title: Service utilization, expenditures, and success in a well-established system of care for young people with serious emotional disorders.
abstract: A major challenge in the implementation of systems of care is creating mechanisms to pay for services that are provided across social services systems and by multiple agencies. Using a managed care approach to coordinate service provision may be one way to effectively bridge the gap across agencies while also providing quality care. The authors explore the benefits of a managed care approach to service delivery within a well established system of care by describing the treatment planning process used by the system of care; describing the type and patterns of services provided to young people; and by describing the process used to bill for services. The authors also examine the impact of client and service characteristics on overall expenditures as well as the effect that patterns of service utilization and expenditures of care have on the likelihood that young people and their families will successfully meet their clinical objectives.
authors.affiliation: Department of Public Health, Indiana University Center for Health Policy, Indiana University School of Medicine, 714 N. Senate Avenue, EF 200, Indianapolis, IN, 46202, USA, ewright@iupui.edu.
authors.forename: Eric R
authors.initials: ER
authors.lastname: Wright
authors.forename: Harold E
authors.initials: HE
authors.lastname: Kooreman
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Anderson
mesh_terms: D000293:Adolescent; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis / Q000628:therapy; D002204:Capitation Fee; D003363:Cost Control / Q000379:methods / Q000458:organization & administration; D003365:Costs and Cost Analysis; D005192:Family Health; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000145:classification / Q000175:diagnosis / Q000628:therapy*; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration*; D019964:Mood Disorders / Q000175:diagnosis / Q000628:therapy; D019982:Organizational Case Studies; D017063:Outcome Assessment, Health Care / Q000191:economics / Q000706:statistics & numerical data; D010346:Patient Care Management / Q000191:economics / Q000458:organization & administration*; D011368:Professional-Family Relations