This article reports the results of research on a single, urban system of health and human services delivery for clients with serious mental illness. The primary focus was to examine how collaboration and services integration among the more than 40 mostly nonprofit provider agencies were affected by the introduction of managed care. A critical factor in explaining the results was the role of the behavioral health authority in implementing and managing the system.
Keith G. Provan, Ph.D., is Professor, School of Public Administration and Policy, University of Arizona, Tuscon.
H. Brinton Milward, Ph.D., is Professor, School of Public Administration and Policy, University of Arizona, Tuscon.
Kimberley Roussin Isett, M.P.A., Ph.D., is a Postdoctoral Research Fellow, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill.
This research was supported by a grant from the Nonprofit Sector Research Fund of The Aspen Institute (No. 99-NSRF-19).