Primary Therapists' Views of Managed Care

To assess the system's comprehensiveness in provision of public managed mental health care South Beach Psychiatric Center surveyed a sample (n = 54) of its primary therapists employed in its outpatient departments which have recently been reconligured as key components of the New York State Office of Mental Health Prepaid Mental Health Plan. They are intended to be comprehensive resource and treatment centers which optimize recovery in a deregulated, capitated environment. As key informants, the primary therapists were asked to rate the difficulty they experience in providing or arranging adequate services and support groups in 19 areas. They were also asked to indicate if the fundamental problem was one of access, information, quality, or supply. The five areas with the highest ratings of difficulty were housing or residential services, substance-abuse services, dental care, general health care, and employment or vocational services. The reason for difficulty most endorsed for these areas was supply. It is suggested that capitated managed care contracts can create incentives to increase the supply of such services

Business · Capitation · Health care · Incentive · Managed care · Mental health · Payment · Political science · Psychiatry · Quality (philosophy · Finance · Medicine · Mental Health Treatment and Access · Nursing · Primary Care and Health Outcomes · Psychiatric care and mental health services · Psychology

• Mental health needs assessment

  Open Access•David Royse, Kenneth P Drude et al.•Community Mental Health Journal•1982

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• Evaluating the effectiveness of countywide mental health care systems

  Open Access•Oscar Grusky, Kathleen Tierney•Community Mental Health Journal•1989

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• Models of Local Mental Health Delivery Systems

  Open Access•Oscar Grusky, Kathleen J Tierney et al.•American Behavioral Scientist•1985

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