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

I am pleased to acknowledge a number of individuals who gave critical assistance with my preparation of this report.

The following persons were interviewed in-person or by telephone over the period from April to July, 1996: Harvey Cotton, Harvard Community Health Plan, Kate Coyne-McCoy, Rhode Island Chapter of the National Association of Social Workers, Guy D'Andrea, American Association of Health Plans, Allen Jensen and Lee Dixon, Intergovernmental Health Policy Project, Ruth Glassman, Rhode Island Office of the Mental Health Advocate, Chris Koyanagi, Bazelon Center for Mental Health Law, Ronald Preston and Lynne Scott, the Centers for Medicare and Medicaid Services, Ken Libertoff, Vermont Association for Mental Health, Ann Steele, Mental Health Association of Connecticut, Gail Robinson, Gail Toff Bergman, and Leslie Scallet, Mental Health Policy Resource Center.

Tatiana Sitnikova, a Master of Public Administration graduate student at Northeastern University and HSRI staff member, did the initial coding of media stories for the section of this report on "Managed Care as an Emerging Public Issue" and prepared Exhibit 3. She also gathered references on managed care and other topics.

Michael Dukakis, John Portz, and Michael Tolley, colleagues in the Political Science Department at Northeastern, discussed the report with me and made helpful suggestions.

Certain studies and reports, cited repeatedly in this document, provided special enlightenment on my topic. I note them here again so as to properly convey my debt. They are: Aspen Health Law Center, Legal Answer Book for Managed Care (Gaithersburg, MD: Aspen, 1995); Bazelon Center for Mental Health Law, Managing Mental Health Care for Publicly Financed Mental Health Services (Washington, D.C., November, 1995) and Mental Health Managed Care Survey of the States (Washington, D.C., May, 1996); Troyen A. Brennan and Donald M. Berwick, New Rules: Regulation, Markets, and the Quality of American Health Care (San Francisco: Jossey-Bass, 1996); Geraldine Dallek, Carol Jimenez,and Marlene Schwartz, Consumer Protections in State HMO Laws, Volume I: Analysis and Recommendations (Los Angeles: Center for Health Care Rights, 1995); Michael Howlett and M. Ramesh, Studying Public Policy: Policy Cycles and Policy Subsystems (Toronto: Oxford University Press, 1995).

Katherine Becker, American Psychiatric Association, sent me useful documents from her organization. Robert Blendon of the Harvard University School of Public Health sent current poll data on attitudes toward managed care.

Finally, I wish to express my appreciation to Stephen Leff of HSRI who encouraged me to follow through on my initial proposal of this study and who made important content suggestions at the start of the project. Lawrence Woocher, Paul Brulé, and Maureen McKeever, also of HSRI, were helpful with my project in different ways and were a pleasure to work with.

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