The Massachusetts Mental Health/Substance Abuse managed care program: The providers' view

Beinecke, Richard H.; Callahan, James J.; Shepard, Donald S.; Cavanaugh, Doreen A.; Larson, Mary Jo

doi:10.1007/bf02112899

Cited by 18 publications

(2 citation statements)

References 11 publications

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“…For example, two early studies of the Massachusetts program showed significant cost savings in the early years due to decreases in inpatient substance abuse treatment with no discernible impact on the number of service users overall or administrative data measures of service quality (Callahan et al, 1995;Frank & McGuire, 1997). Interviews with treatment providers found they perceived that access to care and quality of care were the same or better under the carve-out compared to the system before managed care, even though they were apprehensive about the future impact of these system changes (Beinecke, Callahan, Shepard, Cavanaugh, & Larson, 1996).…”

Section: Discussionmentioning

confidence: 98%

Access To Services: Multiple Perspectives From Adults With Substance Abuse Disorders In Massachusetts

Larson

Zhang

Smith

et al. 2005

Adm Policy Ment Health

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This paper describes how 267 Massachusetts adult substance abuse consumers rated the substance abuse counseling they have received, their access to behavioral health care, and their overall experiences with their health plan or free care. This perspective is supplemented with information from administrative data on type of care received immediately after the baseline interview, including use of wraparound services while in treatment. We hypothesized that consumers in a carve-out behavioral health plan would view their care more favorably because they had a payment source for both substance abuse and mental health care. This hypothesis was confirmed. However, it is access to Medicaid insurance, not involvement of managed care, that is associated with greater access and higher consumer ratings of care.

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Section: Discussionmentioning

confidence: 98%

Access To Services: Multiple Perspectives From Adults With Substance Abuse Disorders In Massachusetts

Larson

Zhang

Smith

et al. 2005

Adm Policy Ment Health

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“…The findings are inclusive of considerable increases in clients reporting unmet service needs. Additional review of public managed care programs have called into question the severity of clients presenting for services possibly as the end result of a managed care treatment delivery system (Akiskal, 1996;Beinecke, Callahan, Shepard, Cavanaugh, & Larson, 1997;Schmidt & Weisner, 1999). Others continue to question the viability of a managed care approach in meeting the complex needs of mentally ill chemical abusers.…”

Section: Challenges Within the Treatment Processmentioning

confidence: 99%

Crisis Intervention With Mentally Ill Chemical Abusers: Application of Brief Solution‐Focused Therapy and Strengths Perspective

Yeager

2002

Brief Treatment and Crisis Intervention

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This article presents the application of Roberts' seven-stage crisis intervention model in working with mentally ill chemical abusers. Roberts' model will be combined with strengths perspective and brief solution-focused therapy to provide an effective framework for addressing the unique needs of mentally ill chemical abusers within a managed care treatment environment. This article will present three case examples and one impromptu intervention to demonstrate methods for clinicians to apply in addressing this challenging and complex population. [Brief Treatment and Crisis Intervention 2:197-216 (2002)]

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Assessment of the Massachusetts medicaid managed behavioral health program: Year three

Beinecke

Shepard

Goodman³

et al. 1997

Adm Policy Ment Health

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This evaluation of the third year of the Massachusetts Medicaid managed Mental Health/Substance Abuse Program showed that overall utilization increased slightly and expenditures were nearly the same in FY1994 compared to FY1993; however, they were lower for disabled members. Providers believed that access to care, utilization, and quality of care were the same or better than a year earlier and that the clinical review process was improved. Client severity was higher. Aftercare planning improved but gaps in services persisted. Integration of care improved. Administrative and management problems continued. Lessons for similar, more recent initiatives are discussed.

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The Massachusetts Mental Health/Substance Abuse managed care program: The providers' view

Cited by 18 publications

References 11 publications

Access To Services: Multiple Perspectives From Adults With Substance Abuse Disorders In Massachusetts

Access To Services: Multiple Perspectives From Adults With Substance Abuse Disorders In Massachusetts

Crisis Intervention With Mentally Ill Chemical Abusers: Application of Brief Solution‐Focused Therapy and Strengths Perspective

Assessment of the Massachusetts medicaid managed behavioral health program: Year three

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