Managed Care, Inter-agency Linkages, and Outpatient Substance Abuse Treatment

  • W. Craig Carter
  • Shoou-Yih D. Lee
  • Kathleen C. Thomas
  • Joseph Morrissey


Although treatment of co-occurring behavioral and physical health problems could be facilitated by the linkages between health care providers, it is uncertain how such inter-agency linkages are affected by managed care. We used a sample of 167 service linkages to examine the effects of managed care arrangements on inter-agency communication, coordination, and perceived effectiveness. These linkages were identified based on interviews with 62 outpatient substance abuse treatment units in 2000. Results indicate that frequency of communication and inter-agency coordination are positively related to several managed care arrangements and may moderate the relationships between managed care arrangements and perceived effectiveness.


communication coordination effectiveness inter-agency linkages managed care arrangements 


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • W. Craig Carter
    • 1
    • 4
  • Shoou-Yih D. Lee
    • 2
  • Kathleen C. Thomas
    • 3
  • Joseph Morrissey
    • 3
  1. 1.Department of Sociology and AnthropologyMiddle Tennessee State UniversityMurfreesboroUSA
  2. 2.Department of Health Policy and Administration, School of Public HealthThe University of North CarolinaChapel HillUSA
  3. 3.Cecil G. Sheps Center for Health Services ResearchUniversity of North CarolinaChapel HillUSA
  4. 4.Department of Sociology and AnthropologyMiddle Tennessee State UniversityMurfreesboroUSA

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