Abstract
Mental health service delivery is both a health care and business arrangement, and is accordingly impacted by national changes in both areas. HMO mental health services in the current health reform zeitgeist are being called on to provide more efficient, comprehensive integrated care. A planning effort is presented which is organized around (1) a quality improvement effort aimed at understanding who are the “customers” (patient, medical community, mental health staff, and client employer) and what they need and (2) coordination and integration with the HMO larger organizational plan and efforts. The unique benefits of staff model HMOs are discussed relative to mental health service.
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References
Miller C: Are HMO's the answer?HMO Practice 1990; 4:183–184.
Faltermayer E: Strong medicine for health cost.Fortune 1990; April:221–230.
Cheifetz D, Salloway J: Patterns of mental health services provided by HMO's.American Psychologist 1984; 39:495–502.
Rader P: The mental health package.HMO Magazine 1990; Nov–Dec:13–28.
Manning W, Wells K, Benjamin B: Use of out-patient mental health care: trial of a pre-paid group practice vs fee-for-service. Monograph R-3277-NIMH. Santa Monica, Calif: Rand Corp., 1986.
Wells K, Manning W, Valdez R: The effects of pre-paid group practice on mental health outcomes of a general population: results from a randomized trial. Monograph R-3834-NIMH/HCFA. Santa Monica, Calif: Rand Corp., 1989.
Manning W, Wells K, Benjamin B: Use of outpatient mental health services over time in a health maintenance organization and fee-for-service plan.American Journal of Psychiatry 1987; 144:283–287.
Siddall L, Haffey N, Feinman J: Intermittent brief psychotherapy in a HMO setting.American Journal of Psychotherapy 1988; XLII:96–106.
Juran J: Made in the USA, a quality resurgence.Journal of Quality and Participation 1991; March:6–8.
Levin B: Continued changing patterns in coverage and utilization of mental health, alcohol, and substance abuse within HMO's.GHAA Journal 1987-88; Winter:17–27.
Shulman M: Cost containment in clinical psychology: critique of biodyne and the HMO's.Professional psychology: Research and Practice 1988; 19:298–307.
Yardrick R: From out of the vicissitudes of managed care comes a clearer direction for EAP.EAPA Exchange 1990; July:18–20.
Industry Notes.Focus. Minneapolis, Minn.: United Behavioral Systems, 1991; 1st quarter:1.
Simon G, Katon W, Sparks P: Allergic to life: psychological factors in environmental illness.American Journal of Psychiatry 1990; 147:901–906.
McEachem S: EAP: ace of aircraft maker's benefit squadron.Healthweek 1990; November:M1-M5.
McEachem S: HMO's, EAP at odds on mental health care.Healthweek 1990; September:M1-M8.
McDonnell Douglas Corp.:Employee Assistance Program Financial Offset Study 1985–1988. 1989.
Wells K, Hayes R, Burnham M, et al.: Detection of depressive disorders for patients receiving pre-paid or fee for service care: results of the medical outcomes study.Journal of the American Medical Association 1989; 262:3298–3302.
Barrett J, Barrett J, Oxman T, et al.: The prevalence of psychiatric disorders in a primary care practice.Archives of General Psychiatry 1988; 45:1100–1106.
Holder H, Blose J: Changes in health care cost and utilization associated with mental health treatment.Hospital and Community Psychiatry 1987; 38:1070–1074.
American Biodyne: The Impact of Psychological Intervention on Health Care Utilization and Costs: The Hawaii Medicaid Project. San Francisco: April, 1990.
Mumford E, Schlesinger H, Glass G, et al.: A new look at evidence about reduced cost of medical utilization following mental health treatment.American Journal of Psychiatry 1984; 141:1145–1158.
Kisch J, Makover R: Psychotherapy in the HMO.HMO Practice 1990; 4:24–29.
Millar J: Mental health and the workplace.American Psychologist 1990; 45:1165–1166.
Sabin J: Clinical skills for the 1990's: six lessons from HMO practice.Hospital and Community Psychiatry 1991; 42:605–608.
Wrich J: Ethics and EAP practice.EAP Digest 1990; July/August:36–61.
Traska M: Opening the door.GHAA News 1990; Mar/Apr:15–18.
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Quirk, M.P., Rubenstein, S., Strosahl, K. et al. Quality and customers: A planning approach to the future of mental health services in a health maintenance organization. The Journal of Mental Health Administration 20, 1–7 (1993). https://doi.org/10.1007/BF02521398
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DOI: https://doi.org/10.1007/BF02521398