AI Article Synopsis
- Historically, mental health and physical health care have been treated separately, with distinct public and private systems for mental health.
- The managed care approach could potentially unify and streamline access to mental health services through two primary models: carve-out and integrated care as described by Counihan et al. and Stelovich.
- However, the implementation of managed care raises concerns, particularly for vulnerable groups like adults and children with severe, long-term mental disorders.
Article Abstract
Historically mental health has been separated from physical health care, and within mental health there have been largely separate public and private systems. A managed care approach now offers the potential of integrating and rationalizing mental health care. Counihan et al. and Stelovich represent the historical forces of mental health and health care, playing out as the two key models of managed care: the carve-out and the integrated model. However, the advent of managed care in today's health care system also presents significant dangers, particularly for vulnerable populations such as adults and children with severe and longterm mental disorders.
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