Gerard Gallucci, MD MHS¹, Tom Marshall, LCSW-C², Robert Brooner, PhD³, Susan Bailey, MD², and Varsha Vaidya, MD². (1) Department of Psychaitry and Behavioral Sciences, Johns Hopkins University, Johns Hopkins Bayview Medical Center, D2 East, 4940 Eastern Avenue, Baltimore, MD 21224, 410/550-0088, ggallucc@jhmi.edu, (2) Psychiatry, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, D2East, Baltimore, MD 21224, (3) Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, 5510 Nathan Shock Drive, Baltimore, MD 21224

In 1994, the Johns Hopkins Bayview Community Psychiatry Program responded to a request for proposal to develop a community-based, demonstration project for individuals with severe and persistent mental illness using a capitation method of financing. The CREATIVE ALTERNATIVES PROGRAM is now in its 10th-year of operation and has received numerous awards for innovation and program design. The program provides treatment for individuals who were long-term State Hospital patients and individuals referred from the community who were high utilizers of mental health services. Outcome data, including hospitalization rate, emergency room utilization, housing, level of functioning, employment and financial information related to the program's 10 years of operation will be presented. The flexibility and other strengths of a capitation method of financing highlighted by the CREATIVE ALTERNATIVES PROGRAM will be discussed.

Learning Objectives:

• Participants will develop an understanding of the challenges related to the design and implementation of a capitated mental health progam.
• Participants will recognize the impact of outcome indicators for program quality improvement and development.
• Participants will be able to adapt features of this capitated mental health program for individuals with other health needs.

Keywords: Mental Health Services, Financing

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: The Johns Hopkins Bayview Medical Center Community Psychiatry Program 4940 Eastern Avenue Baltimore, MD 21224
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.