Randomized Controlled Trial of Self-Directed Care for Medically Uninsured Adults With Serious Mental Illness

March 29, 2023

Self-directed care (SDC) is a treatment model in which recipients self-manage funds designated for provision of services. The model is designed to cost no more than traditional services while achieving superior participant outcomes. The authors examined the model’s impact on outcomes, service costs, and user satisfaction among medically uninsured, low-income individuals with serious mental illness. Compared with individuals in the control condition, SDC participants reported greater improvement in perceived competence, met and unmet needs, autonomy support, recovery from symptom domination, and employment. Read the full article.