Managing care across systems to improve outcomes for families and communities



Behavioral health administrators deserve much credit for their efforts to integrate services for children with serious emotional disturbances and to instill a concern for efficiency through the concept of managed care. Recent changes in federal policy signal the next stage of development in systems of care. Issues of accountability now are shifting toward comprehensive systems of care and improving outcomes for families and communities, not just individuals. As they help build such systems in their states and communities, behavioral health administrators can help their colleagues in other systems understand the potential usefulness of concepts and practices associated with managed care and the broader notion of a system of care. In turn, they will be asked to expand their conception of the accountability of the mental health agency for the outcomes being experienced by families, neighborhoods, and the community as a whole.


Public Health Mental Health Health Promotion Health Psychology Disease Prevention 
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  1. 1.
    Herron WG, Adlerstein LK: The dynamics of managed mental health care.Psychological Reports 1994; 75:723–741.Google Scholar
  2. 2.
    Minkoff K: Community mental health in the nineties: Public sector managed care.Community Mental Health Journal 1994; 30:317–321.Google Scholar
  3. 3.
    Bartlett J: The emergence of managed care and its impact on psychiatry.New Directions for Mental Health Services 1994; 63:25–36.Google Scholar
  4. 4.
    Lazarus A: Managed care: Lessons from community mental health.Hospital & Community Psychiatry 1994; 45:301.Google Scholar
  5. 5.
    Broskowski A: Community mental health centers in a managed care environment.Administration and Policy in Mental Health 1994; 21:335–352.Google Scholar
  6. 6.
    Golden O:Poor Children and Welfare Reform. Westport, CT: Auburn House, 1993.Google Scholar
  7. 7.
    Bruner C:Thinking Collaboratively: Ten Questions and Answers to Help Policy Makers Improve Children's Services. Washington, DC: Education and Human Services Consortium, 1991.Google Scholar
  8. 8.
    Building a Community Agenda: Developing Local Governing Entities. Washington, DC: Center for the Study of Social Policy, 1991.Google Scholar
  9. 9.
    Melaville AI, Blank MJ:What It Takes: Structuring Interagency Partnerships to Connect Children and Families With Comprehensive Services. Washington, DC: Education and Human Services Consortium, 1991.Google Scholar
  10. 10.
    Usher CL: Improving evaluability through self-evaluation.Evaluation Practice 1995; 16:59–68.Google Scholar
  11. 11.
    MacDonald M:Reinventing Systems: Collaborations to Support Families. Cambridge, MA: Harvard Family Research Project, 1994.Google Scholar
  12. 12.
    U.S. Department of Health and Human Services, Administration for Children, Youth and Families: Family preservation and support services program; proposed rule.Federal Register, October 4, 1994, pp. 50646–50673.Google Scholar
  13. 13.
    Carter JL: Implementing a Family-Focused Approach in Schools and Community Services. Paper presented at a conference on Improving Outcomes for Children: Moving From Principles to Practice, Clearwater Beach, FL, October 1993.Google Scholar
  14. 14.
    Zipper IN, Weil M, Rounds K:Service Coordination for Early Intervention: Parents & Professionals. Cambridge, MA: Brookline Books, 1993.Google Scholar
  15. 15.
    Van Gorder E, Hashimoto B: Hawaii reaches out to the multi-needs child.Public Welfare 1993; 51:6–13.Google Scholar
  16. 16.
    Rivard JC, Perry N, Hinkle KT: Administrative tools for operationalizing a continuum of care for children and youth with severe emotional disturbance.The Journal of Mental Health Administration 1994; 21(3):240–252.Google Scholar
  17. 17.
    Robinson S, Binder H: Building bridges for families.Public Welfare 1993; 51:14–20.Google Scholar
  18. 18.
    England MJ: Systems of care for children, adolescents.Psychiatric News, September 21, 1990, pp. 3, 8.Google Scholar
  19. 19.
    First National Roundtable on Outcome Measures in Child Welfare Services:Summary of Proceedings. Englewood, CO: American Humane Association and National Association of Public Child Welfare Administrators, 1993.Google Scholar
  20. 20.
    Rossi PH: Assessing family preservation programs.Children and Youth Services Review 14:77–98.Google Scholar
  21. 21.
    A Framework for Improving Outcomes for Children and Families. Washington, DC: The Harvard Project on Effective Services, the Center for the Study of Social Policy, and the National Center for Education and the Economy, 1994.Google Scholar
  22. 22.
    Joining Forces, American Public Welfare Association, Center for Law and Social Policy, Council of Chief State School Officers, and Education Commission of the States:Confidentiality and Collaboration: Information Sharing in Interagency Efforts. Denver, CO: Education Commission of the States Distribution Center, January 1992.Google Scholar
  23. 23.
    Kids Count Data Book:State Profiles of Child Well-Being. Washington, DC: Center for the Study of Social Policy, 1993.Google Scholar
  24. 24.
    Lerner S:The Geography of Foster Care: Keeping Children in the Neighborhood. New York: Foundation for Child Development, February 1990.Google Scholar

Copyright information

© Association of Behavioral Healthcare Management 1998

Authors and Affiliations

  1. 1.School of Social WorkUniversity of North Carolina at Chapel HillChapel Hill

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