Skip to main content
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 4/2017

26.05.2015 | Original Article

Expected Impact of Health Care Reform on the Organization and Service Delivery of Publicly Funded Addiction Health Services

verfasst von: Erick G. Guerrero, Lesley Harris, Howard Padwa, William A. Vega, Lawrence Palinkas

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2017

Einloggen, um Zugang zu erhalten

Abstract

Little is known about how the Affordable Care Act (ACA) will be implemented in publicly funded addiction health services (AHS) organizations. Guided by a conceptual model of implementation of new practices in health care systems, this study relied on qualitative data collected in 2013 from 30 AHS clinical supervisors in Los Angeles County, California. Interviews were transcribed, coded, and analyzed using a constructivist grounded theory approach with ATLAS.ti software. Supervisors expected several potential effects of ACA implementation, including increased use of AHS services, shifts in the duration and intensity of AHS services, and workforce professionalization. However, supervisors were not prepared for actions to align their programs’ strategic change plans with policy expectations. Findings point to the need for health care policy interventions to help treatment providers effectively respond to ACA principles of improving standards of care and reducing disparities.
Literatur
Zurück zum Zitat Blumer, H. (1969). Symbolic interactionism: Perspective and method. Englewood Cliffs, NJ: Prentice-Hall. Blumer, H. (1969). Symbolic interactionism: Perspective and method. Englewood Cliffs, NJ: Prentice-Hall.
Zurück zum Zitat Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage. Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage.
Zurück zum Zitat Charon, J. M. (2007). Symbolic interactionism: An introduction, an interpretation (9th ed.). Upper Saddle River, NJ: Pearson Education. Charon, J. M. (2007). Symbolic interactionism: An introduction, an interpretation (9th ed.). Upper Saddle River, NJ: Pearson Education.
Zurück zum Zitat Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation research. Implementation Science, 4, 50. doi:10.1186/1748-5908-4-50.CrossRefPubMedPubMedCentral Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation research. Implementation Science, 4, 50. doi:10.​1186/​1748-5908-4-50.CrossRefPubMedPubMedCentral
Zurück zum Zitat Guerrero, E. G., He, A., Kim, A., & Aarons, G. A. (2014b). Organizational implementation of evidence-based substance abuse treatment in racial and ethnic minority communities. Administration and Policy in Mental Health and Mental Health Services Research, 41, 737–749. doi:10.1007/s10488-013-0515-3.CrossRefPubMedPubMedCentral Guerrero, E. G., He, A., Kim, A., & Aarons, G. A. (2014b). Organizational implementation of evidence-based substance abuse treatment in racial and ethnic minority communities. Administration and Policy in Mental Health and Mental Health Services Research, 41, 737–749. doi:10.​1007/​s10488-013-0515-3.CrossRefPubMedPubMedCentral
Zurück zum Zitat Guest, G., & MacQueen, K. M. (Eds.). (2008). Handbook for team-based qualitative research. Lanham, MD: AltaMira Press. Guest, G., & MacQueen, K. M. (Eds.). (2008). Handbook for team-based qualitative research. Lanham, MD: AltaMira Press.
Zurück zum Zitat Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks, CA: Sage. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks, CA: Sage.
Zurück zum Zitat Padwa, H., & Oeser, B. (2013). White paper on California substance use disorder treatment workforce development. Los Angeles, CA: UCLA Integrated Substance Abuse Programs. Padwa, H., & Oeser, B. (2013). White paper on California substance use disorder treatment workforce development. Los Angeles, CA: UCLA Integrated Substance Abuse Programs.
Zurück zum Zitat Pating, D. R., Miller, M. M., Goplerud, E., Martin, J., & Ziedonis, D. M. (2012). New systems of care for substance use disorders: Treatment, finance, and technology under health care reform. Psychiatric Clinics of North America, 35, 327–356. doi:10.1016/j.psc.2012.03.004.CrossRefPubMed Pating, D. R., Miller, M. M., Goplerud, E., Martin, J., & Ziedonis, D. M. (2012). New systems of care for substance use disorders: Treatment, finance, and technology under health care reform. Psychiatric Clinics of North America, 35, 327–356. doi:10.​1016/​j.​psc.​2012.​03.​004.CrossRefPubMed
Zurück zum Zitat Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage. Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage.
Metadaten
Titel
Expected Impact of Health Care Reform on the Organization and Service Delivery of Publicly Funded Addiction Health Services
verfasst von
Erick G. Guerrero
Lesley Harris
Howard Padwa
William A. Vega
Lawrence Palinkas
Publikationsdatum
26.05.2015
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2017
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-015-0662-9

Weitere Artikel der Ausgabe 4/2017

Administration and Policy in Mental Health and Mental Health Services Research 4/2017 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.