Managed behavioral health care: A medicaid carve-out for youth

Health Affairs

Volumn 18, Issue 5, 1999, Pages 214-225

  Burns, Barbara J ^a,b   Teagle, Sarah E ^c   Schwanz, Michael ^d   Angola, Adrian ^b   Holtzman, Adam ^e  

^a Department of Medical Psychology ^*

^b DUKE UNIVERSITY   (United States)

^c UNIVERSITY OF NORTH CAROLINA   (United States)

^d Division of Mental Health   (United States)

^e Division of MH/DD/SAS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ARTICLE; BEHAVIOR THERAPY; CHILD HEALTH CARE; COST; COST BENEFIT ANALYSIS; ECONOMICS; FEMALE; HEALTH INSURANCE; HUMAN; MALE; MEDICAID; MENTAL HEALTH SERVICE; PILOT STUDY; UNITED STATES;

ADOLESCENT; ADOLESCENT HEALTH SERVICES; BEHAVIOR THERAPY; COMMUNITY MENTAL HEALTH SERVICES; COST ALLOCATION; COST-BENEFIT ANALYSIS; FEMALE; HUMANS; MALE; MANAGED CARE PROGRAMS; MEDICAID; NORTH CAROLINA; PILOT PROJECTS; UNITED STATES;

EID: 0033190923     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.18.5.214     Document Type: Article

References (20)

1. U.S. Congress Office of Technology Assessment, Adolescent Health, Volume II: Background and the Effectiveness of Selected Prevention and Treatment Services, Pub. no. OTA-H-466 (Washington: U.S. Government Printing Office, 1991).
2. N.A. Brandenburg et al., "The Epidemiology of Childhood Psychiatric Disorders," Journal of the American Academy of Child and Adolescent Psychiatry 29, no. 1 (1990): 76-83; and EJ. Costello et al., "The Great Smoky Mountains Study of Youth: Goals, Design, Methods, and the Prevalence of DSM-III-R Disorders," Archives of General Psychiatry (December 1996): 1129-1136.
3. N.A. Brandenburg et al., "The Epidemiology of Childhood Psychiatric Disorders," Journal of the American Academy of Child and Adolescent Psychiatry 29, no. 1 (1990): 76-83; and EJ. Costello et al., "The Great Smoky Mountains Study of Youth: Goals, Design, Methods, and the Prevalence of DSM-III-R Disorders," Archives of General Psychiatry (December 1996): 1129-1136.
4. OTA, Adolescent Health; and E.M.Z. Farmer et al., "Use, Persistence, and Intensity: Patterns of Care for Children's Mental Health across One Year," Community Mental Health Journal 35, no. 1 (1999): 31-46.
5. OTA, Adolescent Health; and E.M.Z. Farmer et al., "Use, Persistence, and Intensity: Patterns of Care for Children's Mental Health across One Year," Community Mental Health Journal 35, no. 1 (1999): 31-46.
6. See, for example, J.J. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience," Health Affairs (Fall 1995): 173-184; W. Goldman, J. McCulloch, and R. Sturm, "Costs and Use of Mental Health Services before and after Managed Care, Health Affairs (March/April 1998): 40-52; and B.J. Burns et al., "Initial Treatment Decisions by Level of Care for Youth in the CHAMPUS Tidewater Demonstration," Administration and Policy in Mental Health 20, no. 4 (1993): 231-246.
7. See, for example, J.J. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience," Health Affairs (Fall 1995): 173-184; W. Goldman, J. McCulloch, and R. Sturm, "Costs and Use of Mental Health Services before and after Managed Care, Health Affairs (March/April 1998): 40-52; and B.J. Burns et al., "Initial Treatment Decisions by Level of Care for Youth in the CHAMPUS Tidewater Demonstration," Administration and Policy in Mental Health 20, no. 4 (1993): 231-246.
8. See, for example, J.J. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience," Health Affairs (Fall 1995): 173-184; W. Goldman, J. McCulloch, and R. Sturm, "Costs and Use of Mental Health Services before and after Managed Care, Health Affairs (March/April 1998): 40-52; and B.J. Burns et al., "Initial Treatment Decisions by Level of Care for Youth in the CHAMPUS Tidewater Demonstration," Administration and Policy in Mental Health 20, no. 4 (1993): 231-246.
9. R. Sturm, "How Expensive Is Unlimited Mental Health Care Coverage under Managed Care?" Journal of the American Medical Association 278, no. 18 (1997): 1533-1537.
10. S.A. Pires et al., Health Care Reform Tracking Project: Tracking State Health Care Reforms as They Affect Children and Adolescents with Emotional Disorders and Their Families (Tampa: Florida Mental Health Institute, 1996).
11. B.J. Burns, "Mental Health Service Use by Adolescents in the 1970s and 1980s," Journal of the American Academy of Child and Adolescent Psychiatry 30, no. 1 (1991): 144-150.
12. Carolina Alternatives was implemented by the Division of Medical Assistance, in conjunction with the Child and Family Services Section of the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services.
13. Data were available only for the partial- and full-risk phases because these residential services were not covered by Medicaid until 1994.
14. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care;" Goldman et al., "Cost and Utilization of Mental Health Services;" and Burns et al., "Initial Treatment Decisions."
15. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care;" Goldman et al., "Cost and Utilization of Mental Health Services;" and Burns et al., "Initial Treatment Decisions."
16. Callahan et al., "Mental Health/Substance Abuse Treatment in Managed Care;" Goldman et al., "Cost and Utilization of Mental Health Services;" and Burns et al., "Initial Treatment Decisions."
17. SAMHSA Managed Care Tracking System (Falls Church, Va.: Lewin Group, 1997).
18. L Bickman et al., Evaluating Managed Mental Health Services: The Fort Bragg Experiment (New York: Plenum Press, 1995).
19. C.A. Ma and T.G. McGuire, "Costs and Incentives in a Behavioral Health Carve-Out," Health Affairs (March/April 1998): 53-69.
20. B.J. Burns et al., "Insurance Coverage and Mental Health Service Use by Adolescents with Serious Emotional Disturbance," Journal of Child and Family Studies 6, no. 1(1997): 89-111.