Matches in SemOpenAlex for { <https://semopenalex.org/work/W2337276795> ?p ?o ?g. }
- W2337276795 abstract "Although states that have developed or are developing programs of Medicaid managed mental health care often claim to be targeting severely and persistently mentally ill patients, in fact they have disrupted several significant elements of effective care. Since its beginnings, community psychiatry has demonstrated the necessity and efficacy of applying certain principles to meet the needs of this population. They include continuity of care, integration of treatment elements, integration of treatment with social and economic interventions, and provision of effective case management to facilitate continuity and integration of services. Has managed care found a way to follow these principles to meet the needs of seriously and persistently mentally ill patients? In the main, no. Capitated rates are too low to cover these needs. Continuity is impossible if, for instance, companies seek less expensive outpatient services for a patient and then, when hospitalization is required, refer the patient to a less expensive hospital unrelated to the outpatient program. Cost overrides continuity. Case management to bridge such gaps is alien to most companies bidding on Medicaid mental health contracts. Long-term rehabilitation, even if a benefit under the contract, is rarely approved. Companies consider it a nonmedical or unproven intervention. If rehabilitation is approved, the time allowed is rarely consonant with the literature, which shows that up to 18 months may be required to achieve results. Managed care companies also do not appreciate the need to incorporate economic and social interventions, such as access to entitlement programs and housing, with psychiatric care. They consider such needs nonmedical, no matter what they agreed to in order to win a contract. Some states have tried to retain control over elements of care targeted to seriously mentally ill people, such as rehabilitation and case management, but this split responsibility only further disrupts continuity of care." @default.
- W2337276795 created "2016-06-24" @default.
- W2337276795 creator A5002958641 @default.
- W2337276795 creator A5015272156 @default.
- W2337276795 creator A5016739507 @default.
- W2337276795 creator A5018312534 @default.
- W2337276795 creator A5022470819 @default.
- W2337276795 creator A5023531527 @default.
- W2337276795 creator A5026054408 @default.
- W2337276795 creator A5027490550 @default.
- W2337276795 creator A5034052408 @default.
- W2337276795 creator A5040301076 @default.
- W2337276795 creator A5052683578 @default.
- W2337276795 creator A5053516162 @default.
- W2337276795 creator A5054816353 @default.
- W2337276795 creator A5058045926 @default.
- W2337276795 creator A5059846736 @default.
- W2337276795 creator A5060774266 @default.
- W2337276795 creator A5065464485 @default.
- W2337276795 creator A5067589574 @default.
- W2337276795 creator A5068368034 @default.
- W2337276795 creator A5069319562 @default.
- W2337276795 creator A5071163437 @default.
- W2337276795 creator A5071475979 @default.
- W2337276795 creator A5073331668 @default.
- W2337276795 creator A5078109250 @default.
- W2337276795 creator A5080261644 @default.
- W2337276795 creator A5086803931 @default.
- W2337276795 creator A5087615450 @default.
- W2337276795 date "1999-01-01" @default.
- W2337276795 modified "2023-09-23" @default.
- W2337276795 title "Why Are Community Psychiatrists Silent on Managed Care" @default.
- W2337276795 cites W3143305618 @default.
- W2337276795 hasPublicationYear "1999" @default.
- W2337276795 type Work @default.
- W2337276795 sameAs 2337276795 @default.
- W2337276795 citedByCount "0" @default.
- W2337276795 crossrefType "journal-article" @default.
- W2337276795 hasAuthorship W2337276795A5002958641 @default.
- W2337276795 hasAuthorship W2337276795A5015272156 @default.
- W2337276795 hasAuthorship W2337276795A5016739507 @default.
- W2337276795 hasAuthorship W2337276795A5018312534 @default.
- W2337276795 hasAuthorship W2337276795A5022470819 @default.
- W2337276795 hasAuthorship W2337276795A5023531527 @default.
- W2337276795 hasAuthorship W2337276795A5026054408 @default.
- W2337276795 hasAuthorship W2337276795A5027490550 @default.
- W2337276795 hasAuthorship W2337276795A5034052408 @default.
- W2337276795 hasAuthorship W2337276795A5040301076 @default.
- W2337276795 hasAuthorship W2337276795A5052683578 @default.
- W2337276795 hasAuthorship W2337276795A5053516162 @default.
- W2337276795 hasAuthorship W2337276795A5054816353 @default.
- W2337276795 hasAuthorship W2337276795A5058045926 @default.
- W2337276795 hasAuthorship W2337276795A5059846736 @default.
- W2337276795 hasAuthorship W2337276795A5060774266 @default.
- W2337276795 hasAuthorship W2337276795A5065464485 @default.
- W2337276795 hasAuthorship W2337276795A5067589574 @default.
- W2337276795 hasAuthorship W2337276795A5068368034 @default.
- W2337276795 hasAuthorship W2337276795A5069319562 @default.
- W2337276795 hasAuthorship W2337276795A5071163437 @default.
- W2337276795 hasAuthorship W2337276795A5071475979 @default.
- W2337276795 hasAuthorship W2337276795A5073331668 @default.
- W2337276795 hasAuthorship W2337276795A5078109250 @default.
- W2337276795 hasAuthorship W2337276795A5080261644 @default.
- W2337276795 hasAuthorship W2337276795A5086803931 @default.
- W2337276795 hasAuthorship W2337276795A5087615450 @default.
- W2337276795 hasConcept C118552586 @default.
- W2337276795 hasConcept C134362201 @default.
- W2337276795 hasConcept C144133560 @default.
- W2337276795 hasConcept C144237770 @default.
- W2337276795 hasConcept C159110408 @default.
- W2337276795 hasConcept C160735492 @default.
- W2337276795 hasConcept C162324750 @default.
- W2337276795 hasConcept C27415008 @default.
- W2337276795 hasConcept C2776534028 @default.
- W2337276795 hasConcept C2780265253 @default.
- W2337276795 hasConcept C2780665704 @default.
- W2337276795 hasConcept C2908647359 @default.
- W2337276795 hasConcept C50522688 @default.
- W2337276795 hasConcept C71924100 @default.
- W2337276795 hasConcept C94982200 @default.
- W2337276795 hasConcept C99454951 @default.
- W2337276795 hasConceptScore W2337276795C118552586 @default.
- W2337276795 hasConceptScore W2337276795C134362201 @default.
- W2337276795 hasConceptScore W2337276795C144133560 @default.
- W2337276795 hasConceptScore W2337276795C144237770 @default.
- W2337276795 hasConceptScore W2337276795C159110408 @default.
- W2337276795 hasConceptScore W2337276795C160735492 @default.
- W2337276795 hasConceptScore W2337276795C162324750 @default.
- W2337276795 hasConceptScore W2337276795C27415008 @default.
- W2337276795 hasConceptScore W2337276795C2776534028 @default.
- W2337276795 hasConceptScore W2337276795C2780265253 @default.
- W2337276795 hasConceptScore W2337276795C2780665704 @default.
- W2337276795 hasConceptScore W2337276795C2908647359 @default.
- W2337276795 hasConceptScore W2337276795C50522688 @default.
- W2337276795 hasConceptScore W2337276795C71924100 @default.
- W2337276795 hasConceptScore W2337276795C94982200 @default.
- W2337276795 hasConceptScore W2337276795C99454951 @default.
- W2337276795 hasLocation W23372767951 @default.
- W2337276795 hasOpenAccess W2337276795 @default.
- W2337276795 hasPrimaryLocation W23372767951 @default.