Date of Award

Winter 3-22-2025

Document Type

Dissertation

Degree Name

Ph.D. in Quantitative Research Methods

Organizational Unit

Morgridge College of Education, Research Methods and Information Science, Research Methods and Statistics

First Advisor

Nicholas Cutforth

Second Advisor

P. Bruce Uhrmacher

Third Advisor

Antonio Olmos

Copyright Statement / License for Reuse

All Rights Reserved
All Rights Reserved.

Keywords

Behavioral health, Community behavioral health, Community mental health centers, Mixed-methods research, Value-based healthcare

Abstract

This study explores how behavioral health clinicians perceive Value-Based Healthcare (VBHC), a model designed by Porter and Teisberg (2006) to improve outcomes relative to costs. While widely promoted in healthcare reform, VBHC poses unique challenges when applied to behavioral health settings. Using an explanatory mixed-methods design, this study first assessed clinicians’ awareness of VBHC through a survey of 23 licensed clinicians at a Community Mental Health Center (CMHC) in Colorado. Quantitative findings revealed that one-third of participants were aware of VBHC with awareness differing by role prompting further exploration in a qualitative phase. Semi-structured interviews with eight clinicians provided deeper insights into their awareness and understanding of VBHC. The integration of quantitative and qualitative findings revealed a disconnect between the principles of VBHC and the realities of behavioral health practice. Clinicians emphasized client-centered care, relational dynamics, and incremental progress over cost-driven measures, highlighting the limitations of Porter and Teisberg’s value equation in behavioral health. This study underscores the need to tailor value-based frameworks to the complexities of behavioral health and offers actionable insights to better align policy-level efforts with on-the-ground practices. By advancing understanding of VBHC in behavioral health, these findings contribute to efforts to adapt VBHC to the unique realities of CMHCs and the populations they serve.

Copyright Date

3-2025

Publication Statement

Copyright is held by the author. User is responsible for all copyright compliance.

Rights Holder

Amanda L. Strickland

Provenance

Received from author

File Format

application/pdf

Language

English (eng)

Extent

170 pgs

File Size

1.3 MB

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