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| Impact of managed care on adolescents with substance abuse problems
(Archived Project) |
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|---|---|
| Investigator (PI): | Heflinger, Craig Anne |
| Performing Organization (PO): |
(Current): Vanderbilt University Medical Center, Department of Health Policy |
| Supporting Agency (SA): | Substance Abuse and Mental Health Services Administration (SAMHSA) |
| Initial Year: | 1997 |
| Final Year: | 2000 |
| Record Source/Award ID: | SAMHSA/0 |
| Funding: | Total Award Amount: $1,659,082 |
| Abstract: | TennCare, a statewide HCFA-approved Medicaid Waiver Demonstration, provides a unique opportunity to examine the impact of managed mental health and substance abuse services in the public sector on the use, cost, and outcomes of services to children and adolescents. In response to GFAs TI 96-01 and 97-001 from the Substance Abuse and Mental Health Services Administration and as part of their Cooperative Agreements for Managed Care, the Center for Mental Health Policy at Vanderbilt University's Institute for Public Policy Studies is conducting a carefully designed evaluation of the TennCare managed care demonstration for children with serious emotional disorders and adolescents with substance abuse problems. Mississippi is a comparison site, where publicly-funded mental health and substance abuse services are not part of a managed care system. To meet these overarching goals, this project is organized into three related components: 1) The Administrative Data component relies on enrollment and encounter data, both statewide and for the prospective study sample. 2) The Standardized Interview component is based on the national common protocol. This prospective study will have a sample of Medicaid/TennCare-eligible children and adolescents: 400 with serious emotional disorders, 400 with substance use disorders, and 400 who have used little or no mental health or substance abuse services. These data will be collected at three points in tie, six months apart. 3) The In-Depth component is an addendum to the standardized interview data and will be collected at 6 months for a subsample of children and adolescents and will include both the common protocol and in-depth case reviews. Six primary issues of care will be examined: patterns of service utilization; quality of care; clinical outcomes; consumer, family, and provider satisfaction; TennCare/Medicaid costs; Substance Abuse Block Grant payments for substance abuse services. This project is a collaboration between academic, government, provider, and consumer and advocacy groups in the states of Tennessee and Mississippi. The Center for Mental Health Policy has collaborated with the Tennessee Departments of Health, Mental Health and Mental Retardation, and Children's Services, the TennCare Bureau, the Tennessee Commission on Children and Youth, Tennessee Voices for Children, the Tennessee Association of Mental Health Organizations, and the Alcohol and Drug Council in developing a consumer-focused evaluation of TennCare. In addition we are joined in our effort to identify and recruit participants by both behavioral health organizations and a network of provider organizations. In Mississippi, we are joined by the Mississippi Department of Mental Health, Mississippi Division of Medicaid and the Mississippi Families as Allies Program. Collaboration among these critical stakeholders increases the cooperation of diverse constituencies in the process of assessing the impact of managed mental health and substance abuse services. |
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| Country: | United States |
| State: | Tennessee |
| Zip Code: | 37212 |
| UI: | 98301890 |
| Project Status: | Archived |