HEALTH-CARES GREATEST CHALLENGE - PROVIDING SERVICES FOR PEOPLE WITH SEVERE MENTAL-ILLNESS IN MANAGED-CARE

The delivery of services for people with severe mental illness (SMI) i s described as healthcare's most difficult challenge because SMI patie nts suffer from the combined effects of conditions that have 1) a chro nic course, 2) disabling consequences, and 3) a high risk of poverty. The fundamental advantages of managed care for persons with chronic, d isabling conditions are discussed along with an examination of how wel l these assumptions hold in actual practice for persons with SMI. The legal risks assumed by clinicians in managed care are reviewed, includ ing the inherent risk of discriminating against high cost enrollees, s uch as patients with SMI. Finally, recommendations are made regarding the measures that might be taken to increase the ''match'' between the principles of managed care and the specialized needs of people with s evere mental illness.