Concurrent access to mental health and substance abuse services for medicaid clients in publicly funded treatment systems

Roy M. Gabriel, Bentson McFarland, Brigid G. Zani, Lynn E. McCamant

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Medicaid clients with co-occurring mental health and substance abuse problems comprise substantial portions of the clienteles served by public sector mental health and chemical dependency treatment systems. However, little is known about implications of managed care for "dual diagnosis" Medicaid clients. This prospective study conducted in eight states used interviews to examine managed care impact on use of mental health services by adult Medicaid clients in treatment for substance abuse (N = 2,424) and on use of chemical dependency services by Medicaid clients with severe mental illness (N = 2,318). Compared with fee for service, managed care had no impact on use of mental health services by clients entering substance abuse treatment. Conversely, there was an apparent 26% reduction in substance abuse treatment (p <.02) among managed care (versus fee for service) Medicaid clients with severe mental illness. Managed care impact may vary among Medicaid sub-groups.

Original languageEnglish (US)
Title of host publicationMedicaid and Treatment for People with Substance Abuse Problems
PublisherNova Science Publishers, Inc.
Pages203-222
Number of pages20
ISBN (Print)9781616687564
StatePublished - Jan 2011

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substance abuse
managed care
mental health
chemical dependency
fee
mental illness
health service
public sector
interview
Group

ASJC Scopus subject areas

  • Social Sciences(all)

Cite this

Gabriel, R. M., McFarland, B., Zani, B. G., & McCamant, L. E. (2011). Concurrent access to mental health and substance abuse services for medicaid clients in publicly funded treatment systems. In Medicaid and Treatment for People with Substance Abuse Problems (pp. 203-222). Nova Science Publishers, Inc..

Concurrent access to mental health and substance abuse services for medicaid clients in publicly funded treatment systems. / Gabriel, Roy M.; McFarland, Bentson; Zani, Brigid G.; McCamant, Lynn E.

Medicaid and Treatment for People with Substance Abuse Problems. Nova Science Publishers, Inc., 2011. p. 203-222.

Research output: Chapter in Book/Report/Conference proceedingChapter

Gabriel, RM, McFarland, B, Zani, BG & McCamant, LE 2011, Concurrent access to mental health and substance abuse services for medicaid clients in publicly funded treatment systems. in Medicaid and Treatment for People with Substance Abuse Problems. Nova Science Publishers, Inc., pp. 203-222.
Gabriel RM, McFarland B, Zani BG, McCamant LE. Concurrent access to mental health and substance abuse services for medicaid clients in publicly funded treatment systems. In Medicaid and Treatment for People with Substance Abuse Problems. Nova Science Publishers, Inc. 2011. p. 203-222
Gabriel, Roy M. ; McFarland, Bentson ; Zani, Brigid G. ; McCamant, Lynn E. / Concurrent access to mental health and substance abuse services for medicaid clients in publicly funded treatment systems. Medicaid and Treatment for People with Substance Abuse Problems. Nova Science Publishers, Inc., 2011. pp. 203-222
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