Controversies in managed mental health care
著者
書誌事項
Controversies in managed mental health care
American Psychiatric Press, c1996
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注記
Includes bibliographical references and index
内容説明・目次
内容説明
This book is a "second generation" book on managed mental health care that probes areas of uncertainty and tension in the managed care world. Each chapter is framed as a question and addresses a controversial area in managed mental health care. A spirited discussion ensues, capturing conflict inherent in the managed care movement. By reading this book, mental health professionals will have a greater understanding of the strengths and weaknesses of managed care and a more realistic interpretation of managed care systems of the future.
目次
Contributors. Preface. Section I: Practice and Policy. Are psychiatrists replaceable? Is private practice compatible with managed care? What is the role of the primary care physician in managed mental health care? Are practice guidelines useful in managed care? Section II: Clinical Issues. Can managed care improve mental health outcomes for children and adolescents? Is public behavioral health care manageable? Will academic psychiatry survive managed care? How is resistance to managed care manifested? Is managed care ethical care? Section III: Utilization Review. When is psychiatric hospitalization required? Should the ASAM criteria be adopted as a national standard? Who decides what is medically necessary? How effective is utilization review? Section VI: Research and Training. Can research on managed care inform practice and policy decisions? Does managed mental care offset costs related to medical treatment? Can psychotherapy be conducted effectively in manged care settings? Can psychiatrists be retrained for the future? Section V: Administration and Management. What factors should managed behavioral health programs consider when designing their operations? How should the profit motive be used in managed care? Can providers and payers collaborate? Do employers want mental health and substance abuse benefits for their employees? Can psychiatrists become efficient managers? Section VI: Health Reform. Can managed competition reform mental health care? Does consolidation in health care mean that bigger is better? Will the transition into integrated networks appear seamless? Who will manage the managers? Afterword: is managed care psychiatry's internecine war? Index.
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