State mental health policy: critical elements of public-sector managed behavioral health programs for severe mental illness in five States
Autor: | Julienne Giard, David Shern, M. Susan Ridgely, Virginia Mulkern |
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Rok vydání: | 2002 |
Předmět: |
medicine.medical_specialty
Pilot Projects Behavioral Medicine Nursing Health care medicine Humans Psychiatry Health policy Health economics Public Sector business.industry Medicaid Public health Health Policy Mental Disorders Managed Care Programs United States Substance Abuse and Mental Health Services Administration Mental illness medicine.disease Mental health United States Psychiatry and Mental health Managed care business |
Zdroj: | Psychiatric services (Washington, D.C.). 53(4) |
ISSN: | 1075-2730 |
Popis: | he term “managed care” may beused to describe a wide variety ofarrangements that have differentstructures, functions, and effects onthe care of people who have behav-ioral health disorders. The evaluationof public-sector managed care planshas been hindered by a lack of a sys-tematic vocabulary for describingthem and a lack of instruments to op-erationalize this vocabulary into a setof measurement procedures.We developed and pilot tested aninstrument to be used in categorizingpublic-sector managed care arrange-ments (1). The instrument was usedto collect descriptive data on man-aged care plans in the Managed Be-havioral Health Care in the PublicSector Study conducted by the Sub-stance Abuse and Mental Health Ser-vices Administration (SAMHSA). Inthis multisite study, a competitiveprocess was used to fund 21 sites inorder to evaluate managed behavioralhealth services for four target popula-tions. Here we report preliminary de-scriptive data from five SAMHSAsites at which the impact of managedcare on adults with severe mental ill-ness—one of the most vulnerable andimportant public-sector target popu-lations—was studied. |
Databáze: | OpenAIRE |
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