Alan J. Kent - A psychologists proactive guide to managed mental health care
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A psychologists proactive guide to managed mental health care
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A Psychologists Proactive Guide to Managed Mental Health Care offers a concise overview of the evolution of managed mental health care and its impact on the working lives of clinical and counseling psychologists. Although many books explore the ramifications of managed care for psychotherapy, this is the first to take a broad perspective and examine the ways in which the new health care delivery system is affecting all aspects of practice--not just treatment but also assessment and training--as well as mental health research. The authors include some of the countrys most noted psychologists with extensive experience in managed care. Their tone is optimistic rather than pessimistic; as they look at developments others have only deplored, they see potential roles and opportunities for growth for psychologists. In an era of dramatic health change, all those practitioners who are concerned about how to make managed care work for them rather than against them, will find this Guide essential reading. ALTERNATE BLURB A Psychologists Proactive Guide to Managed Mental Health Care offers a concise overview of the evolution of managed mental health care and its impact on the working lives of clinical and counseling psychologists. While many books explore the ramifications of managed care for psychotherapy, this is the first to take a broad perspective and examine the ways in which the new health care delivery system is affecting all aspects of practice--not just treatment but also assessment and training--and mental health research as well.
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A Psychologist's Proactive Guide to Managed Mental Health Care
author
:
Kent, Alan J.
publisher
:
Lawrence Erlbaum Associates, Inc.
isbn10 | asin
:
0805829105
print isbn13
:
9780805829105
ebook isbn13
:
9780585189727
language
:
English
subject
Clinical psychology--Practice--United States, Managed mental health care--United States.
publication date
:
2000
lcc
:
RC467.95.P793 2000eb
ddc
:
362.2
subject
:
Clinical psychology--Practice--United States, Managed mental health care--United States.
Page iii
A Psychologist's Proactive Guide to Managed Mental Health Care
Edited by Alan J. Kent PacMed Clinics, Seattle
Michel Hersen Pacific University
Page iv
Copyright 2000 by Lawrence Erlbaum Associates, Inc. All rights reserved. No part of this book may be reproduced in any form, by photostat, microfilm, retrieval system, or any other means, without prior written permission of the publisher.
Library of Congress Cataloging-in-Publication Data A psychologist's proactive guide to managed mental health care / edited by Alan J. Kent, Michel Hersen. p. cm. Includes bibliographical references and index. ISBN 0-8058-2910-5 (cloth: alk. paper)ISBN 0-8058-3488-5 (pbk: alk. paper) 1. Clinical psychologyPracticeUnited States. 2. Managed mental health careUnited States. I. Kent, Alan J. II. Hersen, Michel. RC467.95.P793 2000 362.2-dc21 99-16478 CIP
Books published by Lawrence Erlbaum Associates are printed on acid-free paper, and their bindings are chosen for strength and durability.
Printed in the United States of America
10 9 8 7 6 5 4 3 2 1
Page v
CONTENTS
Preface
vii
Part I: General Issues of Managed Care
1 An Overview of Managed Mental Health Care: Past, Present, and Future
Alan J. Kent and Michel Hersen
3
Part II: Modification of Traditional Roles Under Managed Care
2 Psychological Assessment and Testing Under Managed Care
William I. Dorfman
23
3 Individual Psychotherapy and Managed Care
Carol S. Austad
41
4 Group Psychotherapies and Managed Care
K. Roy Mackenzie
65
Part III: New Roles for Psychologists Under Managed Care
5 The Psychologist in Primary Health Care
Kirk Strosahl
87
6 Training Psychologists in the Era of Managed Care
Hanna Levenson And Joanna Burg
113
7 A Psychologist's Proactive Guide to Managed Care: New Roles and Opportunities
Nicholas A. Cummings
141
Author Index
163
Subject Index
169
Page vii
PREFACE
The decade of the 1990s has witnessed a major revolution in health care that has had a staggering impact on all providers who have had to reconceptualize the vast majority of their assumptions about clinical care, how and when they deliver services, and how they are compensated for their activities. The impact has been profound and dramatic for providers in the mental health field in particular. In this book we focus on clinical and counseling psychologists.
Although many psychologists attribute the growing hegemony of managed care solely to the commercialization of the field, in reality several other factors have had an influence. Among them are the increased need for accountability in clinical practice, the exponential cost of providing health services, including mental health services, and the initial reluctance (and in some quarters continued resistance) of psychologists to constitute themselves part of the solution. That is, many psychologists and their professional organizations have struggled against the health maintenance organizations (HMOs) rather than working from within to influence their decision-making processes.
Hardly a week goes by now without some article by and for psychologists bemoaning their fates at the hands of managed care. However, this pessimistic attitude is exaggerated and in the long run unhealthy for the field. Rather, what is needed is a balanced approach that not only will prevent panic but that will help psychologists capitalize on the new opportunities. Our vision of a balanced approach guided our development of this book. To the reader, let us underscore that it is the proactive guide to managed mental health care.
The book is divided into three parts: Part I: General Issues of Managed Care, Part II: Modification of Traditional Roles Under Managed Care, and Part III: New Roles for Psychologists Under Managed Care.
In each of the chapters an optimistic and proactive approach to dealing with managed care and the new health care system is detailed. As the American icon Ann Landers has been quoted as saying, "When life deals you lemons, make lemonade." Therefore, in each of the chapters a noted expert has reviewed varied aspects of psychological practice and has given the reader a chance to see
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