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Zabel, R. , Peterson, R. , Smith, C. , & White, M. A. (1982). Availability and usefulness of assessment information for emotionally disabled students. School Psychology Review, 11, 433-437. 2 Start-Up of a Day Treatment Program in a University Medical Center LAUREL J. KISER and DAVID B. PRUITT INTRODUCTION University medical centers have the complex and expensive responsibility to provide medical education. In order to meet this mandate, they must attract quality medical academicians and students through the initiation and operation of excellent clinical programs.
This can be extended to a variety of faculty and staff members, especially those who carry joint responsibilities. We mention shared use of facilities here because it affects the fiscal operation of the program. However, it is discussed extensively in the next section. Table 1 presents several yearly budgets indicating (among other things) the amount of revenue contributed by the university. Establishing the program within a medical program allows for billing on a "fee-for-service" basis. This means a higher dependence on medical insurance for reimbursement of program costs.
The amount of staff time needed for particular service functions was established on the basis of the SED prevalence estimate for the unit. The 3 years of the pilot programs resulted in the observation that, among the accepted referrals, services in psychoeducational classes were needed for 40% of the children. The remaining 60% required other forms of more limited service, such as assistance to families, consultation with teachers, referrals and consultation with other agencies concerned with the child, and individual therapy or intermittent crisis contacts in the schools, neighborhoods, or homes.