This was a great read! Personally, I think private prisons are fundamentally flawed because their financial incentive is to keep beds full, not to reduce recidivism. When profit depends on the number of inmates, there’s little motivation to invest in rehabilitation programs that help people successfully re-enter society. We need a different model, one that rewards reducing recidivism and prioritizes rehabilitation, so the system works for the betterment of society as a whole. With that being said I also know there are other third parties that are involved that also hamper programs in the prisons that could assist inmates with moving forward in life. It’s a complicated problem but I wish there was a way we could figure it out without so many obstacles.
Personally, I hope that you have more luck than I did. I spent the last 40 years working with a Not for Profit I founded www.c4recoverysolutions.org trying to bring outcomes based purchasing to the Behavioral Health world. We were stymied at every turn effectively by big insurance, despite creating what was acknowledged by significant public and private policy bodies as the most successful SUDS treatment program in the history -- The NJ SAI - which has had 115,000 clients over 22 years. Never been able to reproduce it is the only substantive outcomes based purchasing program to me knowledge ever implemented in the States.
Behavioral Health covers such a wide range of mental health and behavioral issues and those of us who are “ providers” are so varied in training and experience that the failure to produce consistently good outcomes is not surprising.
Capitation (paying provider groups fixed dollars with the group responsible for providing required care) led to provider groups bankruptcies and limiting treatment. Insurance for behavioral health only seems to exacerbate the problems with health insurance for medical conditions.
I don’t have an answer but concur with your experience.
Thanks Lynn generally agree, but there were other programs in a few other States that were smaller than ours in NJ, but successful....the problem is that 3rd party re-imbursement models are generally not compatible with value based purchasing. Any way I'm looking for a new "Windmill".😊
This was a great read! Personally, I think private prisons are fundamentally flawed because their financial incentive is to keep beds full, not to reduce recidivism. When profit depends on the number of inmates, there’s little motivation to invest in rehabilitation programs that help people successfully re-enter society. We need a different model, one that rewards reducing recidivism and prioritizes rehabilitation, so the system works for the betterment of society as a whole. With that being said I also know there are other third parties that are involved that also hamper programs in the prisons that could assist inmates with moving forward in life. It’s a complicated problem but I wish there was a way we could figure it out without so many obstacles.
Hi There:
Personally, I hope that you have more luck than I did. I spent the last 40 years working with a Not for Profit I founded www.c4recoverysolutions.org trying to bring outcomes based purchasing to the Behavioral Health world. We were stymied at every turn effectively by big insurance, despite creating what was acknowledged by significant public and private policy bodies as the most successful SUDS treatment program in the history -- The NJ SAI - which has had 115,000 clients over 22 years. Never been able to reproduce it is the only substantive outcomes based purchasing program to me knowledge ever implemented in the States.
Behavioral Health covers such a wide range of mental health and behavioral issues and those of us who are “ providers” are so varied in training and experience that the failure to produce consistently good outcomes is not surprising.
Capitation (paying provider groups fixed dollars with the group responsible for providing required care) led to provider groups bankruptcies and limiting treatment. Insurance for behavioral health only seems to exacerbate the problems with health insurance for medical conditions.
I don’t have an answer but concur with your experience.
Thanks Lynn generally agree, but there were other programs in a few other States that were smaller than ours in NJ, but successful....the problem is that 3rd party re-imbursement models are generally not compatible with value based purchasing. Any way I'm looking for a new "Windmill".😊
Best of luck
Very interesting Mr Lonsdale, so are the comments. For profit systems are just that.