Administration and Policy in Mental Health and Mental Health Services Research

, Volume 21, Issue 3, pp 141–160

The effects of capitation on service access, adequacy, and appropriateness


  • H. Stephen Leff
    • Harvard Medical School Dept. of Psychiatry at Cambridge Hospital
    • Human Services Research Inst.
  • Virginia Mulkern
    • Human Services Research Inst.
  • Marcus Lieberman
    • Responsive Methodology
  • Barbara Raab
    • Human Services Research Inst.

DOI: 10.1007/BF00707483

Cite this article as:
Stephen Leff, H., Mulkern, V., Lieberman, M. et al. Adm Policy Ment Health (1994) 21: 141. doi:10.1007/BF00707483


The authors describe an evaluation of the influences on service access, adequacy, and appropriateness in four capitated public mental health programs. Access, adequacy, and appropriateness were higher than the fee for service programs, suggesting that the financial incentive in capitation was not a significant limiting factor. Access and adequacy were also limited by new program effects as well as by case manager and client preferences.

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© Human Sciences Press, Inc 1994