This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (24) Citing Articles via Google Scholar Google Scholar Articles by Mechanic, D. Search for Related Content PubMed PubMed Citation Articles by Mechanic, D. Related Collections Managed Care Managed Care - Mental Health Mental Health/Substance Abuse

Health Affairs, Vol 17, Issue 6, 82-98
Copyright © 1998 by Project HOPE

Journal Article

Emerging trends in mental health policy and practice

The continuing deinstitutionalization of patients in public mental hospitals and the growth of managed care are fundamentally altering mental health practice. Managed care provides opportunities for achieving parity of insurance coverage between mental and physical illness, but serious problems persist in integrating mental health, substance abuse, and general medical care and assuring an appropriate range of services and programs for persons with serious mental illness residing in community settings. Hospital and community care are poorly coordinated, and hospital care needs to be integrated into a more balanced system of services. Important new roles are emerging for purchasers, patient advocates, and mental health authorities.

                      What's this?

This article has been cited by other articles:

				N. Jacobson Defining Recovery: An Interactionist Analysis of Mental Health Policy Development, Wisconsin 1996-1999 Qual Health Res, March 1, 2003; 13(3): 378 - 393. [Abstract] [PDF]

				N. Jacobson and D. Greenley What Is Recovery? A Conceptual Model and Explication Psychiatr Serv, April 1, 2001; 52(4): 482 - 485. [Abstract] [Full Text] [PDF]

				H. A. Pincus, D. A. Zarin, T. L. Tanielian, J. L. Johnson, J. C. West, A. R. Pettit, S. C. Marcus, R. C. Kessler, and J. S. McIntyre Psychiatric Patients and Treatments in 1997: Findings From the American Psychiatric Practice Research Network Arch Gen Psychiatry, May 1, 1999; 56(5): 441 - 449. [Abstract] [Full Text] [PDF]