Effect of managed care on access to mental health services among medicaid enrollees receiving substance treatment

Psychiatric Services

Volumn 55, Issue 7, 2004, Pages 775-779

  Bigelow, Douglas A ^a   McFarland, Bentson H ^a   McCamant, Lynn E ^c   Deck, Dennis D ^b   Gabriel, Roy M ^b  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b RMC RESEARCH CORPORATION   (United States)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADDICTION SEVERITY INDEX; ADULT; ARTICLE; COHORT ANALYSIS; CONTROLLED STUDY; COST CONTROL; DISEASE SEVERITY; FEMALE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH PROGRAM; HUMAN; INTERVIEW; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; MANAGED CARE; MEDICAID; MENTAL HEALTH SERVICE; METHODOLOGY; OUTCOMES RESEARCH; SCORING SYSTEM; SUBSTANCE ABUSE; UNITED STATES;

ADULT; COHORT STUDIES; FEE-FOR-SERVICE PLANS; FEMALE; FOLLOW-UP STUDIES; HEALTH SERVICES ACCESSIBILITY; HUMANS; MALE; MANAGED CARE PROGRAMS; MEDICAID; MENTAL HEALTH SERVICES; OREGON; SEVERITY OF ILLNESS INDEX; SUBSTANCE-RELATED DISORDERS; TREATMENT OUTCOME;

EID: 3042798393     PISSN: 10752730     EISSN: None     Source Type: Journal    
DOI: 10.1176/appi.ps.55.7.775     Document Type: Article

References (42)

1. Kessler R, McGonagle K, Zhao, et al: Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry 51:8-19, 1994
2. Regier D, Farmer M, Rae D, et al: Comorbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiologic Catchment Area (ECA) study. JAMA 264:2511-2518, 1990
3. Schuckit MA, Hesselbrock V: Alcohol dependence and anxiety disorders: what is the relationship? American Journal of Psychiatry 151:1723-1734, 1994
4. Schuckit MA, Tipp JE, Bucholz KK, et al: The life-time rates of three major mood disorders and four major anxiety disorders in alcoholics and controls. Addiction 92:1289-1304, 1997
5. Tsuang B, Cowley D, Ries R, et al: The effects of substance use disorder on the clinical presentation of anxiety and depression in an outpatient psychiatric clinic. Journal of Clinical Psychiatry 56:549-555, 1995
6. Menzes P, Johnson S, Thornicroft G, et al: Drug and alcohol problems among individuals with severe mental illness in South London. British Journal of Psychiatry 168:612-619, 1996
7. Brown SA, Inaba BA, Gillin JC, et al: Alcoholism and affective disorder: clinical course of depressive symptoms. American Journal of Psychiatry 152:45-52, 1995
8. Fowler I, Carr V, Carter N, et al: Patterns of current and lifetime substance use in schizophrenia. Schizophrenia Bulletin 24:443-455, 1998
9. Pepper B, Ryglewicz H: Treating the young adult chronic patient: an update. New Directions for Mental Health Services 21:5-15, 1984
10. Owen R, Rischer E, Booth B, et al: Medication noncompliance and substance abuse among patients with schizophrenia. Psychiatric Services 47:853-858, 1996
11. Scott J: Homelessness and mental illness. British Journal of Psychiatry 162:314-324, 1993
12. Steadman H, Mulvey E, Monahan J, et al: Violence by people discharged from acute psychiatric facilities and by others in the same neighborhoods. Archives of General Psychiatry 55:393-401, 1998
13. Rasanen R, Tilhonen J, Isohanni M, et al: Schizophrenia, alcohol abuse, and violent behavior: a 26-year follow-up study of an unselected birth cohort. Schizophrenia Bulletin 24:437-441, 1998
14. Double-Jeopardy: Chronic Mental Illness and Substance Disorders. Edited by Lehman AF, Dixon LB. Langhorne, Pa, Harwood Academic Publishers, 1995
15. Cuffel B, Chase P: Remission and relapse of substance use disorders in schizophrenia: results from a one-year prospective study. Journal of Nervous and Mental Disease 182:342-348, 1994
16. Wu L, Kouzis AC, Leaf PJ: Influence of comorbid alcohol and psychiatric disorders on utilization of mental health services in the National Comorbidity Survey. American Journal of Psychiatry 156:1230-1236, 1999
17. Harwood H, Fountain D, Livermore G: The Economic Costs of Alcohol and Drug Abuse in the United States 1992. Washington, DC, US Government Printing Office, 1998
18. Kozarie-Kovacic D, Folnegovic-Smalc V, Folnegovic Z, et al: Influence of alcoholism on the prognosis of schizophrenic patients. Journal of Studies on Alcohol 56:622-627, 1995
19. Bartels S, Drake R, Wallach M: Long-term course of substance use disorders among patients with severe mental illness. Psychiatric Services 46:248-251, 1995
20. Ries R: Clinical treatment matching models for dually diagnosed patients. Psychiatric Clinics of North America 16:167-175, 1993
21. Mueser KT, Drake RE, Noordsy DL: Integrated mental health and substance abuse treatment for severe psychiatric disorders. Journal of Practical Psychiatry and Behavioral Health 4:129-139, 1998
22. Miller NS, Guttman JC: The integration of pharmacological therapy for co-morbid psychiatric and addictive disorders. Journal of Psychoactive Drugs 29:249-254, 1997
23. Ritsher JF, Moos RH, Finney JW: Relationship of treatment orientation and continuing care to remission among substance abuse patients. Psychiatric Services 55:595-601, 2002
24. Morse G, Calsyn R, Allen G, et al: Experimental comparison of the effects of three treatment programs for homeless mentally ill people. Hospital and Community Psychiatry 43:1005-1010, 1992
25. Policy and financing issues in the care of people with chronic mental illnesses and substance use disorders, in Double Jeopardy: Chronic Mental Illness and Substance Use Disorders. Edited by Lehman AF, Dixon LB. Langhorn, Pa, Harwood Academic Press, 1995
26. National dialog on co-occurring mental health and substance abuse disorders. Rockville, Md, National Association of State Mental Health Program Directors, National Association of State Alcohol and Drug Abuse Directors, Center for Substance Abuse Treatment, Center for Mental Health Services, 1999. Available at www. nasadad.org/Departments/Research/Con sensusFramework/ national_dialogue_on. htm
27. Minkoff K: Co-occurring psychiatric and substance disorders in managed care systems: standards of care, practice guidelines, workforce competencies, and training curricula. Rockville, Md, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 1998
28. Pepper B: Action for mental health and substance-related disorders: a conference report and recommended national strategy. Rockville, Md, National Advisory Council, Substance Abuse and Mental Health Services Administration, 1998
29. Wilson CV: Substance abuse and managed care in managed mental health care. New Directions for Mental Health Services 59:99-105, 1993
30. England MJ, Goff VV: Health reform and organized systems of care in managed mental health care. New Directions for Mental Health Services 59:5-12, 1993
31. Shortell SM, Gillies RR, Anderson DA: The new world of managed care: creating organized delivery systems. Health Affairs 13(5):46-64, 1994
32. Iglehart JK: Managed care. New England Journal of Medicine 327:742-747, 1992
33. Bodenheimer T: The not-so-sad history of Medicare cost containment as told in one chart. Health Affairs (suppl Web exclusives):W88-W90, 2002
34. Mechanic D, Schlesinger M, McAlpine DD: Management of mental health and substance abuse services: state of the art and early results. Milbank Quarterly 73:19-55, 1995
35. McFarland BH, Winthrop K, Cutler DL: Integrating mental health into the Oregon Health Plan. Psychiatric Services 48:191-193, 1997
36. Barron N, McFarland B, McCamant L: Varieties of centralized intake: the Portland Target Cities Project experience. Journal of Psychoactive Drugs 34:75-86, 2002
37. Gabriel RM, Brown KJ, Deck DD: Six-Month Outcomes of Chemical Dependency Treatment for Medicaid Managed Care Adult Clients: A Study of the Oregon Health Plan. Portland, Oreg, RMC Research Corporation, 2000
38. Carlson M, Gabriel R: Patient satisfaction, use of services, and one-year outcomes in publicly funded substance abuse treatment. Psychiatric Services 52:1230-1236, 2001
39. McLellan AT, Luborsky L, Woody G, et al: An improved diagnostic evaluation instrument for substance abuse clients: The Addiction Severity Index. Journal of Nervous and Mental Disease 168:26-33, 1980
40. McLellan AT, Cacciola J, Kusher H, et al: The fifth edition of the Addiction Severity Index. Journal of Substance Abuse Treatment 9:199-213, 1992
41. Managed Care and Publicly-Funded Chemical Dependency Treatment, 1995-2000: A Review of State, County, and Local Stakeholders' Experiences and Perceptions. Portland, Oreg, RMC Research Coorporation, April 2000
42. Impact of Medicaid Managed Care on Substance Abuse Treatment: Maturation of the Oregon Health Plan. Portland, Oreg, RMC Research Corp, January 2001