Correlates of Family Burden Under Medicaid Managed Mental Health Care

Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill, 27599-7160, USA.
Administration and Policy in Mental Health and Mental Health Services Research (Impact Factor: 3.44). 12/2001; 29(2):117-28. DOI: 10.1023/A:1014384413652
Source: PubMed


This study examined predictors of family burden (assistance in daily living, supervision, and subjective concern) for family members of Medicaid recipients with severe mental illness in two regions of Virginia. In the Richmond area, mental health services were provided on a no-risk fee-for-service basis, while in Tidewater these services were provided through a risk-based capitated contract with a managed care organization. No differences in family burden were attributable to the risk-based payment system. Predictors of increased family burden were (a) more reported client symptoms and disruptive behaviors, (b) status as a parent, and (c) living with the client.

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