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The journal of mental health administration

, Volume 24, Issue 4, pp 386–399 | Cite as

State health care reforms: How they affect children and adolescents with emotional disorders and their families

  • Beth A. Stroul
  • Sheila A. Pires
  • Linda Roebuck
  • Robert M. Friedman
  • Beth Barrett
  • Kristina L. Chambers
  • Mary Ann Kershaw
Articles
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Abstract

This article reports on the Health Care Reform Tracking Project, a national study designed to describe and analyze state health care reforms and their impact on children and adolescents with emotional disorders and their families. It summarizes the results of the baseline survey of states conducted in 1995, exploring the nature and extent of the reforms in which states are engaged, most of which involve applying managed care technologies to their Medicaid programs. Trends across states are identified with respect to mental health service delivery, particularly with respect to children and adolescents. The article concludes with a discussion of issues and concerns related not only to mental health service delivery for children and adolescents with emotional disorders and their families but also to the systems of care that have been developing over the past decade to serve them. Some of these concerns include the lack of pilots or demonstrations, limited mental health coverage in some reforms, the lack of integration between mental health and substance abuse systems, the lack of special provisions for children, the need for more reliable bases for deriving capitation rates, the limited incorporation of systems of care, the need to incorporate interagency treatment planning and service delivery approaches, the lack of outcome measures specific to and appropriate for children, and the need for greater family involvement in the planning and implementation of these reforms.

Keywords

Mental Health Mental Health Service Emotional Disorder Health Care Reform Capitation Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    General Accounting Office:Medicaid, Restructuring Approaches Leave Many Questions. GAO/HEHS-95-104. Washington, DC: General Accounting Office, 1995.Google Scholar
  2. 2.
    Coe RF, Poe SL:Partnership for Care: Systems of Care for Children With Serious Emotional Disturbances and Their Families, Washington, DC: Washington Business Group on Health, 1993.Google Scholar
  3. 3.
    Stroul BA, Friedman, RM:A System of Care for Children and Adolescents With Severe Emotional Disturbances. Rev. ed. Washington, DC: National Technical Assistance Center for Children's Mental Health, Georgetown University Child Development Center, 1986.Google Scholar
  4. 4.
    Stroul B, Friedman RM: The system of care concept and philosophy. In: Stroul B (Ed.):Children's Mental Health: Creating Systems of Care in a Changing Society. Baltimore, MD: Paul H. Brookes, 1996, pp. 3–22.Google Scholar
  5. 5.
    Stroul B:Managed Care and Children's Mental Health: Proceedings of the May 1995 State Managed Care Meeting. Washington, DC: National Technical Assistance Center for Children's Mental Health, Georgetown University Child Development Center, 1994.Google Scholar
  6. 6.
    Pires SA, Stroul BA, Roebuck L, et al:Health Care Reform Tracking Project: Tracking State Health Care Reforms as They Affect Children and Adolescents With Emotional Disorders and Their Families—The 1995 State Survey. Tampa: Florida Mental Health Institute, University of South Florida, 1995.Google Scholar
  7. 7.
    Lourie I, Katz-Leavy J, DeCarolis G, Quinlan W: The role of the federal government. In Stroul B (Ed.):Children's Mental Health: Creating Systems of Care in a Changing Society. Baltimore, MD: Paul H. Brookes, 1996, pp. 99–114.Google Scholar
  8. 8.
    Stroul B: Introduction: Progress in children's mental health. In: Stroul B (Ed.):Children's Mental Health: Creating Systems of Care in a Changing Society. Baltimore, MD: Paul H. Brookes, 1996, pp. xxi-xxxii.Google Scholar
  9. 9.
    Stroul BA, Pires, SA, Katz-Leavy JW, Goldman SK. Implications of the Health Security Act for mental health services for children and adolescents.Hospital and Community Psychiatry 1994; 45(9):877–882PubMedGoogle Scholar

Copyright information

© Association of Behavioral Healthcare Management 1997

Authors and Affiliations

  • Beth A. Stroul
    • 1
  • Sheila A. Pires
    • 2
  • Linda Roebuck
    • 3
  • Robert M. Friedman
    • 4
  • Beth Barrett
    • 4
  • Kristina L. Chambers
    • 4
  • Mary Ann Kershaw
    • 4
  1. 1.National Technical Assistance Center for Children's Mental HealthGeorgetown UniversityMcLean
  2. 2.Human Service CollaborativeWashington, DC
  3. 3.Missouri Department of Mental HealthSpringfield
  4. 4.Department of Child and Family StudiesFlorida Mental Health InstituteTampa

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