Open AccessThe Policy Ecology of Behavioral Health Homes: Case Study of Maryland’s Medicaid Health Home Program
Author(s) -
Elizabeth M. Stone,
Gail L. Daumit,
Alene Kennedy-Hendricks,
Emma E. McGinty
Publication year - 2019
Publication title -
administration and policy in mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 68
eISSN - 1573-3289
pISSN - 0894-587X
DOI - 10.1007/s10488-019-00973-8
Subject(s) - medicaid , receipt , health informatics , health policy , mental health , public health , health administration , health psychology , health services research , set (abstract data type) , gerontology , medicine , environmental health , nursing , health care , business , psychiatry , political science , accounting , computer science , programming language , law
Behavioral health homes, shown to improve receipt of evidence-based medical services among people with serious mental illness in randomized clinical trials, have had limited results in real-world settings; nonetheless, these programs are spreading rapidly. To date, no studies have considered what set of policies is needed to support effective implementation of these programs. As a first step toward identifying an optimal set of policies to support behavioral health home implementation, we use the policy ecology framework to map the policies surrounding Maryland's Medicaid behavioral health home program. Results suggest that existing policies fail to address important implementation barriers.