Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Mainstreaming the mentally ill in HMOs.

J B Christianson, N Lurie, M Finch

New Directions for Mental Health Services

|January 1, 1989

Summary

Enrolling public program beneficiaries with mental illness in health maintenance organizations (HMOs) presents administrative and political challenges. A Minnesota demonstration program highlighted these complex issues.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Improved Time to Notification of Impending Brain Death and Increased Organ Donation Using an Electronic Clinical Decision Support System.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2017

Same author

Effectiveness of centre-based childcare interventions in increasing child physical activity: a systematic review and meta-analysis for policymakers and practitioners.

Obesity reviews : an official journal of the International Association for the Study of Obesity·2016

Same author

Distribution of adult respiratory illnesses at a primary health centre in Lesotho.

The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease·2012

Same author

Prevalence of vitamin D inadequacy in Belfast following fragility fracture.

Current medical research and opinion·2006

Same author

A study of bone mineral density in women with forearm fracture in Northern Ireland.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·2004

Same author

Promoting healthy skin in older people.

Nursing standard (Royal College of Nursing (Great Britain) : 1987)·2002

Area of Science:

Healthcare Administration
Public Health Policy
Mental Healthcare Systems

Background:

Managed care organizations, specifically Health Maintenance Organizations (HMOs), are increasingly utilized for healthcare delivery.
Public program beneficiaries, particularly those with mental illness, face unique challenges in accessing and navigating healthcare systems.
Integrating mental healthcare within managed care frameworks requires careful consideration of administrative and political factors.

Purpose of the Study:

To examine the administrative and political complexities encountered when enrolling public program beneficiaries with mental illness into existing HMOs.
To provide insights from a demonstration program in Minnesota regarding these integration challenges.

Main Methods:

The study draws on the experiences of a demonstration program focused on integrating mentally ill public program beneficiaries into HMOs.
Qualitative analysis of administrative and political issues encountered during program implementation.

Main Results:

Enrollment of mentally ill public program beneficiaries in HMOs revealed significant administrative hurdles.
Politically sensitive issues emerged, impacting program design and execution.
The demonstration program provided a case study of these multifaceted challenges.

Conclusions:

The integration of mentally ill public program beneficiaries into HMOs necessitates proactive strategies to address administrative complexities.
Navigating political sensitivities is crucial for successful implementation and sustainability of such programs.
Lessons learned from the Minnesota demonstration program offer valuable guidance for future initiatives.

Related Experiment Videos