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Community Support

Regulating Managed Mental Health Care
A Policy Analysis and Discussion
of the Role of Evaluation

American Association of Health Plans. 1996. Panel on "The Impact of the ADA on Managed Care Organizations," 7th Annual Managed Care Law Conference, Washington, DC, April 24.

American Managed Behavioral Healthcare Association. 1995. Performance Measures Announced for Managed Behavioral Healthcare Programs. September 22.

American Managed Behavioral Health Association and National Association of State Mental Health Program Directors. 1995. Public Mental Health Systems, Medicaid Re-structuring and Managed Behavioral Healthcare. Behavioral Healthcare Tomorrow, September/October, pp. 63-69.

American Psychiatric Association. 1991. Discussion Draft: The Patient Protection in Utilization Review and Managed Care Act. Washington, DC.

American Psychiatric Association, 1995. Resource Document: Regulatory Guidelines for Protecting the Interests of Psychiatric Patients in Emerging Health Care Systems. Washington, DC.

Aspen Health Law Center. 1995. Legal Answer Book for Managed Care. Gaithersburg, MD: Aspen Publishers, Inc.

Astrachan, B., Essock, S., Kahn, R., Masi, D., McLean, A., and Visotsky, H. 1995. The Role of a Payor Advisory Board in Managed Mental Health Care: The IBM Approach. Administration and Policy in Mental Health 22 (July): 581-595.

Bardach, E. 1977. The Implementation Game. Cambridge: MIT Press.

Bass, A. 1993 (April 28). Mental Health and the HMOs. Boston Globe.

Bass, A. 1994 (January 25). Blue Cross Mental Health Care Hit. Boston Globe.

Bass, A. 1994 (November 16). State AG's Office to Study Access to Mental Health Care. Boston Globe.

Bass, A. 1994 (November 29). Blue Cross Suit Cites Mental-Health Breach. Boston Globe.

Bass, A. 1994 (March 7). HMO Puts Confidential Records On-Line. Boston Globe.

Bass, A. 1994 (March 11). AG's Office Examining Privacy of HMO Files. Boston Globe.

Bass, A. 1995 (December 20). Therapists Say Insurer Gag Order Hurts Patients. Boston Globe.

Bass, A. 1996 (January 23). New Law Bans Gag Rules on Doctors. Boston Globe.

Bass, A. 1996 (May 7). Health Insurers Allegedly Snub Law. Boston Globe.

Baumgartner, B. and Jones, B. 1993. Agendas and Instability in American Politics. Chicago: University of Chicago Press.

Bazelon Center for Mental Health Law. 1995. Managing Managed Care for Publicly Financed Mental Health Services. Washington, DC.

Bazelon Center for Mental Health Law. 1996. Mental Health Managed Care Survey of the States. Washington, DC.

Beck, M. 1996. Follow the Money. Newsweek, May 20, p. 23.

Beinecke, R., Goodman, M., and Rivera, M. 1995. An Assessment of the Massachusetts Managed Mental Health/Substance Abuse Program. Department of Management, Suffolk University.

Borenstein, D. 1990. Managed Care: A Means of Rationing Psychiatric Treatment. Hospital and Community Psychiatry 41: 1095-1098.

Brennan, T. and Berwick, D. 1996. New Rules: Regulation, Markets, and the Quality of American Health Care. San Francisco: Jossey-Bass.

Brink, S. and Rubin, R. 1995. Managing Managed Care. U.S. News & World Report, July 24.

Brown, L. 1983. Politics and Health Care Organization: HMOs as Federal Policy. Washington, D.C.: Brookings Institution.

Callahan, J., Shephard, D., Beinecke, R., Larson, M., and Cavanaugh, D. 1995. Mental Health/Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience. Health Affairs 14 (Fall): 175-184.

Congressional Quarterly, Inc. 1982. Regulation: Process and Politics. Washington, DC.

Connecticut Citizens Action Group. 1996. Managed Care Consumers' Bill of Rights.

Conniff, J. 1996. Presentation at Panel on "State and Federal Regulation," 7th Annual Managed Care Law Conference, American Association of Health Plans, Washington, DC, April 24.

Coyne-McCoy, K. 1996. Interview with Kate Coyne-McCoy, director, National Association of Social Workers, Rhode Island Chapter.

Dallek, G., Jimenez, C. and Schwartz, M. 1995. Consumer Protections in State HMO Laws, Volume I: Analysis and Recommendations. Los Angeles: Center for Health Care Rights.

Dao, J. 1996 (May 9). New Pataki Bill Offers Protection to H.M.O. Clients, New York Times.

Davis, K., Collins, K. S., Schoen, C. and Morris, C. 1995. Choice Matters for Consumers. Health Afffairs 14 (Summer): 100-112.

Declercq, E. and Simmes, D. 1996. Putting Mothers and Babies on the Legislative Agenda: The Case of "Drive Through Deliveries." Paper presented at the annual meeting of the New England Political Science Association, Springfield, MA, May 4.

DeLeon, P., Bulatao, E., and VandenBos, G. 1994. Federal Government Initiatives in Managed Health Care. In Managed Behavioral Health Care: An Industry Perspective, ed. S. A.Shueman, W. G. Troy, and S. L. Mayhugh. Springfield, IL: Charles C Thomas, pp. 97-112.

Dorwart, R. 1990. Managed Mental Health Care: Myths and Realities in the 1990s. Hospital and Community Psychiatry 41 (October): 1087-1091.

Edelman, M. 1964. The Symbolic Uses of Politics. Urbana: University of Illinois Press.

Ehrenfeld, T. 1994. Taking Back Their Health Care. Newsweek, June 27, p. 36.

Elliott, R. 1994. Applying Quality Improvement Principles and Techniques in Public Mental Health Systems. Hospital and Community Psychiatry 45 (May): 439-444.

Emery, E. 1995 (July 12). R.I. Fines Health Insurer $100,000. Providence Journal-Bulletin.

Fauman, M. 1990. Monitoring the Quality of Psychiatric Care. Psychiatric Clinics of North America 13 (March): 73-87.

Fein, E. 1996 (May 25). Managed Care for Needy: Giuliani's Unrealized Plan. New York Times.

Fein, E. and Rosenthal, E. 1996 (April 1). Delays by H.M.O. Leaving Patients Haunted by Bills. New York Times.

Frank, R., McGuire, T., and Newhouse, J. 1995. Risk Contracts in Managed Mental Health Care. Health Affairs 14 (Number 3): 50-64.

Freudenheim, W. 1993 (August 8). Making Health Plans Prove Their Worth. New York Times.

Freudenheim, W. 1996 (May 19). H.M.O.'s Cope With a Backlash on Cost Cutting. New York Times.

Freyer, F. 1995 (June 11). Mental Health Violations Alleged. Providence Sunday Journal.

Freyer, F. 1995 (September 14). Speakers: Managed Care Victimizes Many Patients with Mental Illnesses. Providence Journal-Bulletin.

Freyer, F. 1995 (December 8). State Review: Blue Cross Inappropriately "Managed" Mental Health Services. Providence Journal-Bulletin.

Freyer, F. 1996 (March 11). Managed Health Care Prompts Backlash. Providence Journal-Bulletin.

Freyer, F. 1995 (June 11). Mental Health Violations Alleged. Providence Sunday Journal.

Freyer, F. 1996 (July 3). Consumer Health Bill Is Hailed as Model. Providence Journal-Bulletin.

Fried, B. 1996. Presentation at Panel on "State and Federal Regulation," 7th Annual Managed Care Law Conference, American Association of Health Plans, Washington, DC, April 24.

Glassman, R. 1996. Interview with Ruth Glassman, staff attorney, Rhode Island Office of Mental Health Advocate.

Hemingway, S. 1994 (May 13). Biodyne Bill Is a Start Toward Reform. Burlington Free Press.

Hemingway, S. 1995 (December 17). Therapists Blame Vt. Biodyne for 2 Teens' Suicide Attempts. Burlington Free Press.

Howlett, M. 1991. Policy Instruments, Policy Styles, and Policy Implementation: National Approaches to Theories of Instrument Choice. Policy Studies Journal 19 (Spring): 1-21.

Howlett, M. and Ramesh, M. 1995. Studying Public Policy: Policy Cycles and Policy Subsystems. Toronto: Oxford University Press.

Hymowitz, C. 1995 (December 21). In the Name of Freud, Why Are Psychiatrists Complaining So Much? Wall Street Journal.

Karon, B. 1990. Provision of Psychotherapy Under Managed Health Care: A Growing Crisis and National Nightmare. Professional Psychology: Research and Practice 26 (No. 1): 5-9.

Leadholm, B. and Kerzner, J. 1994. Public Managed Care: Comprehensive Community Support in Massachusetts. Administration and Policy in Mental Health 22 (May): 543-552.

Levin, M. and Ferman, B. 1985. The Political Hand. New York: Pergamon.

Lewin, T. 1996 (May 22). Questions of Privacy Roil Arena of Psychotherapy. New York Times.

Libertoff, K. (1996). Interview with Ken Libertoff, executive-director, Vermont Association for Mental Health.

Manderscheid, R. and Henderson, M. 1995. Federal and State Legislative Program Directions for Managed Care: Implications for Case Management. Center for Mental Health Services, Rockville, MD.

Miller, W. 1993. Legal Considerations in Managed Care Contracting. Topics in Health Care Financing 20 (No. 2): 17-25.

Milstein, A., Henderson, M., Berlant, J. and Anderson, D. 1994. Evaluating Psychiatric and Substance Abuse Case Management Organizations. In Managed Behavioral Health Care: An Industry Perspective, ed. S. A. Shueman, W. G. Troy, and S. L. Mayhugh. Springfield, IL: Charles C Thomas, pp. 222-240.

NASW/RI. 1996. How NASW/RI Has "Managed" Managed Care. Providence, January.

National Committee for Quality Assurance. 1996. Draft Accreditation Standards for Managed Behavioral Healthcare Organizations, Washington, DC, April 1.

National Health Policy Forum. 1995. Managed Care Carveouts for Mental Health and Substance Abuse: Private Sector Strategies in Public Programs. Issue Brief No. 681. Washington, DC: The George Washington University.

Patterson, D. 1990. Managed Care: An Approach to Rational Psychiatric Treatment. Hospital and Community Psychiatry 41 (October): 1092-1098.

Pear, R. 1996 (May 12). Clinton Backs Maternity Plan Requiring 48 Hours of Care. New York Times.

Pear, R. 1996 (May 26). When Are We Gonna Get to the Doctor's? New York Times.

Pear, R. 1996 (July 8). U.S. Shelves Plan To Limit Rewards To H.M.O. Doctors. New York Times.

Peters, B. G.. 1996. American Public Policy: Promise and Performance, fourth ed. Chatham, NJ: Chatham House.

Quinn, J. B. 1994. Health Care Report Cards. Newsweek, October 17, p. 57.

Rabinowitz, J. 1996 (May 10). What Happens in Hartford: Time Passes, but Bills Don't. New York Times.

Reagan, M. 1992. Curing the Crisis: Options for America's Health Care. Boulder, CO: Westview Press.

Vermont Regulation 95-2. 1995 (July 21). Regulation of Mental Health Review Agents. Department of Banking, Insurance and Securities. Montpelier.

Rhode Island Department of Health. 1995. Statement of Deficiencies, United Behavioral Systems, Providence, RI, June 1.

Robert Wood Johnson Foundation. 1995. Sick People in Managed Care Have Difficulty Getting Services and Treatment, New Survey Reports. Princeton, NJ, June 28.

Rochefort, D. 1993. From Poorhouses to Homelessness: Policy Analysis and Mental Health Care. Westport, CT: Auburn House.

Rochefort, D. and Dill, A. 1994. Moving Recipients Toward Self-SufficiencyThrough Improved Case Management. Boston: Pioneer Institute.

Sabin, J. 1995. Organized Psychiatry and Managed Care: Quality Improvement or Holy War? Health Afffairs 14: 32-33.

Sakson, S. 1996 (March 24). HMOs: A Taste of Their Own Medicine. Providence Sunday Journal.

Sargent, S. 1992. Contracting and Managed Care Payment Options. In Managed Mental Health Care: Administrative and Clinical Options, ed. J. Feldman and R. Fitzpatrick. Washington, DC: American Psychiatric Press.

Savitz, S. A. 1992. Measuring Quality of Care and Quality Maintenance. In Managed Mental Health Care: Administrative and Clinical Issues, eds. J. Feldman and R. Fitzpatrick. Washington, DC: American Psychiatric Press.

Scallet, L. 1996a. Interview with Leslie Scallet, director, Mental Health Policy Resource Center, Washington, DC.

Scallet, L. 1996b. What Policymakers Want: A Guide for Evaluators. Cambridge, MA: The Evaluation Center @ HSRI.

Sederer, L. and Bennet, M. 1996. Managed Mental Health Care in the United States: A Status Report.

Administration and Policy in Mental Health 23 (March): 289-306.

Schyve, P. and Prevost, J. 1990. From Quality Assurance to Quality Improvement.

Psychiatric Clinics of North America 13 (March): 61-70.

Sheils, J., Stapleton, D., and Haught, R. 1995. The Cost of Legislative Restrictions on Contracting Practices, Lewin-VHI, Inc.

Shueman, S. and Troy, W. G. 1994. Quality Assurance in Managed Systems. In Managed Behavioral Health Care: An Industry Perspective, ed. S. A. Shueman, W. G. Troy, and S. L. Mayhugh. Springfield, IL: Charles C Thomas, pp. 131-148.

Shusterman, A. 1994. Expanding the "Q" Word. Managed Care Quarterly 2 (No. 2): 19-21.

Sneyd, R. 1995 (November 25). Vermont Keeps Track of HMOs. The Times Argus.

Starr, P. 1994. The Logic of Health Care Reform. New York: Penguin Books.

Steele, A. 1996. Interview with Ann Steele, Mental Health Association of Connecticut.

Stewart, E. 1996. Managed Care Contracting Issues in Integrated Delivery Systems. Journal of Health Care Finance 22 (No. 3): 75-83.

Stroup, T. S. and Dorwart, R. 1995. Impact of A Managed Mental Health Program on Medicaid Patients with Sevcre Mental Illness. Psychiatric Services 46 (September): 885-889.

Tooher, N. 1996 (June 2). Nursing Home Complaints Overwhelm Health Department. Providence Sunday Journal.

Wald, M. 1996. FAA Grounds ValuJet. Providence Journal-Bulletin.

Ware, J. 1995. What Information Do Consumers Want and How Will They Use it? Medical Care 33 (No. 1): JS25-JS30.

Wells, K., Astrachan, B., Tischler, G., and Unützer. 1995. Issues and Approaches in Evaluating Managed Mental Health Care. The Milbank Quarterly 73 (No. 1): 57-75.

The White House. The President's Health Security Plan. New York: Times Books.

Woodside, K. 1986. Policy Instruments and the Study of Public Policy. Canadian Journal of Political Science 19 (December): 774-793.

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