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Adults with mental illnesses in the Cash and Counseling program had higher satisfaction, both with their quality of life and with their paid caregivers, compared to those receiving traditional Medicaid services, according to an April 2010 study done for the Substance Abuse and Mental Health Services Administration, Self-Directed Care in Mental Health: Learnings from the Cash & Counseling Demonstration Evaluation.

"Cash and Counseling" works, even with mental health clients