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• Administering Generous Mental Health Benefits: Opinions of Employers (SMA01-3474)
  Report
  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.
  
  
• Administration of Mental Health Services by Medicaid Agencies (SMA07-4301)
  
  
  
• Annotated Bibliography for Managed Behavioral Health Care (SMA00-3424)
  Report
  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.
  
  
• Characteristics of State Mental Health Agency Data Systems (SMA08-4361)
  Booklet
  State mental health agencies (SMHAs) are responsible for funding and providing mental health services to more than 6 million persons every year. The SMHAs have information technology systems that are used to identify and count mental health clients and measure system performance. However States' information technology systems vary widely in terms of the types of information collected and their ability to link data between hospitals and community mental health providers. This report reviews the current status of mental health IT in the States and their efforts to improve these crucial systems.
  
  
• Civil Commitment Under Medicaid Managed Care (SMA00-3455)
  Report
  This report explores the relationship between Medicaid managed behavioral health care and the use of inpatient civil commitment. 2000. 53 pp.
  
  
• Clinical Preventive Services in Substance Abuse and Mental Health Update: From Science to Services (SMA04-3906)
  Report
  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.
  
  
• Comprehensive Mental Health Insurance Benefits: Case Studies (SMA01-3481)
  Report
  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.
  
  
• Contracting for Public Mental Health Services: Opinions of Managed Behavioral Health Care Organizations (SMA00-3438)
  Report
  This report summarizes the experiences of four managed behavioral health care organizations (MBHCOs) that participated in a focus group on the practices used in public sector managed care contracting. It discusses various problems, looks at the future of contracting, and provides specific recommendations. 2000. 38 pp.
  
  
• Cultural Competence Standards in Managed Care (SMA00-3457)
  Booklet
  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.
  
  
• 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.
  
  
• Effects of The Vermont Mental Health and Substance Abuse Parity Law (SMA03-3822)
  Report
  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.
  
  
• Estimating the Cost of Preventive Services in Mental Health and Substance Abuse Under Managed Care (SMA02-3617R)
  Report
  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.
  
  
• Formation of Networks, Corporate Affiliations, and Joint Ventures Among Mental Health and Substance Abuse Treatment Organizations. (MC95-43)
  Report
  This report describes models for entities that mental health and substance abuse treatment organizations can develop or participate in for the purpose of engaging in managed care business with third-party payers. 1995. 59 pp.
  
  
• Health Care Reform Tracking Project: 2000 State Survey (MC02-83)
  Article
  The Health Care Reform Tracking Project was initiated in 1995 to track and analyze public sector managed care initiatives as they affect children and adolescents with mental health and substance abuse disorders and their families. This paper presents highlights of major findings from a 2000 State Survey.
  
  
• How To Pay for Mental Health Services (KEN98-0050)
  Fact Sheet
  This fact sheet defines private insurance and public programs providing low- or no cost mental health services. 1998. 3 pp.
  
  
• Improving Mental Health Insurance Benefits Without Increasing Costs (SMA01-3542)
  Report
  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.
  
  
• Journal of Primary Prevention-Special Issue Homelessness and Mental Illness Perspectives on Prevention Vol 28 Numbers 3&4 (JPP-07)
  Journal
  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.
  
  
• Managed Behavioral Health Services, An Annotated Bibliography (MC95-45)
  Report
  This bibliography is an attempt to capture and codify the published literature on managed behavioral health over a five-year period beginning in January 1989. The emphasis is on refereed articles in professional journals and on books, rather than on magazines or the public media. 1995. 63 pp.
  
  
• Managed Behavioral Healthcare Updates, Volume 1, No.2, July 1998. (MC98-69)
  Newsletter
  This document identifies managed care activities initiated or completed by the Center for Mental Health Services (CMHS) in Fiscal Year 1996. For each activity, a project officer or contact that can provide additional information is identified.
  
  
• Managed Care Activities (MC96-58)
  Report
  This document identifies managed care activities initiated or completed by the Center for Mental Health Services (CMHS) in Fiscal Year 1995. For each activity, a project officer or contract is identified who can provide additional information. 1996. 37 pp.
  
  
• Managed Care Activities: Center for Mental Health Services, SAMHSA (MC97-68)
  Report
  This document identifies managed care activities initiated or completed by the Center for Mental Health Services (CMHS) in Fiscal Year 1996. For each activity, a project officer or contact is identified who can provide additional information. 1996. 6 pp.
  
  
• Managed Care Glossary (MC98-70)
  Fact Sheet
  This fact sheet provides a list of terms and definitions that are used in the managed care environment.
  
  
• Managed Care-Related Web Sites (MC98-71)
  Fact Sheet
  This fact sheet provides links and web addresses to various managed care related organizations.
  
  
• 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.
  
  
• Medicaid Financing of State and County Psychiatric Hospitals (SMA03-3830)
  Report
  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.
  
  
• Medical Necessity in Private Health Plans (SMA03-3790)
  Report
  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.
  
  
• Mental Health & Substance Abuse Services Under the State Children's Health Insurance Program (SMA01-3473)
  Report
  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.
  
  
• Mental Health and Substance Abuse Services in Medicaid, 1986-1992 (SMA99-3366)
  Report
  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.
  
  
• Mental Health and Substance Abuse Services in Medicaid, 1992 (SMA99-3367)
  Report
  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.
  
  
• Mental Health and Substance Abuse Services in Medicaid, 1993 (SMA99-3368)
  Report
  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.
  
  
• Mental Health and Substance Abuse Services in Medicaid, 1994 (SMA00-3284)
  Report
  This report provides basic information on mental health and substance abuse services and expenditures in Medicaid, and associated trends for 10 States. 2000. 170pp.
  
  
• Mental Health and Substance Abuse Services in Medicaid, 1995 (SMA02-3713)
  Report
  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.
  
  
• Mental Health Services in Medicaid, 1999 (SMA06-4145)
  CD ROM
  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).
  
  
• Mental Health Statistics Improvement Program: Mental Health Report Card/Phase II Task Force/Progress Report. (MC95-48)
  Report
  This report describes Phase II of an effort to develop report cards focusing on mental health measures. Includes a review of the literature on performance measures related to the domains and other mental health report cards, a review of the literature on consumer-based research, identification of concerns related to various domains, a focus group of consumers, and initial identification of indicators associated with prioritized concerns. 1995. 48 pp.
  
  
• National Estimates of Mental Health Insurance Benefits (SMA04-3872)
  Report
  
  
• National Expenditures for Mental Health Services & Substance Abuse Treatment 1993-2003 (SMA07-4227)
  Report
  
  
• Office of the Associate Director for Organization and Financing (formerly Office of Managed Care) (MC00-81)
  Fact Sheet
  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.
  
  
• PASRR Screening for Mental Illness in Nursing Facility Applicants and Residents (SMA05-4039)
  Report
  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.
  
  
• Preventive Interventions Under Managed Care: Mental Health and Substance Abuse Services (SMA00-3437)
  Report
  This publication reviews the literature on interventions that promote mental health and prevent the use of tobacco, alcohol, and drugs. 2000. 90 pp.
  
  
• Principles For Systems of Managed Care. 1996. (MC96-61)
  Pamphlet
  This publication presents a list of guidelines developed by the Center for Mental Health Services to help ensure high-quality, accessible, and cost-effective care for adults with serious mental illness and children with serious emotional disturbances within managed care systems. 1996. 2 pp.
  
  
• Projections of National Expenditures for Mental Health Services and Substance Abuse Treatment 2004-2014 (SMA08-4326)
  Report
  This is the fifth in a series of reports under the SAMHSA Spending Estimates (SSE) project, begun in 1996, on expenditures of national spending for mental health (MH) services and substance abuse (SA) treatment. Earlier reports were released describing and analyzing historical estimates (for 1986 through 1996. This report is the first to forecast spending for the next decade, 2004-2014. By 2014, expenditures on MH and SA treatment are projected to reach $239 billion, up from $42 billion in 1986 and $121 billion in 2003.
  
  
• Reimbursement of Mental Health Services in Primary Care Settings (SMA08-4324)
  Report
  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.
  
  
• School Mental Health Services in the United States 2002-2003 (SMA05-4068)
  Report
  
  
• School-based Mental Health Services under Medicaid Managed Care (SMA00-3456)
  Report
  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.
  
  
• Screening for Mental Illness in Nursing Facility Applicants: Understanding Federal Requirements (Policy Report) (SMA01-3543)
  Report
  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.
  
  
• Speaking With A Common Language: Past, Present, and Future Data Standards for Managed Behavioral Healthcare (MC95-51)
  Report
  In a managed care environment, consumers, providers, payers, and management services entities will all be concerned with and affected by the quality, appropriateness, and coverage of the data standards that are employed. 1995. 20 pp.
  
  
• State Mandates for Treatment for Mental Illness and Substance Use Disorders (SMA07-4228)
  Report
  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.
  
  
• State Profiles of Mental Health and Substance Abuse Services in Medicaid (NMH05-0202)
  CD ROM
  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.
  
  
• State Regulation of Residential Facilities for Adults with Mental Illness (SMA06-4166)
  Report
  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.
  
  
• State Regulation of Residential Facilities for Children with Mental Illness (SMA06-4167)
  Report
  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.
  
  
• The Costs and Effects of Parity for Mental Health and Substance Abuse Insurance Benefits (MC99-80)
  Report
  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.
  
  
• The Provision of Mental Health Services in Managed Care Organizations (SMA03-3797)
  Report
  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.
  
  
• The State of Computerization Among Managed Behavioral Healthcare Companies: A National Survey (MC95-53)
  Report
  This report presents results of an evaluation of the use of computers in managed behavioral healthcare. Offers suggestions for ways to improve communication with regard to data collection and computerized record-keeping between public and private sectors. 1995. 46 pp.
  
  
• Use of Prescription Psychoactive Drugs in Medicaid, 1995 (SMA02-3712)
  Report
  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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