Top

Administration and Policy in Mental Health and Mental Health Services Research

Published in:

01-09-2007 | Original Paper

Capitation and Racial and Ethnic Differences in Use and Cost of Public Mental Health Services

Authors: Lonnie R. Snowden, Neal T. Wallace, Soo Hyang Kang, Jur-Shan Cheng, Joan R. Bloom

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 5/2007

Abstract

This study investigated racial and ethnic differences in the probability of mental health service use and costs of treatment before and after the implementation of capitated financing. Models were created to test effects on utilization and costs of African American, Latinos, and white mental health consumers. As service use and costs declined under capitation, Latino, and white levels of use and cost tended to converge. African American utilization patterns in the capitated areas tended to parallel their white counterparts. Differential rejection by, or exclusion of, African American and Latino consumers did not appear to occur in response to capitation.

Bloom, J. R., Hu, T. W., Wallace, N. T., Cuffel, B., Hausman, J. W., Sheu, M. L., et al. (2002). Mental health costs and access under alternative capitation systems in Colorado. Health Services Research, 37(2), 315–340.PubMedCrossRef

Catalano, R. A., Libby, A. M., Snowden, L. R., & Cuellar, A. E. (2000). The effect of capitated financing on mental health services for children and youth: The Colorado experience. American Journal of Public Health, 90, 1861–1865.PubMed

Center for Mental Health Services. (2000). The cultural competence standards in managed mental health care for four underserved/underrepresented racial/ethnic groups. Retrieved May 31, 2006, from http://www.wiche.edu/MentalHealth/Cultural_Comp/index

Christianson, J. B., Manning, W. G., Lurie, N., Stoner, T. J., Gray, D. Z., Popkin, M., et al. (1995). Utah’s prepaid mental health plan: the first year. Health Affairs, 14, 160–172.PubMedCrossRef

Cooper, P. L., Crum, R. M., & Ford, D. E. (1994). Characteristics of patients with major depression who received care in general medical and specialty mental health settings. Medical Care, 32, 15–24.CrossRef

Cuffel, B. J., Bloom, J. R., Wallace, N. T., Hausman, J. W., & Hu, T. W. (2002). Two-year outcomes of fee-for-service and capitated Medicaid programs for people with severe mental illness. Health Services Research, 37, 341–359.PubMedCrossRef

Lopez, S., & Lopez, S. R. (1997). Cultural competence in psychotherapy: A guide for clinicians and their supervisors. In C. E. Watkins (Ed.), Handbook of psychotherapy supervision (pp. 570–588). New York: Wiley.

Masland, M. C., Piccagli, G., Cuffel, B. J., & Snowden, L. (1996). Planning and implementation of capitated mental health programs in the public section. Evaluation and Program Planning, 19(3), 253–262.CrossRef

Mechanic, D. (2003). Managing behavioral health in Medicaid. New England Journal of Medicine, 348, 1914–1916.PubMedCrossRef

Ray, W. A., Daugherty, J. R., & Meador, K. G. (2003). Effect of a mental health “carve-out” program on the continuity of antipsychotic therapy. New England Journal of Medicine, 348, 1885–1894.PubMedCrossRef

Snowden, L. R. (2003). Bias in mental health assessment and intervention: Theory and evidence. American Journal of Public Health, 93, 239–242.PubMedCrossRef

Snowden, L. R., Cuellar, A. E., & Libby,A. M. (2003). Minority youth in foster care: Managed care and access to mental health treatment. Medical Care, 41, 264–274.PubMedCrossRef

Snowden, L. R., & Pingitore, D. (2002). Frequency and scope of mental health service delivery to African Americans in primary care. Mental Health Services Research, 4, 123–130.PubMedCrossRef

Snowden, L. R., & Thomas, K. (2000). Medicaid and African American outpatient mental health treatment. Mental Health Services Research, 2, 115–120.PubMedCrossRef

Stata Corp. (1997). Stata statistical software: Release 5.0. College Station. TX: Stata Corporation.

Stoner, T., Manning, W., Christiansen, J., Gray, D. Z., & Marriott, S. (1997). Expenditures for mental health services in the Utah prepaid mental health plan. Health Care Financing Review, 18(3), 73–93.PubMed

Thomas, K. C., & Snowden, L. R. (2001). Minority response to health insurance coverage for mental health services. Journal of Mental Health Policy and Economics, 4, 35–41.PubMed

US Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity: A supplement to mental health: A report to the surgeon general. Rockville, MD.

Vega, W. A., Kolody, B., Aguilar-Gaxiola, S., & Catalano, R. (1999). Gaps in service utilization by Mexican Americans with mental health problems. American Journal of Psychiatry, 156, 928–934.PubMed

Wallace, N. T., Bloom, J. R., Hu, T. W., & Libby, A. M. (2005). Psychiatric medication treatment patterns for adults with schizophrenia under Medicaid mental health managed care in Colorado. Psychiatric Services, 56(11), 1402–1408.PubMedCrossRef

Title: Capitation and Racial and Ethnic Differences in Use and Cost of Public Mental Health Services
Authors: Lonnie R. Snowden
Neal T. Wallace
Soo Hyang Kang
Jur-Shan Cheng
Joan R. Bloom
Publication date: 01-09-2007
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 5/2007
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-007-0126-y

2024 ASCO Annual Meeting

Springer Medicine

Capitation and Racial and Ethnic Differences in Use and Cost of Public Mental Health Services

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2007

Integrating Peer Providers into Traditional Service Settings: The Jigsaw Strategy in Action

Residential Mobility Among Patients in the VA Health System: Associations with Psychiatric Morbidity, Geographic Accessibility, and Continuity of Care

Pediatrician Perspectives on Children’s Access to Mental Health Services: Consequences and Potential Solutions

Confirmatory Factor Analysis of the Evidence-based Practice Attitude Scale (EBPAS) in a Geographically Diverse Sample of Community Mental Health Providers

Distress with Medication Side Effects among Persons with Severe Mental Illness

What’s in a Name? Terms Preferred by Service Recipients