“From the earliest stages of the Tracking Project, a specific emphasis has been placed on exploring the impact of managed care systems on the population of children and adolescents with serious behavioral health disorders and their families and on the systems of care that serve them. These are the youth with the greatest level of need, whose care most challenges their families and communities, who require intensive treatment and supports in multiple arenas of functioning, for whom significant resources are required, and whose problems are most likely to lead to school failure, substance abuse, suicide, and long-term impairments that continue into adulthood. Results from the state surveys and feedback from stakeholders interviewed through the impact analyses has led to the identification of a number of issues that affect the provision of appropriate services to youth with serious behavioral health disorders and their families in the context of managed care systems.”

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