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Cited by 302

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Management of Mental Health and Substance Abuse Services: State of the Art and Early Results

Mechanic, David, Schlesinger, Mark, McAlpine, Donna D.·1995·The Milbank Quarterly

Abstract

Managed care (MC) refers to capitated practice (HMOs), utilization management (UM), and programs of case management for persons with mental illness and problems of substance abuse. These approaches differ substantially, and within each type are variations. Management of mental health and substance abuse services is increasingly prevalent, often sharply reducing costs. Savings result from reducing inpatient hospitalization and, sometimes, by substituting less expensive services for more costly ones. Most studies of managed care, however, measure costs narrowly, neglecting shifts in costs to patients, professionals, families, and the larger community. Strategies typical of HMOs and UM may result in lower-quality care for persons with serious mental illness and problems of substance abuse. Studies on this topic are reviewed, an analytic frame of reference is presented, and research needs are defined.

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Metadata

Authors
Mechanic, D., Schlesinger, M., & McAlpine, D. D.
Venue
The Milbank Quarterly
Publisher
JSTOR
Published
1995
Volume
73
Issue
1
Pages
19
ISSN
0887-378X (ISSN-L)
OpenAlex
W1996497116
Cited by
302
References
26
FWCI
80.91
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Management of Mental Health and Substance Abuse Services: State of the Art and Early Results. https://app.cochat.ai/papers/10.2307/3350312
The paper
Mechanic, D., Schlesinger, M., & McAlpine, D. D. (1995). Management of Mental Health and Substance Abuse Services: State of the Art and Early Results. The Milbank Quarterly. https://doi.org/10.2307/3350312

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.