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The Impact of the Great Recession on Community-Based Mental Health Organizations: An Analysis of Top Managers’ Perceptions of the Economic Downturn’s Effects and Adaptive Strategies Used to Manage the Consequences in Ohio

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Abstract

The Great Recession of 2007–2009 adversely affected the financial stability of the community-based mental health infrastructure in Ohio. This paper presents survey results of the type of adaptive strategies used by Ohio community-based mental health organizations to manage the consequences of the economic downturn. Results were aggregated into geographical classifications of rural, mid-sized urban, and urban. Across all groups, respondents perceived, to varying degrees, that the Great Recession posed a threat to their organization’s survival. Urban organizations were more likely to implement adaptive strategies to expand operations while rural and midsized urban organizations implemented strategies to enhance internal efficiencies.

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References

  • Abramson, S.S. (2009). The recession: Surveying the landscape. Retrieved on March 1, 2010 from http//:www/apha.org.

  • Amburgey, T., & Miner, A. (1992). Strategic momentum: The effects of repetitive, positional and contextual momentum on merger activity. Strategic Management Journal, 13, 335–348.

    Article  Google Scholar 

  • Baxter, R. J., & Mechanic, R. E. (1997). The status of local health care safety nets. Health Affairs, 16(4), 7–23.

    Article  CAS  PubMed  Google Scholar 

  • Beck, J. A. (2003). Medicaid, health care financing trends, and the future of state-based public mental health services. Psychiatric Services, 54(7), 969–975.

    Google Scholar 

  • Beck, J. A. (2009). Recent changes in medicaid policy and their possible effects on mental health services. Psychiatric Services, 60(11), 1504–1509.

    Google Scholar 

  • Bourgeois, L. J. (1985). Strategic goals, perceived uncertainty, and economic performance in volatile environments. Academy of Management Journal, 28(3), 548–573.

    Article  Google Scholar 

  • Boyd, B. K., Dess, G. G., & Rasheed, A. M. (1993). Divergence between archival and perceptual measures of the environment: Causes and consequences. Academy of Management Review, 18, 204–226.

    Google Scholar 

  • Chattopadhyay, P., Glick, W. H., & Huber, G. P. (2001). Organizational actions in response to threats and opportunities. Academy of Management Journal, 44(5), 937–955.

    Article  Google Scholar 

  • Dickey, B., & Cohen, M. (1993). Changing the financing of state mental health programs: Using carrots not sticks to improve care. Administration and Policy In Mental Health, 20(5), 343–355.

    Article  Google Scholar 

  • Duncan, R. B. (1972). Characteristics of organizational environments and perceived environmental uncertainty. Administration Science Quarterly, 17(3), 313–327.

    Article  Google Scholar 

  • Elliot, R. I., Cohen, M. D., & Evans, D. L. (1995). Reforming Georgia’s mental health system. Community Mental Health Journal, 31(5), 413–423.

    Article  Google Scholar 

  • Gliem, J. A., & Gliem, R. R. (2003). Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. Paper presented to the 2003 Midwest research to practice conference in adult, continuing, and community education. Retrieved on November 1, 2012 from https://scholarworks.iupui.edu/bitstream/handle/1805/344/Gleim%20&%20..?sequence=1.

  • Gronfein, W. (1985). Incentives and intentions in mental health policy: A comparison of the Medicaid and community mental health programs. Journal of Health and Social Behavior, 26, 192–206.

    Article  CAS  PubMed  Google Scholar 

  • Haunenstein, E. J., Petterson, S., Rovnyak, V., Merwin, E., Heise, B., & Wagner, D. (2007). Rurality and mental health treatment. Administration and Policy In Mental Health, 34, 255–267.

    Article  Google Scholar 

  • Hodgkin, D., & Karpman, H. (2010). Economics crises and public spending on mental health care. International Journal of Mental Health, 39(2), 91–106.

    Article  Google Scholar 

  • Hogan, M. F. (1999). Public sector mental health care: New challenges. Health Affairs, 18(5), 106–111.

    Article  CAS  PubMed  Google Scholar 

  • Jacobson, P. D., Dalton, V. K., Benson-Grad, J., & Weisman, C. S. (2005). Survival strategies for Michigan’s health care safety net provider. Health Services Research, 40(3), 923–940.

    Article  PubMed Central  PubMed  Google Scholar 

  • Jerrell, J. M., & Larsen, J. K. (1984). Policy shifts and organizational adaptation: A review of current developments. Community Mental Health Journal, 20(4), 282–293.

    Article  CAS  PubMed  Google Scholar 

  • Massatti, R. M., Sweeney, H. A., Panzano, P. C., & Roth, D. (2008). The de-adoption of innovative mental health practices (IMHP): Why organizations choose not to sustain an IMHP. Administration and Policy in Mental Health Services Research, 35(1–2), 50–65.

    Article  Google Scholar 

  • Mays, G. P., McHugh, M. C., Sheim, K., Perry, N., Lenaway, D., Halverson, P. K., et al. (2006). “Institutional and economic determinants of public health system performance. American Journal of Public Health, 96(3), 523–531.

    Article  PubMed Central  PubMed  Google Scholar 

  • National Bureau of Economic Research. 2010. Announcement of June 2009 business cycle trough. Retrieved on June 18, 2011 from http://www.nbrc.org/cycles.main.html.

  • Norton, S. A., & Lipson, D. J. (1998). “Public policy market forces, and the viability of safety net providers. Occasional Paper 13.” Washington D.C.: The Urban Institute; 41p.

  • Ohio Department of Development Office of Policy, Research, and Strategic Planning. (2011). Population data for 2007 through 2009. Retrieved on June 18, 2011 from http//www.development.ohio.gov/research/PopulationHousing.

  • Ohio Department of Job and Family Services Labor Market Information. (2011). Civilian labor force estimates query for 2007 through 2009. Retrieved on June 19, 2011 from http://www.ohiolmi.com/asp/laus/vbLaus.htm.

  • Ohio Department of Mental Health. (2010). [Budget Trends for FY 2002 through FY 2009]. Unpublished raw data.

  • Ohio Department of Mental Health (2011). Multi-Agency Community Services Information System Data Mart FY 2007 through FY 2009 Board-Level Data. Retrieved on June 19, 2011 from http://macsisdatamart.mh.state.oh.us.

  • Ohio Department of Taxation Research. (2011). Property Tax Statistics, 2007 through 2009. Retrieved on June 20, 2011 from http://www.tax.ohio.gov/channels/research/property_tax_statistics.stm.

  • Panzano, P. C., & Billings, R. S. (1997). An organizational-level test of a partially mediated model of risky decision making behavior. Academy of Management Proceedings. 97:340–344.

    Google Scholar 

  • Panzano, P. C., Roth, D., Sweeney, H. A., Massatti, R., Seffrin, B., Carstens, C., et al. (2005). The innovation diffusion and adoption research project (IDARP): Moving from the diffusion of research results to promoting the adoption of evidence-based innovation in the Ohio mental health system. In D. Roth (Ed.), New research in mental health (pp. 78–90). Columbus, OH: Ohio Department of Mental Health.

    Google Scholar 

  • Rochefort, D. A. (1984). Origins of the third psychiatric revolution: The community mental health centers act of 1963. Journal of Health Politics, Policy and Law, 9(4), 1–30.

    Article  CAS  PubMed  Google Scholar 

  • Rochefort, D. A. (1993). From poorlessness to homelessness: Policy analysis and mental health care. Westport: Auburn House.

    Google Scholar 

  • Roth, D., Laber, B. G., Crane-Ross, D., & Clark, J. A. (1997). Impact of state mental health reform on patterns of service delivery. Community Mental Health Journal, 33(6), 473–485.

    Article  CAS  PubMed  Google Scholar 

  • Rubin, I. (1977). Universities in stress: Decision making under conditions of reduced resources. Social Science Quarterly, 58, 242–254.

    Google Scholar 

  • Seiber, E., Sweeney, H. A., Partridge, J., Dembe, A., & Jones, H. (2012). Mental health community based funding: Ohio’s experience in revising its funding allocation methodology. Community Mental Health Journal, 48(5), 604–610.

    Article  PubMed  Google Scholar 

  • Srinivasan, R., Rangaswamy, A., & Lilien, G. L. (2005). Turning adversity into advantage: Does proactive marketing during a recession pay off? International Journal of Research in Marketing, 22, 109–125.

    Article  Google Scholar 

  • Sutcliffe, K. M., & Huber, G. P. (1998). Firm and industry as determinants of executive perceptions of the environment. Strategic Management Journal, 19, 792–807.

    Google Scholar 

  • Tefft, N. (2011). Insights on unemployment, unemployment insurance, and mental health. Journal of Health Economics, 30(2), 258–264.

    Article  PubMed  Google Scholar 

  • Thomas, J. B., & McDaniel, R. R. (1990). Interpreting strategic issues: Effects of strategy and the information-processing structures of top management teams. Academy of Management Journal, 30(2), 286–306.

    Article  Google Scholar 

  • Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, A., Rush, J., et al. (2001). Implementing evidence-based practices for persons with severe mental illness. Psychiatric Services, 52(1), 45–50.

    Article  CAS  PubMed  Google Scholar 

  • United States Department of Labor, Bureau of Labor Statistics. (2011). CPI Detailed Report, Tables Annual Average 2002 through 2009. Retrieved on July 10, 2011 from http://www.bls.gov/cpi/#tables.

  • Venkataraman, S., & Van De Ven, A. (1998). Hostile environmental jolts, transaction set, and new business. Journal of Business Venturing, 13, 231–255.

    Article  Google Scholar 

  • Williams, A. M. (2011). Changes in community behavioral healthcare organizations subsequent to the implementation of Medicaid managed care. Unpublished doctoral dissertation, Indiana University of Pennsylvania. Indiana, PA.

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Authors and Affiliations

  1. Ohio Department of Mental Health, Office of Research and Evaluation, 30 East Broad Street, 8th Floor, Columbus, OH, 43215, USA

    Helen Anne Sweeney & Kraig Knudsen

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  1. Helen Anne Sweeney
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  2. Kraig Knudsen
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Correspondence to Helen Anne Sweeney.

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Sweeney, H.A., Knudsen, K. The Impact of the Great Recession on Community-Based Mental Health Organizations: An Analysis of Top Managers’ Perceptions of the Economic Downturn’s Effects and Adaptive Strategies Used to Manage the Consequences in Ohio. Community Ment Health J 50, 258–269 (2014). https://doi.org/10.1007/s10597-013-9603-9

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  • DOI: https://doi.org/10.1007/s10597-013-9603-9

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