Regular Articles

The Journal of Behavioral Health Services & Research

, Volume 29, Issue 4, pp 381-393

First online:

The integration of psychiatric rehabilitation services in behavioral health care structures: A state example

  • Marsha Langer EllisonAffiliated withSargent College of Health and Rehabilitation Sciences Email author 
  • , William A. AnthonyAffiliated withCenter for Psychiatric RehabilitationSargent College of Health and Rehabilitation Sciences
  • , John L. SheetsAffiliated withPsychiatric Rehabilitation Services
  • , William DoddsAffiliated withResCare of Iowa
  • , William J. BarkerAffiliated withCommunity Relations, Magellan Behavioral Care Corporation of Iowa
  • , Joseph MassaroAffiliated withCenter for Psychiatric Rehabilitation
  • , Nancy J. WewiorskiAffiliated withCenter for Psychiatric Rehabilitation

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This article describes a model for integrating psychiatric rehabilitation services in a managed behavioral health care structure. Psychiatric rehabilitation and managed care are two distinct developments in the provision of mental health services that have proceeded independently though they can have compatible methods and outcomes. Descriptive detail is provided about a state initiative in Iowa to provide psychiatric rehabilitation services to those with serious mental illness through the state-contracted managed behavioral health care corporation. The article describes factors leading to the program's implementation, service delivery structures, reimbursements, personnel requirements, and performance indicators. Evidence for supporting this innovation is provided through a case-controlled outcomes study of mental health service units used and their costs for participants and matched controls.