Journal of Health Care for the Poor and Underserved volume 20, issue 3, P866-883 2009 DOI: 10.1353/hpu.0.0177 View full text
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Cathleen E. Willging, Howard Waitzkin, Louise Lamphere

Abstract: In July 2005, New Mexico placed all publicly funded behavioral health services under the management of one private corporation. This reform emphasized the provision of evidence-based, culturally competent services. Methods Participant observation and semi-structured interviews with 189 administrators, staff, and providers were carried out in 14 behavioral health safety-net institutions (SNIs) during the transition period. Results New administrative requirements led to substantial paperwork demands, payment…

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