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Featured Publications - Organization and Financing

Please Note: All Publications are Free.

Status Inv. Code Format Title In stock & On-line SMA01-3474 Report Administering Generous Mental Health Benefits: Opinions of Employers(SMA01-3474) This report synthesizes the experiences of seven large employers that offer generous mental health benefits to their employees. Representatives of these employers shared their views and experiences in a one-day focus group meeting. 2001. 15pp.

Status Inv. Code Format Title In stock & On-line SMA00-3424 Report Annotated Bibliography for Managed Behavioral Health Care(SMA00-3424) This annotated bibliography covers fifteen areas: (1) benefit and system design; (2) capitation; (3) community mental health services; (4) diagnosis-related groups (DRGs); (5) economics, forecasting, and pricing; (6) employee assistance programs (EAPs); (7) health maintenance organizations (HMOs); (8) law and ethics; (9) provider issues; (10) public sector; (11) quality assurance and outcomes; (12) special populations; (13) substance abuse; (14) training and education; and (15) utilization management. 2000. 178 pp.

Status Inv. Code Format Title On-line Only SMA00-3455 Report Civil Commitment Under Medicaid Managed Care(SMA00-3455) This report explores the relationship between Medicaid managed behavioral health care and the use of inpatient civil commitment. 2000. 53 pp.

Status Inv. Code Format Title In stock & On-line SMA04-3906 Report Clinical Preventive Services in Substance Abuse and Mental Health Update: From Science to Services(SMA04-3906) This monograph explores the need for and value of preventive services for mental health and substance use disorders in health care settings. These disorders are widespread and costly, and they exact a high toll on our Nation and around the world. The World Health Organization (WHO) determined the “burden of disability” associated with one major mental illness, unipolar depression, ranked fourth among all leading causes of disability worldwide. By the year 2020, the disease burden from depression will rank number two, surpassed only by heart disease (Murray & Lopez, 1996). The disability and disease burden of various medical conditions were estimated by “disability-adjusted life years,” or DALYs. This global burden has been underrecognized in economic cost and the impact on social structure. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA01-3481 Report Comprehensive Mental Health Insurance Benefits: Case Studies(SMA01-3481) This report focuses on in-depth case studies of six employers, two health maintenance organizations (HMOs), and one managed behavioral healthcare organization (MBHO) in an effort to provide clear and well-documented examples for other companies and managed care organizations (MCOs) to consider. The report reveals several key themes about comprehensive mental health benefits. 2001. 80pp. Add to Cart

Status Inv. Code Format Title On-line Only SMA00-3457 Booklet Cultural Competence Standards in Managed Care(SMA00-3457) In response to the dearth of broad-based, culturally competent care within the behavioral managed care sector, CMHS sought to develop and disseminate cultural competence standards for managed care mental health services to improve the availability of high-quality services for "four underserved/underrepresented racial/ethnic groups" - notably, African Americans, Hispanics, Native Americans/Alaska Natives, and Asian/Pacific Islander Americans. 2000. 80 pp.

Status Inv. Code Format Title In stock & On-line SMA06-4177 Designing Employer-Sponsored Mental Health Benefits(SMA06-4177) This SAMHSA report explores the current design and administration of mental health coverage and what constitutes 'adequate' mental health coverage in employer-sponsored (private) benefits, based on the literature as well as expert opinion, to apply managed care techniques. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA03-3822 Report Effects of The Vermont Mental Health and Substance Abuse Parity Law(SMA03-3822) Vermont implemented the Nation's most comprehensive parity law in 1998, extending equality of health insurance coverage to both mental health and substance abuse (MH/SA) services. This report discusses how implementation of parity in Vermont affected major stakeholders: employers, health plans, providers, and consumers. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA02-3617R Report Estimating the Cost of Preventive Services in Mental Health and Substance Abuse Under Managed Care(SMA02-3617R) Estimating the Cost of Preventive Services in Mental Health and Substance Abuse under Managed Care presents cost estimates for providing six preventive interventions previously identified through a CMHS-funded literature review and analysis of peer-reviewed, published research studies. The estimates are presented as models that project the range of potential cost in a "per member per month" (PMPM) format, for services provided to members of a managed care organization. 2001. 67 pp.

Status Inv. Code Format Title In stock & On-line SMA01-3542 Report Improving Mental Health Insurance Benefits Without Increasing Costs(SMA01-3542) This is a study about mental health benefits coverage based on analysis, discussions with benefit design experts and a review of professional literature. It suggests ways that benefits can be improved with little or no additional costs to employers. 2001. 38 pp.

Status Inv. Code Format Title In stock & On-line JPP-07 Journal Journal of Primary Prevention-Special Issue Homelessness and Mental Illness Perspectives on Prevention Vol 28 Numbers 3&4(JPP-07) Homelessness is a growing social problem. Individuals with serious mental illness and/or substance use disorders are at particularly high risk, experiencing homelessness more often and for longer periods than other subgroups. The individual and societal costs of homelessness are profound adn demand targeted and informed strategies for preventing and ending homelessness. This special issue of The Journal of Primary Prevention describes the most promising and innovative prevention strategies being used to reduce the risk of homelessness, facilitate transition into the community, and stabilize formerly homeless people to reduce the risk of homelessness, facilitate transition into the community, and stabilize formerly homeless people in permanent housing. The articles in this issue outline a range of strategies at the systems, services, and individual levels, targeted across the life span. The issue offers the beginning of a conceptual approach that can shape a comprehensive homelessness prevention framework and galvanize ongoing change. The development of this special issue was done through the Center for Mental Health Services (CMHS)- funded National Resource and Training Center on Homelessness and Mental Illness (contract # 270-03-4005) which is operated by The CDM Group, Inc. in partnership with the National Center on Family Homelessness and the CMHS-funded Homeless Resource Center (contract # HHSS280200600029C) which is operated by The Institute on Homelessness and Trauma. Add to Cart

Status Inv. Code Format Title In stock & On-line MC98-70 Fact Sheet Managed Care Glossary(MC98-70) This fact sheet provides a list of terms and definitions that are used in the managed care environment.

Status Inv. Code Format Title On-line Only MC98-71 Fact Sheet Managed Care-Related Web Sites(MC98-71) This fact sheet provides links and web addresses to various managed care related organizations.

Status Inv. Code Format Title In stock & On-line SMA06-4178 Managed Mental Health Care:Finding from Literature 1990-2005(SMA06-4178) This SAMHSA report provides stakeholders in managed mental health care reliable information derived from the literature regarding the organization, design, delivery and financing of managed MH benefit. It can serve as a guide on the best ways to apply managed care techniques. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA03-3830 Report Medicaid Financing of State and County Psychiatric Hospitals(SMA03-3830) The purpose of this report is to identify the sources of Medicaid funds that State and county psychiatric hospitals receive, changes in these sources over time, and the pressures and local circumstances that influence the Medicaid financing strategies that States pursue on behalf of these public institutions.

Status Inv. Code Format Title In stock & On-line SMA03-3790 Report Medical Necessity in Private Health Plans(SMA03-3790) Under basic principles that guide the American health care system, decisions regarding which particular treatments are medically necessary are made by medical professionals in light of their patients' condition and desires, and the state of health care knowledge. At the same time, however, whether a patient ultimately will receive care considered necessary by a treating professional is influenced heavily by the availability of health insurance coverage to finance the recommended treatments. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA01-3473 Report Mental Health & Substance Abuse Services Under the State Children's Health Insurance Program(SMA01-3473) This report investigates how the State Children’s Health Insurance Program could be used to cover mental health and substance abuse services. 2001. 99 pp.

Status Inv. Code Format Title In stock & On-line SMA99-3366 Report Mental Health and Substance Abuse Services in Medicaid, 1986-1992(SMA99-3366) This report provides basic information on mental health and substance abuse services and expenditures in Medicaid, and associated trends, for three States for the period 1986-1992. 2000. 147 pp.

Status Inv. Code Format Title In stock & On-line SMA99-3367 Report Mental Health and Substance Abuse Services in Medicaid, 1992(SMA99-3367) This report provides basic information on mental health and substance abuse services and expenditures in Medicaid, and associated trends for 12 States during 1992. 2000. 148pp.

Status Inv. Code Format Title In stock & On-line SMA99-3368 Report Mental Health and Substance Abuse Services in Medicaid, 1993(SMA99-3368) This report provides basic information on mental health and substance abuse services and expenditures in Medicaid, and associated trends for 10 States during 1993. 2000. 179pp.

Status Inv. Code Format Title On-line Only SMA00-3284 Report Mental Health and Substance Abuse Services in Medicaid, 1994(SMA00-3284) This report provides basic information on mental health and substance abuse services and expenditures in Medicaid, and associated trends for 10 States. 2000. 170pp.

Status Inv. Code Format Title In stock & On-line SMA02-3713 Report Mental Health and Substance Abuse Services in Medicaid, 1995(SMA02-3713) This report is intended to provide policy makers, interest groups, and others with basic information on mental health and substance abuse services and expenditures in Medicaid and associated trends. It presents statistics on user characteristics, service utilization, and expenditures for the non-elderly population in 10 selected States. 1995. 90 pp.

Status Inv. Code Format Title In stock & On-line SMA06-4145 CD ROM Mental Health Services in Medicaid, 1999(SMA06-4145) The statistical tables in this document focus on the use of Medicaid services by beneficiaries with a mental health (MH) diagnosis in each State and throughout the nation in 1999 (the most recent year for which data was available when the tables were prepared).

Status Inv. Code Format Title In stock & On-line SMA07-4227 Report National Expenditures for Mental Health Services & Substance Abuse Treatment 1993-2003(SMA07-4227) Add to Cart

Status Inv. Code Format Title On-line Only MC00-81 Fact Sheet Office of the Associate Director for Organization and Financing (formerly Office of Managed Care)(MC00-81) This fact sheet provides an overview of the managed care-related activities of the Office of the Associate Director for Organization and Financing. 2001. 2 pp.

Status Inv. Code Format Title In stock & On-line SMA05-4039 Report PASRR Screening for Mental Illness in Nursing Facility Applicants and Residents(SMA05-4039) This study explores how States implement PASRR and examines how the program has affected the identification and delivery of mental health services to people with serious mental illnesses in nursing facilities. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA00-3437 Report Preventive Interventions Under Managed Care: Mental Health and Substance Abuse Services(SMA00-3437) This publication reviews the literature on interventions that promote mental health and prevent the use of tobacco, alcohol, and drugs. 2000. 90 pp. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA08-4324 Report Reimbursement of Mental Health Services in Primary Care Settings(SMA08-4324) A new report released by three agencies of the U.S. Department of Health and Human Services proposes strategies to overcome barriers associated with the reimbursement of mental health services provided in primary care settings. Key actions recommended focus on a variety of stakeholders, including primary care providers, state Medicaid officials, and others billing for mental health services in the public sector, working together to promote a greater understanding of mental health reimbursement policy. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA05-4068 Report School Mental Health Services in the United States 2002-2003(SMA05-4068) Add to Cart

Status Inv. Code Format Title On-line Only SMA00-3456 Report School-based Mental Health Services under Medicaid Managed Care(SMA00-3456) This publication reports on a study that sought to learn how schools and providers of school-based mental health services work with Medicaid managed care organizations. 2000. 43pp.

Status Inv. Code Format Title In stock & On-line SMA01-3543 Report Screening for Mental Illness in Nursing Facility Applicants: Understanding Federal Requirements (Policy Report)(SMA01-3543) As part of a larger evaluation of the PASRR program, this paper reviews the literature concerning PASRR and mental health services for persons in nursing facilities. It details the Federal laws and regulations concerning PASRR, reviews key policy issues from the literature, clarifies frequently asked questions regarding the process, and identifies additional policy questions to be studied. 2002. 32 pp.

Status Inv. Code Format Title In stock & On-line SMA07-4228 Report State Mandates for Treatment for Mental Illness and Substance Use Disorders(SMA07-4228) This new report presents the results of a series of hour-long telephone interviews with State Medicaid directors or their designees in all 50 States and the District of Columbia, conducted in 2005-2006, that explored how State Medicaid agencies are addressing the organizational, funding, policy, management, and data issues that arise from their increased and often shared responsibilities for mental health services. Add to Cart

Status Inv. Code Format Title In stock & On-line NMH05-0202 CD ROM State Profiles of Mental Health and Substance Abuse Services in Medicaid(NMH05-0202) Medicaid and the State Children’s Health Insurance Program (SCHIP) are both State-Federal partnerships. Medicaid primarily serves low-income families and children, certain people with disabilities, and elders. SCHIP serves low-income children and rarely other low-income people, such as the parents of eligible children. Each State designs both its Medicaid and SCHIP programs within broad Federal guidelines. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA06-4166 Report State Regulation of Residential Facilities for Adults with Mental Illness(SMA06-4166) The survey found that States use a variety of methods for monitoring residential facilities for adults with mental illness, and that States vary in the extent to which they use one method or another. Typical methods included on-site inspections, documentation of staff training and qualifications, record reviews, resident interviews, critical-incident reports, and standards for resident-to-staff ratios and for educational levels of facility directors. Add to Cart

Status Inv. Code Format Title In stock & On-line SMA06-4167 Report State Regulation of Residential Facilities for Children with Mental Illness(SMA06-4167) The survey found that States use a variety of methods for monitoring residential facilities for children with mental illness, and that States vary in the extent to which they use one method or another. Typical methods included on-site inspections, documentation of staff training and qualifications, record reviews, resident interviews, critical-incident reports, and standards for resident-to-staff ratios and for educational levels of facility directors. Add to Cart

Status Inv. Code Format Title In stock & On-line MC99-80 Report The Costs and Effects of Parity for Mental Health and Substance Abuse Insurance Benefits(MC99-80) This report presents findings from a project conducted by Mathematica Policy Research, Inc. for the Substance Abuse and Mental Health Services Administration (SAMHSA) on the costs and effects of providing parity for MH/SA benefits. 1999. 57 pp.

Status Inv. Code Format Title In stock & On-line SMA03-3797 Report The Provision of Mental Health Services in Managed Care Organizations(SMA03-3797) This study reports on a nationally representative survey of managed care organizations (MCOs) regarding how mental health services were provided in 1999, and how the provision varies by product type and contracting arrangement. Add to Cart

Status Inv. Code Format Title On-line Only SMA02-3712 Report Use of Prescription Psychoactive Drugs in Medicaid, 1995(SMA02-3712) This report presents statistics on the use of prescription drugs for the treatment of mental health and substance abuse disorders among the non-elderly population in 10 selected States. These statistics are presented in a uniform set of tables for each of the 10 States and a set of tables that aggregates data across all 10 States. 2002. 66 pp.

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