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Managed care as a platform for cross-system integration

  • Special Section: Public/Private Collaboration In Managing Behavioral Health Services
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Abstract

Following the significant industrialization of private health care, managed care strategies for reducing costs are beginning to enter the public sector. Privatization of public mental health dollars is already a reality in some states and a growing possibility in many others. Changes in the financial management of behavioral health care are a source of concern for providers, advocates, and clients who desire services that are consistent with the core values of an integrated system of care. This article reviews the core values of the system of care for children and families, recent changes in the continuum of care for children with severe emotional disorders, and basic principles and strategies of managed care. It is proposed that system-of-care values and managed care principles are not mutually exclusive. In fact, a judicious combination of system-of-care values and private sector management strategies may facilitate cross-system integration of services for children and youth. An example of a private, nonprofit corporation designed to manage public sector dollars across child welfare, juvenile justice, and mental health/alcohol and drug addiction systems is presented.

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Author information

Authors and Affiliations

  1. Department of Psychology, Ohio University, 45701, Athens, OH

    Benjamin M. Ogles Ph.D. (Associate Professor)

  2. Southern Consortium for Children, Athens, Ohio

    Steven C. Trout M.A. (executive director) & D. Kevin Gillespie R.N., M.H.S.A. (director of managed care)

  3. Managed Care Institute, Child Welfare League of America, Omaha, Nebraska

    Kathleen S. Penkert M.S.W., A.C.S.W. (senior consultant)

Authors
  1. Benjamin M. Ogles Ph.D.
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  2. Steven C. Trout M.A.
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  3. D. Kevin Gillespie R.N., M.H.S.A.
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  4. Kathleen S. Penkert M.S.W., A.C.S.W.
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Correspondence to Benjamin M. Ogles Ph.D..

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Ogles, B.M., Trout, S.C., Gillespie, D.K. et al. Managed care as a platform for cross-system integration. The Journal of Behavioral Health Services & Research 25, 252–268 (1998). https://doi.org/10.1007/BF02287465

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