximizing the Value of Our Human Service Dollars; An Executive Summary prepared for the Boston Foundation and the Massachusetts Taxpayers Foundation, July 2010.
- State Case Studies of Infant and Early Childhood Mental Health Systems: Strategies for Change; The Commonwealth Fund, July 2010.
- The Substance Use and Addictions Workforce and Organizational Development Strategic Plan: Year 1 Results and Update; Released by the Massachusetts Department of Public Health, Bureau of Substance Abuse Services, Spring 2010.
- The Massachusetts Child Psychiatry Access Project: Supporting Mental Health Treatment in Primary Care; Released by The Commonwealth Fund, March 2010.
- Accessing Children's Mental Health Services in Massachusetts: Workforce Capacity Assessment; A comprehensive survey of the work of children's mental health professionals prepared for the Blue Cross Blue Shield of Massachusetts Foundation in partnership with The Lewin Group, Inc., October 2009.
- State Behavioral Health Innovations: Disseminating Promising Practices; The delivery of mental health care in the United States requires radical improvement and reform. To help identify promising innovations in behavioral health care, experts in the field of mental health and substance abuse were interviewed. Based on their suggestions, 17 practices were selected and described—all related to purchasing and quality improvement—and being implemented by states in behavioral health care. DMA prepared this report for the Commonwealth Fund who published it in August 2006
- The Massachusetts OxyContin and Other Drug Abuse Commission - Final Report; DMA prepared this report in 2006 for a Massachusetts Legislative Commission on OxyContin and other Prescription Drug Abuse. The report summarizes the scope of the problem, testimony received by the Commission and Commission recommendations for a systemic approach to address the problem.
- Mental Health: The Business Case - Treatment Works . . . People Recover!; prepared for the Ohio Department of Mental Health, August 3, 2005, written by Richard H. Dougherty, Ph.D.
- Resiliency; a copy of an article published in the "From the Field" section of Mental Health Weekly, July 18, 2005; written by Richard H. Dougherty, Ph.D.
- Commonwealth of Massachusetts, Substance Abuse Strategic Plan; Prepared with the Department of Public Health, Bureau of Substance Abuse Services, May 16, 2005. Can also be viewed on the DPH Website.
- Disease Management for Chronic Behavioral Health and Substance Use Disorders; February 2005; Several states have implemented disease management programs or pilots for behavioral health services. The experiences of the most significant of these programs are reviewed briefly in this Resource Paper prepared by Suzanne Gelber, PhD, The Avisa Group/ SGR Health and Richard H. Dougherty, PhD, Dougherty Management Associates, Inc. to explore implementation issues, lessons and implications.
- Behavioral Pharmacy Benefit Management - Case Studies; December 2004; Pharmaceutical costs have increased significantly in both the general and the behavioral health care systems in recent years. This paper reviews several of the most promising methods for managing behavioral pharmacy practices and costs while seeking to continue to maintain open access to these drugs. It describes the current situation, defines the practice, outlines a number of specific case studies, offers information about related initiatives, and concludes with some comments about likely trends in the field.
- Summit 2003 - Reducing Disparity: Achieving Equity in Behavioral Health Services; March 13-15, 2003. Proceedings of the 2003 Santa Fe Summit, chaired and prepared by Richard H. Dougherty, Ph.D.
- TennCare Partners: Behavioral Health Reprocurement Strategies; April 17, 2002 - This report is a review of options and recommendations for the reprocurement and re-contracting of TennCare Partners, the behavioral health program in Tennessee's Medicaid Program (TennCare). The project was funded by The Center for Health Care Strategies (CHCS) and may be found by clicking on the title above or on the Tennessee DMHDD Web site.
- Health Network Portals; As presented at the 2001 National MMIS Conference in Nashua, New Hampshire on August 29, 2001. This presentation describes some of the background of enterprise portals and the functionality and features required in an enterprise portal for health care provider networks.
- Recommendations for Implementing a Four Tiered Foster Care System; Prepared for the Massachusetts Department of Social Services, February 14, 1997.
- Improving quality step by step; The conclusion to a two-part series about improving the quality of behavioral health services by Richard H. Dougherty, Ph.D., Behavioral Healthcare, September 2007.
- Good Intentions, but few results; Part one in a two-part series about improving the quality of behavioral health services by Richard H. Dougherty, Ph.D., Behavioral Healthcare, August 2007.
- The Intersection of Transformation and Quality in Mental Health Treatment: Implementing the California Learning Collaborative; International Journal of Mental Health; Summer 2007.
- Business Process Leadership: Foundations for Transformation; As published in the June 2005 issue of Behavioral Healthcare Tomorrow; written by Adrian Bishop and Richard H. Dougherty, Ph.D.
- Crossing the Quality Chasm - Reforming Behavioral Health Services Through Community Collaborations; As published by the International Journal of Mental Health, Spring 2005; written by Allen Daniels, Neal Adams and Richard H. Dougherty, Ph.D.
- Whackamole? The Role of Key Performance Indicators in Health and Human Services; As published in Behavioral Healthcare Tomorrow, April 2005; written by Adrian Bishop and Richard H. Dougherty, Ph.D.
- Implementing Continuous Quality Improvement at the Healthcare Provider Level; As published in Behavioral Healthcare Tomorrow, February 2005; written by Adrian Bishop and Richard H. Dougherty, Ph.D. Details some specific tools and methodologies that can be used by a provider to create a culture of Service Excellence.
- Does the Mental Health System Need its Own 'Apollo Program'? Necessary Steps for Mental Health transformation; As published in the January 3, 2005 issue of Executive Forecast Strategic Analysis of 2005 Trends; written by Adrian Bishop and Richard H. Dougherty, Ph.D. The article parallels the enormous scale of the transformations required in the way mental health is delivered in America to the Apollo program which successfully took man to the moon.
- The Road to Service Excellence; As published in Behavioral Healthcare Tomorrow, September 2004; written by Adrian Bishop and Richard H. Dougherty, Ph.D. This article describes the “road” to Service Excellence (sE!) and addresses the changing role of quality management in Healthcare.
- Service Excellence (sE!) In Health and Human Services, An Executive Overview; August 2004; written by Adrian Bishop.
- Financial Health of Providers in Mass. Human Service System; Prepared for the Executive Office of Health & Human Services, Commonwealth of Massachusetts, October 2007.
- Organizing and Financing Mental Health Services; presented at the Moving forward: Designing and Financing Effective mental health Services in an Era of Transformation symposium hosted by the Center for Health Program Development and Management, University of Maryland Baltimore Campus; June 12, 2007.
- Rhode Island - Public Mental Health Financing Study; August 2004; The Rhode Island Foundation retained Dougherty Management Associates, Inc. to analyze the financing for public mental health services and to “map” the financing by identifying key features of the system and its funding sources.
- Medicaid Managed Behavioral Health Care Benchmarking Project; DHHS Pub. No. (SMA) 03-3844, Rockville, MD: Substance Abuse and Mental Health Services Administration, 2002.
- Checking Your Financial Pulse: Benchmarking of Key Fiscal Indicators; March 31, 2003, This presentation on financial benchmarking for community behavioral health providers addresses why they are used in general healthcare and by other industries. It describes how Dougherty Management Associates developed financial benchmarks for Mental Health and Substance Abuse Corporation of Massachusetts, how MHSACM has used them to shape external policy and how its members have used benchmarks to set goals for improvement in their individual business operations. This information was presented at the National Council of Community Behavioral Health Annual Training Conference.
Evaluations and Program Reviews
- Assessment of Harvard Pilgrim Health Care, Inc.: Provision of Care from 2000 through 2003; A report prepared for the Massachusetts Office of the Attorney General, 2006.
- Final Report: Independent Assessment of New Jersey’s Children Behavioral Health Care System; October 5, 2006, Submitted to the New Jersey Division of Child Behavioral Health Services by the Louis de la Parte Florida Mental Health Institute. Prepared By: Mary I. Armstrong, Ph.D.; Karen A. Blase, Ph.D.; Beth Caldwell; Wendy Holt, M.P.P.; Tara King-Miller, M.A.; Anne Kuppinger, M.Ed.; Carol Obrochta; Donald N. Policella, M.S.; Frances Wallace, M.P.H. DMA collaborated in a comprehensive assessment of New Jersey’s Behavioral Health Care System for children to identify the progress that it has made and the opportunities for improvement in implementing systems of care on a statewide basis. DMA was responsible for analyzing Medicaid utilization data, comparing utilization rates for Medicaid services among New Jersey counties, and for comparing New Jersey to several other states and counties with similar demographics or which had implemented systems of care. DMA’s work appears in Chapter 8.
- "Report to Advocates: Analysis of the Framingham Jail Diversion Program; December 3, 2004; Dougherty Management Associates prepared this report for Advocates, Inc., a not-for-profit provider of behavioral health services in Framingham, Massachusetts. The report analyzes the Jail Diversion Program that Advocates operates in conjunction with the Framingham Police Department, discussing the potential for replication of the program elsewhere in Massachusetts.
- "Health Care Access at Saint Vincent Hospital: An Independent Analysis - Year 3 Report; August 2003 - Prepared for the Office of the Attorney General, Commonwealth of Massachusetts.
- Evaluation of Product Based Purchased Adoption Services; Prepared for the Commonwealth of Massachusetts, Department of Social Services; Mary 29, 1995; prepared by P.Z. Wasserman, M.S., R. H. Dougherty, Ph.D., D. E. Gwatkin, M.B.A., L.A. Messier, B.S., L.S. Spears
Children’s Mental Health Benchmarking
- "Children's Mental Health Benchmarking Project", Fourth Year Report; January 2005; Funded by The Annie E. Casey Foundation.
- "Children's Mental Health Benchmarking Project", Third Year Report; July 2003; Funded by The Annie E. Casey Foundation and The Center for Health Care Strategies, Inc. This document represents a slightly revised version of the Third Year Report originally released in May 2003. At the request of several participating states we have modified some of the charts (primarily by adding clarifying footnotes), thereby increasing their accuracy and value. The revised pages are as follow: one new page (Page 7), one page with a change in data (Page 61), minor text changes (Pages 6, 47 and 98), footnotes added (Pages 48-53, 67, 69 and 71).
- "Children's Mental Health Benchmarking Project", Second Year Report - Executive Summary
- "Children's Mental Health Benchmarking Project", Second Year Report
- "Children's Mental Health Benchmarking Project", Second Year Report - Appendices Revised July 1, 2002; Funded by The Annie E. Casey Foundation, The Center for Health Care Strategies, Inc., and The Robert Wood Johnson Foundation
- "Children's Mental Health Benchmarking Project", First Year Report; September 28, 2000; Funded by The Annie E. Casey Foundation. (This file is the report narrative only. Please contact DMA directly for a copy of the appendices.)
- Children's Mental Health Benchmarking: Progress and Potential; As published in the June 2001 issue of Behavioral Healthcare Tomorrow, June, 2001; written by Sylvia B. Perlman, Ph.D., Sara Nechasek, Richard H. Dougherty, Ph.D.