title: Quality and customers: Type 2 change in mental health delivery within health care reform.
abstract: The traditional separation of mental health and medical programs is problematic because mental health issues are inseparable from the larger medical system. By contrast, a collaborative primary care model of mental health care, augmented and supported by secondary specialty mental health services, has the potential to optimize quality and cost goals while reinforcing health care reform principles. The flexibility of mental health treatment in this delivery structure provides opportunities to customize services according to patient and purchaser expectations.
authors.affiliation: Group Health Cooperative of Puget Sound, Seattle, WA 98104, USA.
authors.forename: M P
authors.initials: MP
authors.lastname: Quirk
authors.forename: K
authors.initials: K
authors.lastname: Strosahl
authors.forename: J L
authors.initials: JL
authors.lastname: Todd
authors.forename: W
authors.initials: W
authors.lastname: Fitzpatrick
authors.forename: M T
authors.initials: MT
authors.lastname: Casey
authors.forename: S
authors.initials: S
authors.lastname: Hennessy
authors.forename: G
authors.initials: G
authors.lastname: Simon
mesh_terms: D002391:Catchment Area, Health; D003191:Comprehensive Health Care; D003266:Continuity of Patient Care / Q000458:organization & administration*; D018166:Health Care Reform; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D008605:Mental Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D017146:Models, Organizational; D010067:Ownership; D018802:Patient-Centered Care; D014861:Washington / Q000453:epidemiology