The proposed research analyzes economic and health services data in a framework appropriate to broad social questions about ongoing and proposed changes for mental health care. The central aspects of this work have immediate application to improve the efficiency of care depression. The distinguishing feature of the project is its synthesis of a health services research approach, with detailed measurement of processes of care and health outcomes for a clinically well-defined group, and an applied micro/labor economics approach, which considers broader non-health implications. Its central goals are a) to study the dynamics between mental health, insurance choice, wealth accumulation, labor market participation, and retirement inn the pre-Medicare population; b) to develop models of care for depression in usual care settings to predict the health and social consequences of changes in care; c) to develop the instruments to integrate labor economics and health services research approaches more closely in future studies.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
First Independent Research Support & Transition (FIRST) Awards (R29)
Project #
1R29MH054147-01
Application #
2254443
Study Section
Services Research Review Committee (SER)
Project Start
1995-05-01
Project End
2000-04-30
Budget Start
1995-05-01
Budget End
1996-04-30
Support Year
1
Fiscal Year
1995
Total Cost
Indirect Cost
Name
Rand Corporation
Department
Type
DUNS #
City
Santa Monica
State
CA
Country
United States
Zip Code
90401
Pacula, R L; Sturm, R (2000) Mental health parity legislation: much ado about nothing? Health Serv Res 35:263-75
Sturm, R; Wells, K (2000) Health insurance may be improving--but not for individuals with mental illness. Health Serv Res 35:253-62
Stein, B; Orlando, M; Sturm, R (2000) The effect of copayments on drug and alcohol treatment following inpatient detoxification under managed care. Psychiatr Serv 51:195-8
Sturm, R (2000) How does risk sharing between employers and a managed behavioral health organization affect mental health care? Health Serv Res 35:761-76
Liu, X; Sturm, R; Cuffel, B J (2000) The impact of prior authorization on outpatient utilization in managed behavioral health plans. Med Care Res Rev 57:182-95
Sturm, R; Klap, R (1999) Use of psychiatrists, psychologists, and master's-level therapists in managed behavioral health care carve-out plans. Psychiatr Serv 50:504-8
Sturm, R (1999) Cost and quality trends under managed care: is there a learning curve in behavioral health carve-out plans? J Health Econ 18:593-604
Sturm, R; Unutzer, J; Katon, W (1999) Effectiveness research and implications for study design: sample size and statistical power. Gen Hosp Psychiatry 21:274-83
Gresenz, C R; Sturm, R (1999) Who leaves managed behavioral health care? J Behav Health Serv Res 26:390-9
Sturm, R; Pacula, R L (1999) State mental health parity laws: cause or consequence of differences in use? Health Aff (Millwood) 18:182-92

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