Abstract
HMOs are growing in importance as mechanisms for delivering health services, including mental health care. Yet, little is known about the way in which mental health care delivery is organized within HMOs. The authors address this issue using data collected in a nationwide survey of HMOs. They report findings related to the organization of service delivery, staffing patterns, and treatment methods.
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References
Berman, M. & McLaughlin, M. (1986). Staffing patterns in the HMO mental health department.HMO Mental Health Newsletter, 11 1–3.
Brady, J. & Krizay, J. (1985). Utilization and coverage of mental health services in Health Maintenance Organizations.American Journal of Psychiatry, 142 744–746.
Cheifetz, D.I. & Salloway, J.C. (1984). Patterns of mental health services provided by HMOs.American Psychologist, 39 495–502.
Craig, T.J. & Patterson, D.Y. (1981). A comparison of mental health costs and utilization under three insurance models.Medical Care, 19 184–192.
Feldman, S.D. (1986). Mental health in Health Maintenance Oraganizations: A report.Administration in Mental Health, 13 165–174.
Holmes, D., Shadle, M., McGee, J. & Hartwell, S. (1986).National HMO Firms, 1985 Excelsior, MN: InterStudy.
InterStudy. (1987).National HMO Firms, 1986. Excelsior, MN.
InterStudy. (1987).The InterStudy Edge. Excelsior, MN.
Lehman, A. (1987). Capitation payment and mental health care: A review of the opportunities and risks.Hospital and Community Psychiatry, 38 31–38.
Levin, B.L. & Glasser, J.H. (1979). A survey of mental health service coverage within Health Maintenance Organizations.American Journal of Public Health, 69 1120–1125.
Levin, B.L. & Glasser, J.H. (1980). Mental health service coverage within prepaid health plans.Administration on Mental Health, 7 271–281.
Levin, B.L. & Glasser, J.H. (1984). A national survey of prepaid mental health services.Hospital and Community Psychiatry, 35 350–355.
Levin, B.L., Glasser, J.H. & Roberts, R.E. (1984). Changing patterns in mental health service coverage within Health Maintenance Organizations.American Journal of Public Health, 74 453–458.
Newsletter Staff. (1986). Practice characteristics and inpatient utilization: a national HMO mental health survey.HMO Mental Health Newsletter, 2 1–7.
Schlesinger, M. (1986). On the limits of expanding health care reform: Chronic care in prepaid settings.The Mitbank Quarterly, 64 182–215.
Sharfstein, S. (1982). Medicaid cutbacks and block grants: crisis or opportunity for community health?American Journal of Psychiatry, 139 466–470.
Additional information
Maureen Shadle is a senior research analyst at InterStudy, Excelsior, Minnesota.
Jon B. Christianson is a professor of the Division of Health Services Research and Policy at the School of Public Health, University of Minnesota.
This article is an initial product of a study funded by NIMH under contract #278-86-0019(BA). The authors gratefully acknowledge this support, as well as the efforts of Jeanne McGee, PhD in the conceptualization of the research and the development of the survey on which it is based. Earlier versions of this article were presented at the GHAA Conference on Management Challenges in Mental Health Services Delivery, Minneapolis, MN, September 18, 1987, and the annual meeting of the American Public Health Association, New Orleans, LA, October 20, 1987.
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Shadle, M., Christianson, J.B. The organization of mental health care delivery in HMOs. Administration in Mental Health 15, 201–225 (1988). https://doi.org/10.1007/BF00818722
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DOI: https://doi.org/10.1007/BF00818722