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PARTNERS is the Los Angeles County Department of Mental Health's capitated managed care treatment program. To explore the context in which public sector managed care reforms are occurring and to understand the obstacles to implementing such programs, qualitative data were collected from administrators, case managers, and clients. Administrators were found to need assistance in negotiating managed care contracts and in tracking costs. Case managers, although concerned about increased clinical demands, enjoyed the flexibility and creativity their new roles allowed. Clients were satisfied with their increased independence, even though many had to change their site of care. Beyond considering these concerns, the range of community stakeholders who may be affected by such interventions must be addressed.

Reprinted with permission from Journal of Behavioral Health Services & Research, Vol. 28, 2001, pp. 155-163. Copyright © 2001 National Council for Community Behavioral Healthcare.

Originally published in: Journal of Behavioral Health Services & Research, Vol. 28, 2001, pp. 155-163.

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