Master of Arts (MA)
First Committee Member
Second Committee Member
Third Committee Member
Fourth Committee Member
Number of Pages
Medicaid is the largest publicly funded health insurance program which influences the mental health practitioners’ treatment of low income individuals (Altman & Frist, 2015; Rowland et al., 2003). To understand how Medicaid influences mental health practitioners, this study utilizes institutional theory by using the five propositions from Lammers and Barbour (2006) to analyze how Medicaid’s communicative practices influence mental health practitioners who treat those who are in poverty. Semi-structured interviews were conducted with 10 mental healthcare practitioners who accepted Medicaid: two psychologists, five social workers, one psychiatrist, and two psychiatric nurse practitioners. The results demonstrate how mental health practitioners respond to Medicaid’s communicative practices by deviating their behavior within Medicaid’s rules. Issues regarding adjusting paperwork, calling and begging with Medicaid offices, constraining behavior during treatment, changing amount of clients, dealing with payment issues, combating transportation issues, and not accepting Medicaid became prevalent when addressing treatment for mental illness. The theoretical implications suggest Medicaid is not achieving its institutional goals, and institutional beliefs are not always sustaining the institution. The practical implication suggests Medicaid mental health practitioners are doing more work compared to non-Medicaid mental health practitioners, which can lead to mental health practitioners not accepting Medicaid.
institutional theory; interviews; Medicaid; Mental health; Mental illness; practitioners
University of Nevada, Las Vegas
Mohan, Matthew, "The Influences of Medicaid on Mental Health Practitioners" (2021). UNLV Theses, Dissertations, Professional Papers, and Capstones. 4305.
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