Carrots and sticks on opposite sides of the Atlantic: integration incentives for people with serious mental illness in England
Open accessAbstract
Integrating care pathways between primary and specialist mental health care is seen as integral to improving the health of people with mental illness. Multiple integration initiatives have been implemented, but few have tried to integrate care for people with serious mental illness. This column describes two such initiatives in the United States and in England. The two schemes are compared according to the population they target, payment mechanisms, accountability structures, service delivery, outcomes, and lessons learned.
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In the UK, the Commission for Quality and Innovation is implementing pay-for-performance for mental health, with payments based on meeting national quality improvement targets.
“In the UK, the Commission for Quality and Innovation is implementing payfor-performance for mental health, in which payments are based on meeting national quality improvement targets 96 .”
From Measuring and improving the quality of mental health care: a global perspective (2018) · cites this paper as [96]
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Measuring and improving the quality of mental health care: a global perspective
Kilbourne, A. M., Beck, K., Spaeth‐Rublee, B., Ramanuj, P., O'Brien, R. W., Tomoyasu, N., & Pincus, H. A. (2018) · World Psychiatry · doi:10.1002/wps.20482 · Cited by 457 · see citing works
Self-citationEvolving Models of Integrated Behavioral Health and Primary Care
Ramanuj, P., Ferenchick, E. K., Docherty, M. J., Spaeth‐Rublee, B., & Pincus, H. A. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-0985-4 · Cited by 126 · see citing works
Availability and Accessibility of Mental Health Services in New York City
Breslau, J. A., Barnes‐Proby, D., Bhandarkar, M., Cantor, J., Hanson, R. W., Kofner, A., Li, R., Malika, N. M., Mendoza-Graf, A., & Pincus, H. A. (2022) · Rand health quarterly · doi:10.7249/rhq-10-01-06 · Cited by 10 · see citing works
Financial Incentives to Integrate Care in Europe
Tsiachristas, A., & Mölken, M. R. (2025) · Springer eBooks · doi:10.1007/978-3-031-25376-8_76-1
Financial Incentives to Integrate Care in Europe
Tsiachristas, A., & Mölken, M. R. (2025) · Springer eBooks · doi:10.1007/978-3-031-96286-8_76
- Authors
- Ramanuj, P. P., Breslau, J., Strathdee, G., Spaeth-Rublee, B., & Pincus, H. A.
- Affiliations
- National Health Service (GB)
- Dr. Ramanuj and Ms. Spaeth-Rublee are with the Behavioral Health Services and Policy Research Division, New York State Psychiatric Institute, New York City (e-mail: ). Dr. Breslau is with the Health Behavioral Sciences Division, RAND Corporation, Pittsburgh. Dr. Strathdee is with the Mental Health Intelligence Network, National Health Service England, London. Dr. Pincus is with the Department of Psychiatry, Columbia University, New York City. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
- Venue
- Psychiatric Services
- Published
- 2017-05-01
- Volume
- 68
- Issue
- 5
- Pages
- 430-432
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2562702502
- Cited by
- 5
- References
- 11
- Citations by year
- 2025: 2 · 2022: 1 · 2019: 1 · 2018: 1
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
- Keywords
- severe mental illness, integrated care, primary care, specialist mental health services, care pathways, payment mechanisms, accountability structures, service delivery, health outcomes, cross-national comparison, United States, England
- MeSH terms
- Mental Disorders, England, Humans, Mental Health Services, United States, Delivery of Health Care, Integrated
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