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Managed care as a platform for cross-system integration

B M Ogles1, S C Trout, D K Gillespie

  • 1Department of Psychology, Ohio University, Athens 45701, USA. ogles@oak.cats.ohiou.edu

The Journal of Behavioral Health Services & Research
|August 1, 1998
PubMed
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Managed care strategies are entering public mental health services, raising concerns about care values. Combining system-of-care values with managed care principles can improve integrated services for children and youth.

Area of Science:

  • Public health policy
  • Behavioral health services
  • Child and adolescent mental health

Background:

  • The industrialization of private healthcare has led to managed care strategies for cost reduction.
  • These strategies are increasingly being applied to the public sector, including mental health services.
  • Privatization of public mental health funding is occurring in some states and may expand.

Purpose of the Study:

  • To review the core values of systems of care for children and families.
  • To examine recent changes in the continuum of care for children with severe emotional disorders.
  • To explore basic principles and strategies of managed care in behavioral health.

Main Methods:

  • Literature review of system-of-care values and managed care principles.

Related Experiment Videos

  • Analysis of changes in service delivery for children with severe emotional disorders.
  • Presentation of a case example of a nonprofit corporation managing public sector funds.

    • Main Results:

    • System-of-care values and managed care principles are not inherently contradictory.
    • A balanced integration of both approaches can enhance cross-system service integration.
    • A private, nonprofit model can effectively manage public funds across multiple child-serving systems.

    Conclusions:

    • Managed care strategies can be adapted to public mental health systems without compromising core values.
    • Integrating system-of-care values with managed care principles offers a promising approach for improving services for children and youth.
    • Cross-system collaboration, facilitated by effective management, is crucial for comprehensive behavioral health care.