Abstract
The collapse of the national health care reform initiative in 1994 marked a lost opportunity for all Americans, but especially for those with chronic conditions who face catastrophic medical costs under the present system. Of all the chronic conditions, serious and persistent mental illness (SPMI) presents the strongest case for reform, because the mentally ill are the most vulnerable to the devastating medical, social, and financial consequences of their illness (Sharfstein & Stoline, 1992). With no further federal initiative on the horizon, the question of how to finance services for the SPMI is now one of the most pressing “inescapable decisions” of health care reform (Mechanic, 1994).
The authors acknowledge support for work described in this report from the University of Massachusetts Center for Psychosocial and Forensic Mental Health Services Research.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Benson P., Clemens, E., et al. (1994). Overview: Findings of University of Massachusetts studies of Department of Mental Health facility consolidation. Boston, MA: Center for the Study of Social Acceptance, University of Massachusetts.
Callahan, J., Shepard, D., et al. (1994). Evaluation of the Massachusetts Medicaid Mental Health/Substance Abuse Program. Report submitted to Massachusetts Division of Medical Assistance. Waltham, MA: Heller School of Advanced Studies in Social Welfare, Brandeis University.
Dangerfield, D., Betit, R. (1993). Managed mental health care in the public sector. New Directions for Mental Health Services, 59, 67–79.
Department of Mental Health. ( 1993a, September 16). DMH statewide needs assessment executive summary of statewide findings. DMH memorandum.
Department of Mental Health. ( 1993b, August 9). Department of Mental Health needs assessment.
Dorwart, R., et al. (1996). Outcomes assessment and psychiatric services. Hospital and Community Psychiatry, 45, 1165.
Dorwart, R., Epstein, S. (1993). Privatization and mental health care. Westport, CT: Greenwood.
Executive Office of Health and Human Services, Commonwealth of Massachusetts. (1993a). Public managed behavioral healthcare in Massachusetts: The first two years. Unpublished manuscript.
Executive Office of Health and Human Services, Commonwealth of Massachusetts. (1993b). Developing a system of public managed care. Unpublished manuscript.
Governor’s Special Commission on Consolidation of Health and Human Services Institutional Facilities. (1991). Actions for quality care: A plan for the consolidation of state institutions and for the provision of appropriate care services.
Gow, D., Jovovich, C., et al. (1993). From public to private: The Massachusetts experience, 1991–1993. Cambridge, MA: John F. Kennedy School of Government, Harvard University, for Pioneer Institute for Public Policy Research.
Grant, M., Wagner, L., Porel, F., et al. (1994). A report to the Massachusetts Division of Medical Assistance: Evaluation of the Primary Care Clinician Program. Boston, MA: John W. McCormack Institute of Public Affairs, University of Massachusetts.
Grob, G. (1991). From asylum to community. Princeton, NJ: Princeton University Press.
House Post Audit Bureau. (1993). Charles River Hospital-West: Preliminary report. Unpublished manuscript.
Hurley, R., Freund, D., Paul, J. (1993). Managed care in medicaid. Ann Arbor, MI: Health Administration Press.
Jacobson, K. (1994). Evaluating medicaid managed care for Massachusetts mental health services: An analysis of effects on inpatient service use in two state agencies. Unpublished master’s thesis, John F. Kennedy School of Government, Harvard University.
Krasner, S. (1992). The Cambridge Hospital secure assessment unit: A good try for a flawed concept. Unpublished manuscript.
Massachusetts Department of Mental Health. ( 1993a, September 16 ). DMH statewide needs assessment. Executive summary of statewide findings. DMH Memorandum.
Mechanic, D. (1994). Inescapable decisions. New Brunswick, NJ: Transaction Books
Mechanic, D., Surles, R. ( 1992, Fall). Challenges in state mental health policy and administration. Health Affairs, 34–49.
Mental health shift costs state $3.3m. ( 1994, December 20), Boston Globe.
Osborne, D., Gaebler, T. (1992). Reinventing government. Reading,MA: Addison-Wesley.
Schlesinger, M., Dorwart, R., et aI. (1986). Competitive bidding and state’s purchase of services: The case of mental health care in Massachusetts. Journal of Policy Analysis and Management, 5, 245–263.
Sharfstein, S., Stoline, M. ( 1992, Fall). Reform issues for insuring mental health care. Health Affairs, 84–7.
Shi, J. (1994). Patient utilization analysis of medicaid managed care for Massachusetts mental health services. Unpublished master’s thesis. Harvard University School of Public Health.
Smith, S., Lipsky, M. (1992). Privatization in health and human services: A critique. Journal of Health Politics, Policy and Law, 17, 233–252.
State officials strive to bring the healthcare debate home. ( 1994, September 25). New York Times. p. B1.
Stroup, S., Dorwart, R. (1995). The impact of a medicaid mental health managed care program on the severely mentally ill. Psychiatric Services, 56, 885–889.
Tischler, G. (1990). Utilization management and the quality of care. Hospital and Community Psychiatry, 41, 1099–1102.
Editor information
Rights and permissions
Copyright information
© 1998 Springer Science+Business Media New York
About this chapter
Cite this chapter
Wieman, D.A., Dorwart, R.A. (1998). Evaluating State Mental Health Care Reform: The Case of Privatization of State Mental Services in Massachusetts. In: Gibelman, M., Demone, H.W. (eds) The Privatization of Human Services. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-30309-2_2
Download citation
DOI: https://doi.org/10.1007/978-3-662-30309-2_2
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-0-8261-9870-9
Online ISBN: 978-3-662-30309-2
eBook Packages: Springer Book Archive