You are here

Self-Directed Care

Title: Self-Directed Care: Participants' Service Utilization and Outcomes.
Name(s): Spaulding-Givens, Jennifer, author
Lacasse, Jeffrey R., author
Type of Resource: text
Genre: Text
Issuance: serial
Date Issued: 2015
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Objective: Self-directed care (SDC) is a mental health service delivery model in which participants budget the state dollars allotted for their care to purchase the goods and services they deem most appropriate for achieving their recovery goals. This study examines the demographic characteristics, service utilization patterns, and outcomes of individuals enrolled in the Florida Self-Directed Care (FloridaSDC) program, which is the oldest and most established SDC program in the United States for individuals diagnosed with a severe and persistent mental illness. Methods: This is a naturalistic descriptive study in which demographic, service utilization, and outcome data (i.e., Functional Assessment Rating Scores (FARS), days in the community, days worked, monthly income, discharge status) were collected from the clinical and fiscal records of 136 FloridaSDC participants. Results: Key findings suggest that FloridaSDC participants had very little income and largely utilized their budgets to subsidize their living expenses. Though most participants did not work or earn income and very few left the program due to employment, participants' FARs scores improved modestly and nearly all participants remained in the community throughout the study period. Conclusions and Implications for Practice: Participants' service purchases were rational given the poverty in which they live, and their outcomes did not suffer when they controlled decisions regarding their service needs. These findings highlight the utility and value of the personalized budgeting and individualized planning components of self-directed care. Findings also point to the need for practitioners to implement innovative strategies to enhance participants' employment readiness and supported employment opportunities.
Identifier: FSU_migr_csw_faculty_publications-0029 (IID), 10.1037/prj0000103 (DOI)
Keywords: self-directed care, severe mental illness, recovery, poverty
Citation: Spaulding-Givens, J., & Lacasse, J.R. (in-press; forthcoming 2015). Self-directed care: Participants' service utilization and outcomes. Psychiatric Rehabilitation Journal.
Subject(s): Mental health
Social sciences
Social service
Persistent Link to This Record:
Owner Institution: FSU
Is Part of Series: College of Social Work Faculty Publications.
Is Part Of: Psychiatric Rehabilitation Journal.
Issue: e-pub ahead of print

Choose the citation style.
Spaulding-Givens, J., & Lacasse, J. R. (2015). Self-Directed Care: Participants' Service Utilization and Outcomes. Psychiatric Rehabilitation Journal. Retrieved from