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Self-directed care gives people with disabilities direct control over public funds to purchase goods and services that enable them to live in the community rather than institutional settings. However, this model is seldom used in mental health care. The authors compared the effects of self-directed care versus services as usual on client outcomes, service satisfaction, and service costs. They found that compared to those who received usual services, self-directed care participants had superior mental health and rehabilitation outcomes, and were more satisfied with their care, even though there were no differences in service costs between the two groups.

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This page is a summary of: Mental Health Self-Directed Care Financing: Efficacy in Improving Outcomes and Controlling Costs for Adults With Serious Mental Illness, Psychiatric Services, March 2019, American Psychiatric Association,
DOI: 10.1176/appi.ps.201800337.
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