Mental Health Rate Setting & Financial Analysis

Maine Department of Health and Human Services
Financial Mapping for Maine Youth Treatment Recovery Enhancement Project

Through a federal cooperative agreement Maine has enhanced its substance use treatment services for adolescents who are 12 to 18 years of age. To continue to be able to support these services after the federal funds expired, the State needed to develop a financial structure and policies to support and sustain integrated evidence-based treatment across state agencies. HZA assisted by mapping all relevant funding streams from five units of government to the services they currently support. The resulting financial map has illustrated differences among agencies in funding


Alaska Court System
Anchorage and Palmer Coordinated Resource Projects

Between 2007 and 2008, HZA conducted a comprehensive process and outcome evaluation of two county mental health courts in Alaska, one in Anchorage and one in Palmer. The two specialized criminal court dockets are aimed at diverting individuals with severe mental illness from incarceration into a regimen of court-supervised, community based treatment and recovery support services. In addition to qualitative data and court observation, HZA performed cost effectiveness analyses using a quasi-experimental design. Data were collected from outside sources (e.g., Medicaid, Alaska Psychiatric Institute) to gather treatment information while administrative data from the courts were used to measure recidivism. Attaching costs to reduced days in treatment and reduced time incarcerated led to a quantified demonstration of the program’s cost effectiveness.