PRAGMATICS OF TRACKING MENTAL-HEALTH OUTCOMES IN A MANAGED CARE SETTING

Accountability, cost effectiveness, and continuous quality improvement are essential features of all managed health care systems. However, a pplication of these principles to mental health treatments has lagged behind other health care services. In this article, administrative, pr actice, and technical issues are addressed through a joint effort betw een academically based researchers and administrators from two large m anaged health care organizations. Principles related to the measuremen t of outcome, instrument selection, and obstacles to the implementatio n of an ongoing program to assess mental health treatment outcomes are identified. Finally, principles for successfully changing mental heal th provider behavior toward outcome assessment and the implications of such for mental health delivery systems are discussed.