The integration of psychiatric rehabilitation services in behavioral health care structures: a state example

This article describes a model for integrating psychiatric rehabilitation services in a managed behavioral health care structure. Psychiatric rehabilitation and managed care are two distinct developments in the provision of mental health services that have proceeded independently though they can hav...

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Bibliographic Details
Published in:The journal of behavioral health services & research 2002-11, Vol.29 (4), p.381-393
Main Authors: Ellison, Marsha Langer, Anthony, William A, Sheets, John L, Dodds, William, Barker, William J, Massaro, Joseph, Wewiorski, Nancy J
Format: Article
Language:English
Subjects:
Accountability
Adult
Behaviour
Case management
Community Mental Health Services - organization & administration
Community support
Costs
Crisis intervention
Female
Health care
Health care policy
Health services
Humans
Integration
Iowa
Male
Managed care
Managed Care Programs - organization & administration
Medicaid
Mental disorders
Mental Disorders - rehabilitation
Mental health care
Organizational Affiliation
Organizational Case Studies
Outcome Assessment (Health Care)
Program Development
Psychiatric services
Public sector
Quality Assurance, Health Care
Quality control
Rehabilitation
State Health Plans - organization & administration
United States
USA
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Summary:This article describes a model for integrating psychiatric rehabilitation services in a managed behavioral health care structure. Psychiatric rehabilitation and managed care are two distinct developments in the provision of mental health services that have proceeded independently though they can have compatible methods and outcomes. Descriptive detail is provided about a state initiative in Iowa to provide psychiatric rehabilitation services to those with serious mental illness through the state-contracted managed behavioral health care corporation. The article describes factors leading to the program's implementation, service delivery structures, reimbursements, personnel requirements, and performance indicators. Evidence for supporting this innovation is provided through a case-controlled outcomes study of mental health service units used and their costs for participants and matched controls.
ISSN:1094-3412
1556-3308
DOI:10.1007/BF02287345