Blended Payments and Service Utilization by People With Co-Occurring Disorders Receiving Care in Community Mental Health Centers
Blended Payments and Service Utilization by People With Co-Occurring Disorders Receiving Care in Community Mental Health Centers
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211152733
- ISBN
- 9798383628553
- DDC
- 361
- 서명/저자
- Blended Payments and Service Utilization by People With Co-Occurring Disorders Receiving Care in Community Mental Health Centers
- 발행사항
- [Sl] : New York University, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 185 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-02, Section: B.
- 주기사항
- Advisor: Stanhope, Victoria.
- 학위논문주기
- Thesis (Ph.D.)--New York University, 2024.
- 초록/해제
- 요약Integrated treatment has been established as efficient and effective treatment for a variety of co-occurring mental health and substance use disorders. The limited integration of substance use treatment within community mental health agencies has had an outsized impact on rural residents with co-occurring mental health and substance use problems, leading to increased barriers to treatment access and difficulties with maintaining care. Using data from an electronic health record repository for the years 2017 through 2019, this study examines one policy level approach that may facilitate integrated mental health and substance use service delivery within a community mental health system made up of agencies that have integrated services to varying degrees. Testing a fee-for-service and capitated payment blended payment model for Medicaid payments in a primarily rural state, this study assesses the impact of the model on the odds of service users with co-occurring disorders accessing care and completing treatment. Paper 1 estimates the odds of service users receiving co-occurring care after the initiation of the blended payment model. Paper 2 estimates the odds of service users within adult mental health and substance use treatment programs receiving co-occurring diagnoses after the blended payment model is initiated. Paper three tests the odds of service users with co-occurring disorders utilizing Medicaid as an insurer completing treatment compared to non-Medicaid users after the initiation of the blended payment model. Paper 1 findings showed no change in the odds of receiving cooccurring services after initiation of a blended payment model. Paper 2 findings showed increased odds of service users receiving co-occurring diagnoses in the least integrated agencies. Paper 3 findings show decreased odds of a service user with co-occurring disorders on Medicaid completing treatment after the implementation of a blended payment model. These findings provide initial insight into the impact of blended payment models on behavioral healthcare service delivery, and suggest that for care access and quality to be improved through integration of services, financial incentives may have limited utility in isolation from additional implementation strategies.
- 일반주제명
- Social work
- 일반주제명
- Mental health
- 일반주제명
- Clinical psychology
- 키워드
- Blended payments
- 키워드
- Integrated care
- 기타저자
- New York University PhD Program
- 기본자료저록
- Dissertations Abstracts International. 86-02B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798383628553
■035 ▼a(MiAaPQ)AAI31491118
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a361
■1001 ▼aBaslock, Daniel Merton.
■24510▼aBlended Payments and Service Utilization by People With Co-Occurring Disorders Receiving Care in Community Mental Health Centers
■260 ▼a[Sl]▼bNew York University▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a185 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-02, Section: B.
■500 ▼aAdvisor: Stanhope, Victoria.
■5021 ▼aThesis (Ph.D.)--New York University, 2024.
■520 ▼aIntegrated treatment has been established as efficient and effective treatment for a variety of co-occurring mental health and substance use disorders. The limited integration of substance use treatment within community mental health agencies has had an outsized impact on rural residents with co-occurring mental health and substance use problems, leading to increased barriers to treatment access and difficulties with maintaining care. Using data from an electronic health record repository for the years 2017 through 2019, this study examines one policy level approach that may facilitate integrated mental health and substance use service delivery within a community mental health system made up of agencies that have integrated services to varying degrees. Testing a fee-for-service and capitated payment blended payment model for Medicaid payments in a primarily rural state, this study assesses the impact of the model on the odds of service users with co-occurring disorders accessing care and completing treatment. Paper 1 estimates the odds of service users receiving co-occurring care after the initiation of the blended payment model. Paper 2 estimates the odds of service users within adult mental health and substance use treatment programs receiving co-occurring diagnoses after the blended payment model is initiated. Paper three tests the odds of service users with co-occurring disorders utilizing Medicaid as an insurer completing treatment compared to non-Medicaid users after the initiation of the blended payment model. Paper 1 findings showed no change in the odds of receiving cooccurring services after initiation of a blended payment model. Paper 2 findings showed increased odds of service users receiving co-occurring diagnoses in the least integrated agencies. Paper 3 findings show decreased odds of a service user with co-occurring disorders on Medicaid completing treatment after the implementation of a blended payment model. These findings provide initial insight into the impact of blended payment models on behavioral healthcare service delivery, and suggest that for care access and quality to be improved through integration of services, financial incentives may have limited utility in isolation from additional implementation strategies.
■590 ▼aSchool code: 0146.
■650 4▼aSocial work
■650 4▼aMental health
■650 4▼aClinical psychology
■653 ▼aBlended payments
■653 ▼aIntegrated care
■653 ▼aRural behavioral health
■653 ▼aSubstance use disorders
■690 ▼a0452
■690 ▼a0622
■690 ▼a0347
■71020▼aNew York University▼bPh.D. Program.
■7730 ▼tDissertations Abstracts International▼g86-02B.
■790 ▼a0146
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17163632▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
