Transforming administrative and clinical practice in a public behavioral health system: An ethnographic assessment of the context of change

Journal of Health Care for the Poor and Underserved

Volumn 20, Issue 3, 2009, Pages 866-883

  Willging, Cathleen E ^a   Waitzkin, Howard ^b   Lamphere, Louise ^c  

^a PACIFIC INSTITUTE FOR RESEARCH AND EVALUATION   (United States)

^b UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF NEW MEXICO   (United States)

Author keywords

Behavioral health; Cultural competency; Evidence based practices; Rural; Safety net institutions

Indexed keywords

ADULT; ARTICLE; CULTURAL ANTHROPOLOGY; CULTURAL COMPETENCE; EVIDENCE BASED PRACTICE; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HEALTH CARE POLICY; HUMAN; INTERVIEW; MENTAL HEALTH SERVICE; ORGANIZATION AND MANAGEMENT; RURAL POPULATION; STANDARD; UNITED STATES;

ADULT; ANTHROPOLOGY, CULTURAL; COMMUNITY MENTAL HEALTH SERVICES; CULTURAL COMPETENCY; EVIDENCE-BASED PRACTICE; HEALTH CARE REFORM; HEALTH POLICY; HEALTH SERVICES ACCESSIBILITY; HUMANS; INTERVIEWS AS TOPIC; NEW MEXICO; PUBLIC-PRIVATE SECTOR PARTNERSHIPS; RURAL POPULATION;

EID: 70349579938     PISSN: 10492089     EISSN: None     Source Type: Journal    
DOI: 10.1353/hpu.0.0177     Document Type: Article

References (48)

1. Hyde PS. State mental health policy: a unique approach to designing a comprehensive behavioral health system in New Mexico. Psychiatr Serv. 2004 Sep; 55(9): 983-5.
2. Waitzkin H, Williams R, Bock J, et al. Safety-net institutions buffer the impacts of Medicaid managed care: a multi-method assessment in a rural state. Am J Public Health. 2002 Apr; 92(4): 598-610.
3. Waitzkin H, Schillaci M, Willging C. Multimethod evaluation of health policy change: an application to Medicaid managed care in a rural state. Health Serv Res. 2008 Aug; 43(4): 1325-47. Epub 2008 Apr 1.
4. Adelmann PK. Mental and substance use disorders among Medicaid recipients: prevalence estimates from two national surveys. Adm Policy Ment Health. 2003 Nov; 31(2): 111-29.
5. Gray BH, Rowe C. Safety-net health plans: a status report. Health Aff (Millwood). 2000 Jan-Feb; 19(1): 185-93.
6. Horton S, McCloskey J, Todd C, et al. Transforming the safety net: responses to Medicaid managed care in rural and urban New Mexico. American Anthropologist. 2001; 103(3): 733-46.
7. Felland LE, Lesser CS, Staiti AB, et al. The resilience of the health care safety net, 1996-2001. Health Serv Res. 2003 Feb; 38(1 Pt 2): 489-502.
8. Lewin ME, Altman S, eds. America's health care safety net: intact but endangered. Washington, DC: The National Academies Press, 2000.
9. Jacobson PD, Dalton VK, Berson-Grand J, et al. Survival strategies for Michigan's health care safety net providers. Health Serv Res. 2005 Jun; 40(3): 923-40.
10. Sparer MS, Brown LD. Uneasy alliances: managed care plans formed by safety-net providers. Health Aff (Millwood). 2000 Jul-Aug; 19(4): 23-35.
11. Sparer MS, Brown LD, Gusmano MK, et al. Promising practices: how leading safety-net plans are managing the care of Medicaid clients. Health Aff (Millwood). 2002 Sep-Oct; 21(5): 284-91.
12. Robins CS. Generating revenues: fiscal changes in public mental health care and the emergence of moral conflicts among care-givers. Cult Med Psychiatry. 2001 Dec; 25(4): 457-66.
13. Lamphere L. Providers and staff respond to Medicaid managed care: the unintended consequences of reform in New Mexico. Med Anthropol Q. 2005 Mar; 19(1): 3-25.
14. Willging C, Waitzkin H, Wagner W. Medicaid managed care for mental health services in a rural state. J Health Care Poor Underserved. 2005 Aug; 16(3): 497-514.
15. Willging CE, Waitzkin H, Nicdao E. Medicaid managed care for mental health services: the survival of safety net institutions in rural settings. Qual Health Res. 2008 Sep; 18(9): 1231-46.
16. Behavioral health needs and gaps in New Mexico. Santa Fe, NM: Technical Assistance Collaborative, Inc., 2002. This document can be found at: http://www.hsd.state.nm.us.mad/pdf-files/Reports/BHGapanalysis.pdf.
17. New Mexico Department of Health. 2008 American Indian health disparities in New Mexico. Santa Fe, NM: New Mexico Department of Health, 2008.
18. Aarons GA. Mental health provider attitudes toward adoption of evidence-based practice: the Evidence-Based Practice Attitude Scale (EBPAS). Ment Health Serv Res. 2004 Jun; 6(2): 61-74.
19. The President's New Freedom Commission on Mental Health. Achieving the promise: transforming mental health care in America. Rockville, MD: Department of Health and Human Services, 2003.
20. Satcher D. Mental health: a report of the Surgeon General. Washington, DC: Government Printing Office, 2001.
21. Office of the Surgeon General. Mental health: culture, race and ethnicity. A supplement to mental health, a report of the Surgeon General. Washington, DC: Department of Health and Human Services, 2001.
22. The ACHMA Workgroup. Financing results and value in behavioral health services. dm Policy Ment Health. 2003 Nov: 31(2): 85-110.
23. State of New Mexico. Interagency behavioral health purchasing collaborative statewide behavioral health services contract. Santa Fe, NM: State of New Mexico, 2005.
24. Hohmann AA, Shear MK. Community-based intervention research: coping with the "noise" of real life in study design. Am J Psychiatry. 2002 Feb; 159(2): 201-7.
25. Johnson JC. Selecting ethnographic informants. Newbury Park, CA: Sage Publications, 1990.
26. QSR International. NVivo 7 software. Cambridge, MA: QSR International, 2006.
27. Miles MB, Huberman M. Qualitative data analysis: an expanded sourcebook. Thousand Oaks, CA: Sage Publications, 1994.
28. Emerson RM, Fretz RI, Shaw LL. Writing ethnographic fieldnotes. Chicago, IL: University of Chicago Press, 1995.
29. Patton MQ. Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage Publications, 2002.
30. Miller WR, Rollnick S. Motivational interviewing, 2nd edition: preparing people for change. New York: The Guilford Press, 2002.
31. Rawson RA, Shoptaw SJ, Obert JL, et al. An intensive outpatient approach for cocaine abuse treatment: the Matrix model. J Subst Abuse Treat. 1995 Mar-Apr; 12(2): 117-27.
32. Meyers RJ, Miller WR. A community reinforcement approach to addiction treatment. Cambridge, UK: Cambridge University Press, 2001.
33. Meyers RJ, Miller WR, Hill DE, et al. Community reinforcement and family training (CRAFT): engaging unmotivated drug users in treatment. J Subst Abuse. 1999; 10(3): 291-308.
34. Quintero GA, Lilliott E, Willging C. Substance abuse treatment provider views of "culture": implications for behavioral health care in rural settings. Qual Health Res. 2007 Nov; 17(9): 1256-67.
35. Aarons GA. Measuring provider attitudes toward evidence-based practice: consideration of organizational context and individual differences. Child Adolesc Psychiatr Clin N Am. 2005 Apr; 14(2): 255-71.
36. Aarons GA, Sawitzky AC. Organizational climate partially mediates the effect of culture and work attitudes and staff turnover in mental health services. Adm Policy Ment Health. 2006 May; 33(3): 289-301.
37. Aarons GA, Sawitzky AC. Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychol Serv. 2006 Feb; 3(1): 61-72.
38. Singer MI, Yankey JA. Organizational metamorphosis: a study of eighteen nonprofit mergers, acquisitions, and consolidations. Nonprofit Management and Leadership. 1991 Dec; 1(4): 357-69.
39. Parker S, Dennison R, O'Brien J. Provider readiness assessment: New Mexico interagency purchasing behavioral health purchasing collaborative. Boston, MA: Technical Assistance Collaborative, Inc., 2006.
40. New Mexico Interagency Behavioral Health Purchasing Collaborative. Request for proposals. Santa Fe, NM: State of New Mexico, 2004.
41. Amaro H, Arevalo S, Gonzalez G, et al. Needs and scientific opportunities for research on substance abuse treatment among Hispanic adults. Drug Alcohol Depend. 2006 Sep; 84 Suppl 1: S64-75.
42. Santisteban D, Vega RR, Suarez-Morales L. Utilizing dissemination findings to help understand and bridge the research and practice gap in the treatment of substance abuse disorders in Hispanic populations. Drug Alcohol Depend. 2006 Sep; 84: Suppl 1: S94-101. Epub 2006 Jul 10.
43. Klingemann H, Bergmark A. The legitimacy of addiction treatment in a world of smart people. Addiction. 2006 Sep; 101(9): 1230-7.
44. Siegel C, Haugland G, Chambers ED. Performance measures and their benchmarks for assessing organizational cultural competency in behavioral health care service delivery. Adm Policy Ment Health. 2003 Nov; 31(2): 141-70.
45. Goode T, Jones W, Mason J. A guide to planning and implementing cultural competence organizational assessment. Washington, DC: National Center for Cultural Competence, 2002.
46. State of New Mexico. New Mexico behavioral health purchasing collaborative cultural competency strategic plan (draft). Santa Fe, NM: State of New Mexico, 2008.
47. New Mexico Behavioral Health Collaborative. 2008 Behavioral Health Collaborative annual report. Santa Fe, NM: State of New Mexico, 2008.
48. The Consortium for Behavioral Health Training and Research and TCA Coordination and Oversight Group. New Mexico total community approach (TCA) program interim evaluation report. Albuquerque, NM: State of New Mexico, 2008.