PMID: 15232016Jul 3, 2004Paper

Effect of managed care on access to mental health services among Medicaid enrollees receiving substance treatment

Psychiatric Services : a Journal of the American Psychiatric Association
Douglas A BigelowRoy M Gabriel

Abstract

Mental health services are important to treatment retention and positive outcomes for many clients of substance abuse treatment programs. For these clients the implementation of managed care should provide for continued or increased access to mental health treatment, rather than decreased access because of short-term, cost-reduction objectives. This study assessed whether converting Medicaid from a fee-for-service program to a capitated, prepaid managed care program affected access to mental health services among clients who were treated for substance abuse. Medicaid enrollees who were being treated for substance abuse in Oregon were interviewed before beginning treatment and after six months of service. One cohort (N=53) was interviewed one to six months before the implementation of managed care, a second (N=66) was interviewed two years after the implementation, and a third (N=49) was interviewed three to four years after the implementation. Logistic regression analyses were used to identify whether the implementation of managed care, the psychiatric need of the client, and other client characteristics affected the receipt of mental health services during the first six months of substance abuse treatment. Clients in all three...Continue Reading

Citations

Apr 23, 2005·Administration and Policy in Mental Health·Mary Jo LarsonLinda Kasten
Jun 19, 2013·Maternal and Child Health Journal·Joseph S ZickafooseSarah J Clark
Sep 20, 2005·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Eitan Naveh, Zvi Stem

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