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Covers: the emergence of managed behavioral health care; assess. of outcomes and assess. of performance; key factors in managed care, including risk adjust., workforce competencies, and rural serv.; population-based analyses for populations who are seriously mentally ill and severely emotionally disturbed and for costs incurred through Medicare, Medicaid, and private sector insur. plans. National stat. on mental health org's., mental health serv. in jails, the role of neighborhood factors in relation to prevalence of depressive disorders and the dist. of mental health providers, and the character. of the current mental health work force.
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Psychologists receive several years of specialized study on the brain, behavior, and mental health, but despite the fact that over half ultimately end up in administrative or managerial roles, they receive no formalized training in the skills necessary to be successful in these roles. This book is the first of its kind to target the managerial and administrative skills necessary for the mental health professional. The book discusses practical information such as how to deal with personnel issues, how to set budgets and allocate resources, and how to document progress and maintain schedules in the domains of private practice, hospitals, government agencies, and universities. Chapter authors are well-known and successful psychologists within these settings and include Raymond Fowler, past president of the American Psychological Association.