The objectives of managed care--cost containment, efficiency, and uniformity--seem to be at odds with the individualized habilitation goals of persons with disabilities. Person-centered planning and self-determination require individuality and flexibility--not traditional strengths of managed care plans. But, like it or not, managed care is here to stay. How the field of disabilities meets the challenge of managed health care in the beginning of the next century will determine to a large extent how well it meets the unique and complex needs of persons with disabilities.
Dale Mitchell traces the advent of managed care in the U.S. from both the acute and long-term care perspective, analyzes the forces at work in government and the health care industry, points to the likely future outcomes, and suggests ways to prepare for and make the most of the far-reaching and significant changes to come for the field of developmental disabilities.
"Managed Care & Developmental Disabilities" is a must-read for anyone concerned with the future of health care for persons with disabilities, as well as the quality and cost of that care.
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Dale Mitchell is a clinical assistant professor of human development and research associate for the State of the States in Developmental Disabilities project, in the Department of Disability and Human Development at the University of Illinois at Chicago (UIC). Dale serves as the Associate Head for Administration for his department and is also director of the Family Clinic, an inpatient interdisciplinary diagnostic and treatment clinic for people with developmental disabilities. Dale has been at UIC for eleven years and has almost thirty years of experience in the developmental disabilities field. Prior to coming to UIC, Dale worked in public and private residential programs serving people with developmental disabilities for sixteen years. He received his bachelors degree in psychology from Aurora University, masters in public administration from Northern Illinois University, and Ph.D. in Public Health Sciences from the University of Illinois at Chicago. He has authored or co-authored fourteen other publications. They include studies of wages and turnover among direct contact staff, nursing home reform, resource allocation in the developmental disabilities sector, and the impact of managed care on persons with developmental disabilities.
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