The Clinician's Guide to Managed Behavioral Care

Second Edition of The Clinician's Guide to Managed Mental Health Care

William Winston, Norman Winegar (Autoren)

Buch | Hardcover

342 Seiten

1996
Routledge (Verlag)
978-0-7890-6012-9 (ISBN)

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Managed care is a revolution impacting the practice of clinicians throughout America. The Clinician’s Guide to Managed Behavioral Care, called “a survival kit” and “must reading,” helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more “managed care friendly.” It is newly referenced and updated for clinicians to continue to advocate for their patients and clients.The Clinician’s Guide to Managed Behavioral Care addresses how clinicians can develop and market professional services attuned to the needs of managed care systems, how to best manage the utilization review process, how to re-shape an office practice or hospital-based program to become more “managed care friendly,” and how to best advocate for patients and clients. Readers will understand the history and evolution of attempts to manage mental health care costs and services as well as the emerging clinical, economic, and social trends that will continue to fuel changes in the mental health field in coming years. Importantly, this guide sensitizes readers to the perspectives about mental health care benefits and the treatment field held by the payor community--insurance carriers, HMO’s, and self-insured employers. It allows readers to consider a payor’s view of how professionals can play a crucial role in providing quality services while helping control spiraling mental health care costs--costs that have escalated much faster than other segments of health care.Who can benefit from this book? Practicing psychologists, social workers, psychiatrists, substance abuse counselors, marriage and family therapists, Employee Assistance Professionals, psychiatric nurses, professional counselors, program managers, hospital administrators, and health care marketing professionals will find The Clinician’s Guide to Managed Behavioral Care and invaluable resource.It is often said that in the future, all in the treatment community will be involved in “managing care” and that the most successful clinicians and practices will be those most adept at working with managed care systems on behalf of their patients and clients. This book helps you understand how!Important topics in The Clinician’s Guide to Managed Behavioral Care:

the changing marketplace for mental health/substance abuse treatment services
assessing market opportunities in light of managed care influences
clinical service needs of managed care systems
clinical innovations: examples, case studies, vignettes
strategies for managing utilization review
marketing strategies for office-based practitioners
hospital-managed care partnerships
contemporary office management strategies to control costs
consumers and managed care
directory of America’s HMOs
directory of America’s Managed Mental Health Care Companies
glossary of key terms

William Winston, Norman Winegar

Contents
Introduction

What is “Managed Care”?
Managed Care Basics: Health Maintenance Organizations
Preferred Provider Organizations and Mental Health Point-of-Service Networks
Employee Assistance Programs and Managed Care
Managed Behavioral Care Systems
Contracting with Managed Care
Managing the Utilization Management Process
Legal Issues and Utilization Management
Marketing to Managed Care
Critical Issues
Appendix A: Mental Health Provider Agreement
Appendix B: Directory of America’s Health Maintenance Organizations
Appendix C: Treatment Summary
Appendix D: S.O.A.P. Process Note Recording Format
Appendix E: Managed Care Directory, 1995
Appendix F: Brief Therapy Reading List
Appendix G: Managed Care Market Share Estimates, 1995
Glossary
Index

Erscheint lt. Verlag	12.4.1996
Verlagsort	New York
Sprache	englisch
Maße	152 x 229 mm
Gewicht	703 g
Themenwelt	Geisteswissenschaften ► Psychologie ► Verhaltenstherapie
	Medizin / Pharmazie
	Sozialwissenschaften ► Pädagogik ► Sozialpädagogik
	Sozialwissenschaften ► Soziologie
ISBN-10	0-7890-6012-4 / 0789060124
ISBN-13	978-0-7890-6012-9 / 9780789060129
Zustand	Neuware