We propose a 5-year continuation of the NIMH UCLA/RAND Center for Research on Managed Care for Psychiatric Disorders. The goals are to clarify the public policy and market forces that influence growth of managed care for psychiatric disorders, describe alternative forms of financing and organization of services delivery for psychiatric disorders under managed care, and estimate the impact of alternative components of managed care, such as physician reimbursement or utilization review, on access, costs, quality, and health outcomes of care for psychiatric disorders. The Center's research plans private and publicly-funded managed care and includes research on vulnerable populations, including the severely ill and minorities. The Center promotes development of new data bases and studies, facilitates completion of proposals and research papers, and provides a strong infrastructure for interdisciplinary research. The conceptual and methodological orientation bridges public poly analysis and clinical services research. The Center is organized into an Administrative Core and three Research Core. The Administrative Core provides administrative support, research assistants, and data management to Research Cores and projects. The Administrative Core also develops and supports the Managed Care Consortium, which consists of public and private managed care organizations that provide access to their data sets and participate in Center research. The Administrative Core also disseminates Center products through a Working Paper series and Web site, and promotes across-Core collaboration through a seminar series. The Center structure includes an Executive Committee and Advisory Board, comprised of researchers, consumer representation, and managed care company representatives. The Center's research agenda is accomplished through the three Research Cores. The Policy Core examines effects of insurance legislation on access to insurance and service use patterns, and the effects of alternative benefit structures and contracts for mental health care on access and costs. The Clinical Services Core examines impact of alternative forms of managed care on quality of care and evaluates quality improvement programs for psychiatric disorders within managed care. The Vulnerable Populations Core studies policies, variations in service delivery, and clinical impact of publicly funded managed care, especially managed Medicare, for persons with severe and persistent mental illness. The Center investigators include psychiatrists, internists, psychologists, nurses, economists, sociologists, statisticians, historians, and philosophers. The renewal application features 11 new projects, which build on the Center's research infrastructure and data bases.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Specialized Center (P50)
Project #
5P50MH054623-07
Application #
6392131
Study Section
Special Emphasis Panel (ZMH1-CRB-W (13))
Program Officer
Rupp, Agnes
Project Start
1995-09-30
Project End
2003-08-31
Budget Start
2001-09-01
Budget End
2002-08-31
Support Year
7
Fiscal Year
2001
Total Cost
$983,820
Indirect Cost
Name
University of California Los Angeles
Department
Psychiatry
Type
Schools of Medicine
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Schoenbaum, Michael; Butler, Brittany; Kataoka, Sheryl et al. (2009) Promoting mental health recovery after hurricanes Katrina and Rita: what can be done at what cost. Arch Gen Psychiatry 66:906-14
Mendel, Peter; Meredith, Lisa S; Schoenbaum, Michael et al. (2008) Interventions in organizational and community context: a framework for building evidence on dissemination and implementation in health services research. Adm Policy Ment Health 35:21-37
Hepner, Kimberly A; Rowe, Melissa; Rost, Kathryn et al. (2007) The effect of adherence to practice guidelines on depression outcomes. Ann Intern Med 147:320-9
Rubenstein, Lisa V; Rayburn, Nadine R; Keeler, Emmett B et al. (2007) Predicting outcomes of primary care patients with major depression: development of a depression prognosis index. Psychiatr Serv 58:1049-56
Rost, Kathryn; Adams, Scott; Xu, Stanley et al. (2007) Rural-urban differences in hospitalization rates of primary care patients with depression. Psychiatr Serv 58:503-8
Fremont, Allen M; Young, Alexander S; Chinman, Matthew et al. (2007) Differences in HIV care between patients with and without severe mental illness. Psychiatr Serv 58:681-8
Chan, Kitty S; Bird, Chloe E; Weiss, Robert et al. (2006) Does patient-provider gender concordance affect mental health care received by primary care patients with major depression? Womens Health Issues 16:122-32
Bogart, Laura M; Fremont, Allen M; Young, Alexander S et al. (2006) Patterns of HIV care for patients with serious mental illness. AIDS Patient Care STDS 20:175-82
Kataoka, Sheryl H; Fuentes, Susan; O'Donoghue, Vincent P et al. (2006) A community participatory research partnership: the development of a faith-based intervention for children exposed to violence. Ethn Dis 16:S89-97
Schoenbaum, Michael; Sherbourne, Cathy; Wells, Kenneth (2005) Gender patterns in cost effectiveness of quality improvement for depression: results of a randomized, controlled trial. J Affect Disord 87:319-25

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