The integration of psychiatric rehabilitation services in behavioral health care structures: a state example

UMMS Affiliation

Department of Psychiatry, Center for Mental Health Services Research; Center for Health Policy and Research

Publication Date


Document Type



Adult; Community Mental Health Services; Female; Humans; Iowa; Male; Managed Care Programs; Mental Disorders; *Organizational Affiliation; Organizational Case Studies; Outcome Assessment (Health Care); Program Development; Quality Assurance, Health Care; State Health Plans; United States


Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology


This article describes a model for integrating psychiatric rehabilitation services in a managed behavioral health care structure. Psychiatric rehabilitation and managed care are two distinct developments in the provision of mental health services that have proceeded independently though they can have compatible methods and outcomes. Descriptive detail is provided about a state initiative in Iowa to provide psychiatric rehabilitation services to those with serious mental illness through the state-contracted managed behavioral health care corporation. The article describes factors leading to the program's implementation, service delivery structures, reimbursements, personnel requirements, and performance indicators. Evidence for supporting this innovation is provided through a case-controlled outcomes study of mental health service units used and their costs for participants and matched controls.

DOI of Published Version



J Behav Health Serv Res. 2002 Nov;29(4):381-93. DOI: 10.1007/BF02287345

Journal/Book/Conference Title

The journal of behavioral health services and research


At the time of publication, Marsha Langer Ellison was not yet affiliated with the University of Massachusetts Medical School.

Related Resources

Link to Article in PubMed