The integration of psychiatric rehabilitation services in behavioral health care structures: a state example.
This article describes a model for integrating psychiatric rehabilitation services in a managed behavioral health care structure. Psychiatric rehabilitation and managed care are two distinct developments in the provision of mental health services that have proceeded independently though they can have compatible methods and outcomes. Descriptive detail is provided about a state initiative in Iowa to provide psychiatric rehabilitation services to those with serious mental illness through the state-contracted managed behavioral health care corporation. The article describes factors leading to the program's implementation, service delivery structures, reimbursements, personnel requirements, and performance indicators. Evidence for supporting this innovation is provided through a case-controlled outcomes study of mental health service units used and their costs for participants and matched controls.
Ellison
Marsha Langer
ML
Center for Psychiatric Rehabilitation, 940 Commonwealth Avenue West, Boston, MA 02215, USA. ellison2@bu.edu
Anthony
William A
WA
Sheets
John L
JL
Dodds
William
W
Barker
William J
WJ
Massaro
Joseph
J
Wewiorski
Nancy J
NJ
D000328:Adult; D003156:Community Mental Health Services / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007484:Iowa; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D001523:Mental Disorders / Q000534:rehabilitation*; D009935:Organizational Affiliation; D019982:Organizational Case Studies; D017063:Outcome Assessment, Health Care; D016730:Program Development; D011785:Quality Assurance, Health Care; D013221:State Health Plans / Q000458:organization & administration*; D014481:United States