Cutler Institute for Health and Social Policy

Population Health and Health Policy

David Lambert

Associate Research Professor
David Lambert

Office

420 Wishcamper Center

Contact Information

Phone: (207) 780-4502

Education: Tulane University, B.A., 1972; Indiana University, M.A., 1974; Brandeis University, Ph.D., 1986.

Research Interests: access to mental health services in rural areas, integration of primary care and behavioral health, and rural managed behavioral health programs

Professor Lambert teaches courses on Economic Issues in Health Care and Mental Health Policy. Lambert directs the Mental Health Program Area within the Institute for Health Policy and has over 15 years of experience in conducting mental health research with a focus on projects that improve access to, quality and effectiveness of mental health care to vulnerable populations. Lambert is a nationally recognized rural mental health services researcher and is widely published in this area. His research has focused on access to mental health services in rural areas, particularly coordination of primary care and mental health, recovery models, and evidence-based practice. Lambert has been an invited speaker at numerous national conferences and expert work group sessions. He is the past President of the National Association for Rural Mental Health Association (2003-2005).

Publications

Datesort descending Title Type
2001 Medicaid Managed Behavioral Health in Rural Areas Report
2002 State Licensure Laws and the Mental Health Professions: Implications for the Rural Mental Health Workforce. Executive Summary Report
2005 Use of Critical Access Hospital Emergency Rooms by Patients with Mental Health Symptoms Journal Article
2007 Rural Inpatient Psychiatric Units Improve Access to Community-Based Mental Health Services, but Medicare Payment Policy a Barrier Report
2008 Substance Abuse by Youth and Young Adults in Rural America Journal Article
2008 Use of Mental Health Services by Rural Children Working Paper
2008 Maine Barriers to Integration Study: Environmental Scan Report
2009 Rural Children Don't Receive the Mental Health Care They Need Research and Policy Brief
2009 Maine Barriers to Integration Study: The View from Maine on the Barriers to Integrated Care and Recommendations for Moving Forward Report
2009 Mental Health Services in Rural Jails Research and Policy Brief
2010 Characteristics of Inpatient Psychiatric Units in Small Rural Hospitals Journal Article
2010 Mental Health Services in Rural Jails Working Paper
2010 Access to Mental Health Services and Family Impact of Rural Children With Mental Health Problems Working Paper
2010 Mental Health Problems Have Considerable Impact on Rural Children and Their Families Research and Policy Brief
2013 Telemental Health in Today's Rural Health System Research and Policy Brief
2014 Integrated Care in Rural Areas Book Chapter
2015 New Jersey's Manage By Data Program: Changing Culture and Capacity to Improve Outcomes Report

Cutler Institute awarded $600,000 to help youth raised in foster system

Marty Zanghi

USM's Cutler Institute for Health and Social Policy has been awarded a $600,000 grant to help young people raised in Maine's foster system to prepare for college and the workforce.

The money comes from the Annie E. Casey Foundation as part of a $5.4 million national effort aimed at youth who are homeless or in either the foster care or juvenile justice systems.

"Many of these young people have suffered abuse or trauma and were raised in poverty and neglect," said Marty Zanghi, the Cutler Center's youth development director.

The money -- including an expected $400,000 more in matching funds -- will pay for contracted work with agencies in the target areas, starting with the greater Portland area and Penobscot, Kennebec and Somerset counties.

Nationally and in Maine, only about 3 percent of people who grow up in the foster care system achieve a college degree, he said.

"It's dramatically lower than the rate for the general population," Zanghi said. "It's a horrible outcome."

It doesn't have to be that way, though.

"There are young people that overcome these circumstances," he said. "I know people who have master's degrees and Ph.Ds."

The Casey Foundation's national effort is being called the "Learn and Earn to Achieve Potential" (LEAP) initiative.

The initiative is working on partnerships in Maine and nine other areas: Alaska, Arizona, California, Massachusetts, Michigan, Minnesota, Nebraska and New York. In each case, people will adapt two evidence-based models to meet the needs of these youth, including support to address the trauma they may have experienced in their lives.

In Maine, the work will include a pair of successful programs, Jobs for Maine Graduates (JMG) and Jobs for the Future. Results will be carefully tracked, Zanghi said.

After the first year, the program is expected to grow.

"Eventually, the additional help will be available to all children, 14 and over, in the foster care system in the state of Maine," Zanghi said.

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