Correlates of family burden under medicaid managed mental health care

T. Scott Stroup, Joseph P. Morrissey, Alan R. Ellis, Michael Blank

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


This study examined predictors of family burden (assistance in daily living, supervision, and subjective concern) for family members of Medicaid recipients with severe mental illness in two regions of Virginia. In the Richmond area, mental health services were provided on a no-risk fee-for-service basis, while in Tidewater these services were provided through a risk-based capitated contract with a managed care organization. No differences in family burden were attributable to the risk-based payment system. Predictors of increased family burden were (a) more reported client symptoms and disruptive behaviors, (b) status as a parent, and (c) living with the client.

Original languageEnglish
Pages (from-to)117-128
Number of pages12
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Issue number2
StatePublished - 2001
Externally publishedYes

Bibliographical note

Funding Information:
In both sites, CSBs provided case management and rehabilitation services to persons with SMI on an FFS basis under Virginia’s Medicaid State Plan Option (SPO). By state law, only CSBs were eligible for Medicaid payments for SPO services. Substance abuse services were not a covered benefit under the Virginia Medicaid program; these services were supported by block grant funding from the State Department of Mental Health, Mental Retardation, and Substance Abuse Services to the CSBs.


  • Capitation
  • Family
  • HMO
  • Medicaid
  • Virginia


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