title: Carrots and Sticks on Opposite Sides of the Atlantic: Integration Incentives for People With Serious Mental Illness in England.
abstract: Integrating care pathways between primary and specialist mental health care is seen as integral to improving the health of people with mental illness. Multiple integration initiatives have been implemented, but few have tried to integrate care for people with serious mental illness. This column describes two such initiatives in the United States and in England. The two schemes are compared according to the population they target, payment mechanisms, accountability structures, service delivery, outcomes, and lessons learned.
authors.affiliation: Dr. Ramanuj and Ms. Spaeth-Rublee are with the Behavioral Health Services and Policy Research Division, New York State Psychiatric Institute, New York City (e-mail: p.ramanuj@doctors.org.uk ). Dr. Breslau is with the Health Behavioral Sciences Division, RAND Corporation, Pittsburgh. Dr. Strathdee is with the Mental Health Intelligence Network, National Health Service England, London. Dr. Pincus is with the Department of Psychiatry, Columbia University, New York City. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
authors.forename: Parashar Pravin
authors.initials: PP
authors.lastname: Ramanuj
authors.affiliation: Dr. Ramanuj and Ms. Spaeth-Rublee are with the Behavioral Health Services and Policy Research Division, New York State Psychiatric Institute, New York City (e-mail: p.ramanuj@doctors.org.uk ). Dr. Breslau is with the Health Behavioral Sciences Division, RAND Corporation, Pittsburgh. Dr. Strathdee is with the Mental Health Intelligence Network, National Health Service England, London. Dr. Pincus is with the Department of Psychiatry, Columbia University, New York City. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
authors.forename: Joshua
authors.initials: J
authors.lastname: Breslau
authors.affiliation: Dr. Ramanuj and Ms. Spaeth-Rublee are with the Behavioral Health Services and Policy Research Division, New York State Psychiatric Institute, New York City (e-mail: p.ramanuj@doctors.org.uk ). Dr. Breslau is with the Health Behavioral Sciences Division, RAND Corporation, Pittsburgh. Dr. Strathdee is with the Mental Health Intelligence Network, National Health Service England, London. Dr. Pincus is with the Department of Psychiatry, Columbia University, New York City. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
authors.forename: Geraldine
authors.initials: G
authors.lastname: Strathdee
authors.affiliation: Dr. Ramanuj and Ms. Spaeth-Rublee are with the Behavioral Health Services and Policy Research Division, New York State Psychiatric Institute, New York City (e-mail: p.ramanuj@doctors.org.uk ). Dr. Breslau is with the Health Behavioral Sciences Division, RAND Corporation, Pittsburgh. Dr. Strathdee is with the Mental Health Intelligence Network, National Health Service England, London. Dr. Pincus is with the Department of Psychiatry, Columbia University, New York City. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
authors.forename: Brigitta
authors.initials: B
authors.lastname: Spaeth-Rublee
authors.affiliation: Dr. Ramanuj and Ms. Spaeth-Rublee are with the Behavioral Health Services and Policy Research Division, New York State Psychiatric Institute, New York City (e-mail: p.ramanuj@doctors.org.uk ). Dr. Breslau is with the Health Behavioral Sciences Division, RAND Corporation, Pittsburgh. Dr. Strathdee is with the Mental Health Intelligence Network, National Health Service England, London. Dr. Pincus is with the Department of Psychiatry, Columbia University, New York City. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
authors.forename: Harold Alan
authors.initials: HA
authors.lastname: Pincus
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D004739:England; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D014481:United States
keywords: Health care incentives; Health care reform; Integrated care; Mental health systems/hospitals; Service delivery systems