title: Does managed mental health care reallocate resources to those with greater need for services?
abstract: Evidence points to the existence of two coexisting inefficiencies in mental health care resource allocation: those with need receive too limited or no care while those with no apparent need receive services. In addition to reducing costs, managed mental health care is expected to reallocate treatment resources to those with greater need for services. However, there are no empirical findings regarding this issue. This study tests whether managed mental health care has had a differential impact by level of need. Data consist of three waves of a community sample with a control group. The study finds that managed care has not succeeded in reallocating resources from the unlikely to the definite "needers."
authors.affiliation: Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, PO Box 365067, San Juan, PR 00936-5067. malegria@rcm.upr.edu
authors.forename: M
authors.initials: M
authors.lastname: Alegría
authors.forename: T
authors.initials: T
authors.lastname: McGuire
authors.forename: M
authors.initials: M
authors.lastname: Vera
authors.forename: G
authors.initials: G
authors.lastname: Canino
authors.forename: C
authors.initials: C
authors.lastname: Albizu
authors.forename: H
authors.initials: H
authors.lastname: Marín
authors.forename: L
authors.initials: L
authors.lastname: Matías
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D015276:Health Care Rationing / Q000191:economics*; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000191:economics*; D001523:Mental Disorders / Q000191:economics* / Q000534:rehabilitation; D008605:Mental Health Services / Q000191:economics*; D008875:Middle Aged; D020380:Needs Assessment / Q000191:economics*; D011647:Puerto Rico