Capitation and racial and ethnic differences in use and cost of public mental health services

This study investigated racial and ethnic differences in the probability of mental health service use and costs of treatment before and after the implementation of capitated financing. Models were created to test effects on utilization and costs of African American, Latinos, and white mental health...

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Bibliographic Details
Published in:Administration and policy in mental health and mental health services research 2007-09, Vol.34 (5), p.456-464
Main Authors: Snowden, Lonnie R, Wallace, Neal T, Kang, Soo Hyang, Cheng, Jur-Shan, Bloom, Joan R
Format: Article
Language:English
Subjects:
Adolescent
Adult
African Americans
Aged
Black American people
Capitation
Capitation Fee
Consumers
Cultural differences
Databases as Topic
Ethnic differences
Female
Hispanic Americans
Humans
Male
Mental health services
Mental Health Services - utilization
Middle Aged
Public Sector
Users
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Summary:This study investigated racial and ethnic differences in the probability of mental health service use and costs of treatment before and after the implementation of capitated financing. Models were created to test effects on utilization and costs of African American, Latinos, and white mental health consumers. As service use and costs declined under capitation, Latino, and white levels of use and cost tended to converge. African American utilization patterns in the capitated areas tended to parallel their white counterparts. Differential rejection by, or exclusion of, African American and Latino consumers did not appear to occur in response to capitation.
ISSN:0894-587X
1573-3289
DOI:10.1007/s10488-007-0126-y