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. 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.

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Figures

Fig. 1
Fig. 1
Conceptual model of organizational change phases
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References

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