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Issues and approaches in evaluating managed mental health care
K B Wells1, B M Astrachan, G L Tischler
1University of California, Los Angeles.
The Milbank Quarterly
|January 1, 1995
Summary
Evaluating alternative managed mental health care is crucial for policy and clinical decisions. This study reviews definitions, forms, and identifies barriers to evaluating these systems.
Area of Science:
- Health Services Research
- Mental Health Policy
- Healthcare Management
Background:
- Limited data exists on the impact of diverse managed care models on mental health.
- Informing health policy and clinical practice requires understanding managed care's effects on cost, quality, and outcomes.
Purpose of the Study:
- To review the definition and forms of managed mental health care.
- To identify activities and procedures within managed care.
- To explore challenges and propose solutions for evaluating managed mental health care systems.
Main Methods:
- Literature review of managed mental health care definitions and forms.
- Analysis of existing studies on managed care evaluations.
- Identification of common implementation roadblocks and potential mitigation strategies.
Main Results:
- Managed mental health care encompasses various activities and procedures.
- Conceptual and practical challenges frequently impede evaluation implementation.
- Existing studies offer insights into overcoming these evaluation barriers.
Conclusions:
- Effective evaluation of managed mental health care is essential but challenging.
- Understanding and addressing implementation barriers are key to successful evaluation.
- This work provides a framework for future research and policy development in managed mental health care.