However, integrated continuum of care networks presents a viable solution to mental health care delivery that properly allocates resources a collaborative and cooperative service delivery system.
Needed, according to Mohatt (1997) is "vertical integration' in the "approaches to managed care" in networking a group of healthcare providers, at various levels of primary care and behavioral health, to form an integrated service network. They seek to develop, via cooperation, a coordinated, consumer focused, seamless continuum of care designed to improve access and availability through efficiencies gained by the elimination of redundant services or systems."
Mohatt reports just such as system being in existence and specifically the Laurel Health System in northeastern Pennsylvania "founded in 1989 with the merger of five not-for-profit organizations..." This network spans the human service gamut inclusive of primary care, nursing homes, senior housing, ambulance service, and hospital." (1997) Mohatt reports another example stating:
recent example of such a horizontal integration is the 1994 formation of Northpointe Behavioral Healthcare Systems in Michigan's sparsely populated Upper Peninsula. It was formed as a proactive response to the evolving managed care environment in public sector mental health. Northpointe was established through the consolidation of two community mental health programs serving three rural counties. The consolidation allowed the CMHCs to centralize executive administration, management information, fiscal management, and human resources for the new entity which employs more than 300 people and serves more than 3,500 consumers." (1997)
Yager (1996) writes that in considering the question of whether full continuum of care services yield better results, that "Current thinking often assumes that mental health systems providing full continuum of care services is the least restrictive environments, benefit patients more..." And make better use of resources available.
DISCUSSION & CONCLUSION
The only...
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