Public-Sector Managed Care for Children's Mental Health Services : Stakeholders' Perspectives. Symposium / Dalene K. Stangl, Dan L. Tweed and Betsy Farmer.

This paper presents contributions at a symposium about Carolina Alternatives (CA), a North Carolina program that blends capitated financing with public sector managed care for mental health and substance abuse services for children and youth eligible for Medicaid. The symposium focused on stakeholde...

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Bibliographic Details
Main Authors: Stangl, Dalene K.
Tweed, Dan L. (Author)
Farmer, Betsy (Author)
Langmeyer, David (Author)
Stelle, Lynn (Author)
Behar, Lenore B. (Author)
Gagliardi, Julia (Author)
Burns, Barbara J. (Author)
Language:English
Published: [Place of publication not identified] : Distributed by ERIC Clearinghouse, 1996.
Subjects:
Genre:
Physical Description:16 pages
Format: Microfilm Book

MARC

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245 1 0 |a Public-Sector Managed Care for Children's Mental Health Services :  |b Stakeholders' Perspectives. Symposium /  |c Dalene K. Stangl, Dan L. Tweed and Betsy Farmer. 
260 |a [Place of publication not identified] :  |b Distributed by ERIC Clearinghouse,  |c 1996. 
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500 |a Sponsoring Agency: National Institutes of Health (DHHS), Bethesda, MD.  |5 ericd 
500 |a Contract Number: RO3-MH55073-01.  |5 ericd 
500 |a ERIC Note: In: A System of Care for Children's Mental Health: Expanding the Research Base. Proceedings of the Annual Research Conference (9th, Tampa, FL, February 26-28, 1996); see EC 306 844. Table is not available from ERIC. Also sponsored by the Lowenstein Center for the Study, Prevention, and Treatment of Disruptive Behavior Disorders.  |5 ericd 
520 |a This paper presents contributions at a symposium about Carolina Alternatives (CA), a North Carolina program that blends capitated financing with public sector managed care for mental health and substance abuse services for children and youth eligible for Medicaid. The symposium focused on stakeholders' perspectives and on expenditure patterns of inpatient and outpatient services. First, Dan Tweed presented "Stakeholders' Perspectives: Overview of Carolina Alternatives." Next, Dalene Stangl presented "Stakeholders' Perspectives: Area Programs, Hospitals, and Departments of Social Services." The perspectives of three groups (the 10 area programs responsible for care management, the hospitals that provide mental health and substance abuse services, and the county directors of departments of social services) regarding how CA restructured service delivery, implemented care management, and redefined interagency relations are defined. Elizabeth Farmer and Julia Gagliardi presented "Stakeholder's Perspectives: Client Satisfaction and Outcomes." Preliminary results indicated overall client satisfaction and acceptability of the outcome measures to clients and staff. The final contribution, by David Langmeyer, "Stakeholders' Perspectives: Preliminary Cost Findings," compared service costs between area programs that participated in CA and those that did not. It found CA was successful in reducing costs associated with inpatient services but this decrease was offset by a dramatic increase in non-inpatient services for participating area programs. (DB) 
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650 0 7 |a Children.  |2 ericd 
650 1 7 |a Community Programs.  |2 ericd 
650 1 7 |a Delivery Systems.  |2 ericd 
650 1 7 |a Emotional Disturbances.  |2 ericd 
650 0 7 |a Hospitals.  |2 ericd 
650 1 7 |a Mental Health Programs.  |2 ericd 
650 1 7 |a Program Costs.  |2 ericd 
650 0 7 |a Public Sector.  |2 ericd 
650 0 7 |a Substance Abuse.  |2 ericd 
650 0 7 |a Unit Costs.  |2 ericd 
653 1 |a Outpatient Care 
653 0 |a Capitation Support  |a Medicaid  |a North Carolina 
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700 1 |a Langmeyer, David,  |e author. 
700 1 |a Stelle, Lynn,  |e author. 
700 1 |a Behar, Lenore B.,  |e author. 
700 1 |a Gagliardi, Julia,  |e author. 
700 1 |a Burns, Barbara J.,  |e author.  |0 http://id.loc.gov/authorities/names/n81052183 
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