Did Project Liberty Displace Community-Based Medicaid Services in New York?

Abstract

Project Liberty permitted rapid expansion of the total volume of services provided by community-based organizations without interfering with the provision of traditional services, although a modest effect was seen for smaller agencies. Although the results do not imply that "supply side" planning for disaster needs would not improve system response, they do imply that implementation of flexible "demand side" financing can call forth a large volume of new services rapidly and without interfering with other community services.

The Cost of Assisted Outpatient Treatment: Can It Save States Money?

“…Vocal mental health consumer advocates oppose it, and some mental health clinicians and administrators raise liability and operational concerns. Furthermore, some view outpatient commitment as diverting resources from voluntary service recipients, a claim that might be refuted if assisted outpatient treatment reduces overall treatment costs (24)(25)(26).…”

Patient Inducement, Provider Priorities, and Resource Allocation in Public Mental Health Systems

“…A forthcoming issue of Psychiatric Services studies these possibilities in the case of New York City's Project Liberty program, finding, in this case at least, that there was little evidence for such diversion. See Gomes et al 2006. to begin therapy (Boothroyd et al 2003). Priority patients may again be treated without a budget cost.…”