Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Mar;41(2):276-91.
doi: 10.1007/s10488-012-0465-1.

The effects of behavioral health reform on safety-net institutions: a mixed-method assessment in a rural state

Cathleen E Willging  1 , David H Sommerfeld, Gregory A Aarons, Howard Waitzkin
Affiliations

The effects of behavioral health reform on safety-net institutions: a mixed-method assessment in a rural state

Cathleen E Willging et al. Adm Policy Ment Health. 2014 Mar.

Abstract

In July 2005, New Mexico initiated a major reform of publicly-funded behavioral healthcare to reduce cost and bureaucracy. We used a mixed-method approach to examine how this reform impacted the workplaces and employees of service agencies that care for low-income adults in rural and urban areas. Information technology problems and cumbersome processes to enroll patients, procure authorizations, and submit claims led to payment delays that affected the financial status of the agencies, their ability to deliver care, and employee morale. Rural employees experienced lower levels of job satisfaction and organizational commitment and higher levels of turnover intentions under the reform when compared to their urban counterparts.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Conceptual model of organizational change phases
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research. 2011a;38:4–23. doi: 10.1007/s10488-010-0327-7. - DOI - PMC - PubMed
    1. Aarons GA, Palinkas L. Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research. 2007;34(4):411–419. doi: 10.1007/s10488-007-0121-3. - DOI - PubMed
    1. Aarons GA, Sawitzky AC. Organizational climate partially mediates the effect of culture on work attitudes and staff turnover in mental health services. Administration and Policy in Mental Health and Mental Health Services Research. 2006;33(3):289–301. doi: 10.1007/s10488-006-0039-1. - DOI - PMC - PubMed
    1. Aarons GA, Sommerfeld DH, Hecht DB, Silovsky JF, Chaffin MJ. The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: Evidence for a protective effect. Journal of Consulting and Clinical Psychology. 2009;77(2):270–280. doi: 10.1037/a0013223. - DOI - PMC - PubMed
    1. Aarons GA, Sommerfeld D, Willging CE. The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform. Psychological Services. 2011b;8(4):260–281. doi: 10.1037/a0026196. - DOI - PMC - PubMed

Publication types

LinkOut - more resources