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Managed behavioral healthcare in correctional settings

R F Patterson1

  • 1Forensic Services, District of Columbia Commission on Mental Health Services, Washington 20032, USA.

The Journal of the American Academy of Psychiatry and the Law
|October 24, 1998
PubMed
Summary

This study highlights key issues for correctional healthcare providers negotiating managed behavioral healthcare contracts. It emphasizes practitioner involvement and addresses critical elements like staffing, drug formularies, and hidden costs.

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Area of Science:

  • Correctional Healthcare
  • Public Health Policy
  • Behavioral Health Services

Background:

  • Correctional facilities face unique challenges in providing healthcare.
  • Managed behavioral healthcare is increasingly utilized in correctional settings.
  • Effective contract negotiation requires understanding specific correctional environment needs.

Purpose of the Study:

  • To inform practitioners and administrators about critical issues in managed behavioral healthcare for correctional settings.
  • To guide negotiations with government entities regarding behavioral healthcare services.
  • To ensure quality and appropriateness of contracted behavioral health services.

Main Methods:

  • Review of key considerations for managed behavioral healthcare in correctional settings.

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  • Analysis of factors influencing contractual negotiations.
  • Identification of essential elements for service provision.

    • Main Results:

    • Practitioner involvement is crucial for determining the quality of behavioral managed care.
    • Key factors include the interface between custody and treatment, crisis intervention, and long-term inmate care.
    • Specific considerations for negotiation include staffing, drug formularies, service levels, and hidden costs.

    Conclusions:

    • Effective managed behavioral healthcare in corrections necessitates careful planning and negotiation.
    • Addressing specific correctional environment factors is essential for successful service delivery.
    • Understanding potential "hidden costs" is vital for equitable contracts.