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April 1998

Supporting Child Psychiatric Services Using Current Managed Care Approaches: You Can't Get There From Here

Author Affiliations

From the Child Psychiatry Department, Massachusetts General Hospital, Boston.

Arch Pediatr Adolesc Med. 1998;152(4):321-326. doi:10.1001/archpedi.152.4.321

For-profit behavioral health care companies have transformed the way mental health services are provided for children. Using marketplace approaches, companies have "carved out" mental health services for many patients receiving care from pediatricians. This report details specific approaches used by these firms to maximize profits, minimize the role of child and adolescent psychiatrists, and limit clinical services. Understanding for-profit carveouts will help primary care pediatricians appreciate the likely consequences of such reimbursement incentives for the care of children and their families.