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Mental health and managed care

M L Durham1

  • 1Center for Health Research, Kaiser Permanente, Kaiser/Group Health, Portland, OR 97227, USA. durhamma@chr.mts.kpnw.org

Annual Review of Public Health
|June 5, 1998
PubMed
Summary

Managed mental health care is widespread but under-researched. Current evidence suggests no negative impact on patient outcomes, despite cost-saving measures and altered treatment approaches.

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Area of Science:

  • Health Services Research
  • Mental Health Policy
  • Healthcare Management

Background:

  • Managed care is the primary model for mental health service delivery.
  • Limited research exists to guide policy in this rapidly growing area.
  • Managed care has demonstrated cost reductions through decreased hospital utilization.

Purpose of the Study:

  • To review the current state of managed mental health care.
  • To identify research gaps and policy implications.
  • To highlight areas for future investigation.

Main Methods:

  • Literature review of managed mental health care.
  • Analysis of cost-saving mechanisms.
  • Comparison of treatment modalities and staffing in managed care versus fee-for-service.

Main Results:

  • Managed care reduces costs by limiting hospital admissions and length of stay.
  • Staffing often involves less specialized professionals, with increased use of group and manualized therapies.
  • No definitive evidence indicates worse health outcomes for patients under managed care.

Conclusions:

  • Further research is urgently needed on cost, quality, access, satisfaction, and functional outcomes.
  • The impact of mental health parity on managed care requires investigation.
  • Policy decisions should be informed by robust research on managed mental health care effectiveness.

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