The Psychiatrists Managed Care Primer

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The Psychiatrist's Managed Care Primer

Author : American Psychiatric Association. Office of Economic Affairs and Practice Management
Publisher : American Psychiatric Pub
ISBN 13 : 9780890424506
Total Pages : 112 pages
Book Rating : 4.4/5 (245 download)

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Book Synopsis The Psychiatrist's Managed Care Primer by : American Psychiatric Association. Office of Economic Affairs and Practice Management

Download or read book The Psychiatrist's Managed Care Primer written by American Psychiatric Association. Office of Economic Affairs and Practice Management and published by American Psychiatric Pub. This book was released on 1997 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because an increasing number of patients are covered through managed care plans, psychiatrists need to understand the managed care system in order to answer their patients' questions and ensure the continued prosperity of their practices. To assist clinicians in these challenging times, The Psychiatrist's Managed Care Primer arms psychiatrists with the information and tools they need to flourish within the managed care environment while simultaneously delivering quality patient care. This monograph provides an overview of the evolution of this industry; detailed explanations of current managed care models, operations, and anticipated trends; and practical advice on key problem areas. It focuses on the pressing issues of utilization management and capitation as well as important regulatory, ethical, and legal issues psychiatrists confront under this system. The potential impact that managed care systems have on their patient referrals, clinical decision-making autonomy, and income is also examined closely. Equipped with the sophisticated understanding of managed care supplied by this primer, psychiatrists can make the important decisions that will ensure the survival of their practice.

Health Care Reform

Author : American Psychiatric Association
Publisher : American Psychiatric Pub
ISBN 13 : 0890426694
Total Pages : 38 pages
Book Rating : 4.8/5 (94 download)

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Book Synopsis Health Care Reform by : American Psychiatric Association

Download or read book Health Care Reform written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2012-09-24 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act, which was passed in March 2010, includes provisions to expand the scope of mental health care available to most Americans. What do psychiatrists need to know about the provisions of the health reform law to practice most effectively and best serve their patients? Health Care Reform: A Primer for Psychiatrists is a compilation of resources designed to educate psychiatrists and other mental health professionals about key elements of the reform law. At its core are three articles from a special section on health reform that appeared in the November 2010 issue of Psychiatric Services. Each article addresses a key question for the organization and financing of mental health and substance abuse care under health care reform: How should states set up their health exchanges to ensure that the needs of people with mental illness are addressed? Will coverage of mental health services be adequate under the law's provisions? Can integration of mental and physical health care -- a particular focus of health reform -- improve the quality and efficiency of care for people with mental illness? This book also provides a list of additional readings, with links to the source documents. These include "backgrounder" articles published in Psychiatric News, analyses and commentaries from the American Journal of Psychiatry and Psychiatric Services, and white papers and other useful documents compiled by staff of the APA Department of Government Relations.

Utilization Management

Author : American Psychiatric Association. Committee on Managed Care
Publisher : American Psychiatric Pub
ISBN 13 : 9780890422359
Total Pages : 84 pages
Book Rating : 4.4/5 (223 download)

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Book Synopsis Utilization Management by : American Psychiatric Association. Committee on Managed Care

Download or read book Utilization Management written by American Psychiatric Association. Committee on Managed Care and published by American Psychiatric Pub. This book was released on 1992-01-01 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook provides clinicians with timely and useful information that will help psychiatrists obtain optimal coverage of services for patients. Among the issues addressed are frequently encountered problems, confidentiality, contracting, and the process of utilization management.

Maneuvering the Maze of Managed Care

Author : Kevin J. Corcoran
Publisher : Simon and Schuster
ISBN 13 : 0684823098
Total Pages : 358 pages
Book Rating : 4.6/5 (848 download)

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Book Synopsis Maneuvering the Maze of Managed Care by : Kevin J. Corcoran

Download or read book Maneuvering the Maze of Managed Care written by Kevin J. Corcoran and published by Simon and Schuster. This book was released on 1996 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looks at the issues facing mental health professionals in regards to managed care health networks.

The Psychiatrist's Guide to Practice Management

Author :
Publisher : American Psychiatric Publishing
ISBN 13 : 9780890424513
Total Pages : 0 pages
Book Rating : 4.4/5 (245 download)

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Book Synopsis The Psychiatrist's Guide to Practice Management by :

Download or read book The Psychiatrist's Guide to Practice Management written by and published by American Psychiatric Publishing. This book was released on 1997 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: As managed care companies gain increasing control over the mental health care market, many psychiatrists not under contract with a managed care plan have been excluded from significant numbers of potential patients. As a result, psychiatrists must pay more attention than ever before to practice management and other business-related issues. The Psychiatrist's Guide to Practice Management provides psychiatrists with important advice on how to make their practice capable of entering agreements with managed care organizations. This important guide identifies key areas (including financial, regulatory, promotional, administrative, and geographic issues) that must be considered in order to adapt the practice to make it more appealing to managed care companies. An additional chapter covers physician networks and alliances that compete directly against managed care organizations. It also provides crucial advice for psychiatrists who wish to develop a private practice based on traditional fee-for-service and private pay plans. By using this handy guide, psychiatrists can build a thriving practice inside or outside the managed mental health care system.

A Primer of Clinical Psychiatry

Author : David Castle
Publisher : Elsevier Health Sciences
ISBN 13 : 0729581578
Total Pages : 417 pages
Book Rating : 4.7/5 (295 download)

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Book Synopsis A Primer of Clinical Psychiatry by : David Castle

Download or read book A Primer of Clinical Psychiatry written by David Castle and published by Elsevier Health Sciences. This book was released on 2013-05-15 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of A Primer of Clinical Psychiatry provides a broad overview of the major topics in psychiatry and provides the clinical skills necessary for competent clinical practice. It also includes an up-to-date overview of the scientific literature behind this fascinating and challenging medical discipline. This book covers in detail the psychiatric interview, the mental state examination, and clinical investigations relevant to psychiatry. All of the major syndromes of psychiatry are addressed including schizophrenia, depressive disorders, bipolar disorder, anxiety, post-traumatic disorders, obsessive-compulsive disorders, eating disorders, somatoform disorders and personality disorders and cover epidemiology, aetiology and clinical aspects, and discussion of specific treatment approaches. A separate section reviews biological and psychosocial aspects of treatment in psychiatry, with worked case examples. A chapter on psychiatric emergencies is included in this section. Discrete chapters cover specialist areas such as child and adolescent psychiatry, old age psychiatry, forensic psychiatry, dual disability and substance use disorders. Enhancing each chapter is a case-based role-play scenario, complete with model answers. Each scenario is set out to model modern pedagogical theory, with roles, setting, tasks, and model answers all articulated and cross-referenced to the core text. Readers can adopt various roles within the scenarios, including that of the doctor (general practice registrars, interns, and residents), allied health staff, or patients themselves and their relatives. The scenarios cover everything from basic skills such as taking a history or describing a disorder, to more advanced problems, such as working with the hostile family and assessing risk in the emergency setting. This case-based role-play approach is ideal for those preparing for psychiatry Observed Structured Clinical Examinations (OSCEs). A Primer of Clinical Psychiatry 2nd edition aims to introduce the pertinent facts of clinical psychiatry to medical students and students of mental health disciplines. It will also be a useful resource for established clinicians, including GPs and the more advanced psychiatric trainee or mental health professional. • Case-based scenarios provide a practical application of theory in real life and are ideal for OSCE preparation. • Drug dosages prescribed for biological treatment of psychiatric diseases add to the clinical aspect of the book • New chapters on the history of psychiatry and ethics in psychiatry have been added to this edition. • The section “How to use this book helps the reader navigate the book effectively and efficiently.

The Psychiatrist's Guide to Managed Care Contracting

Author :
Publisher : American Psychiatric Publishing
ISBN 13 :
Total Pages : 92 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Psychiatrist's Guide to Managed Care Contracting by :

Download or read book The Psychiatrist's Guide to Managed Care Contracting written by and published by American Psychiatric Publishing. This book was released on 1997 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because of growing enrollment in managed care plans, psychiatrists are finding it necessary to sign contracts with managed mental health care programs in order to receive third-party payment. These contracts often lead to complications and form a key area of concern for clinicians. The Psychiatrist's Guide to Managed Care Contracting helps psychiatrists make sense of the legal issues arising from their managed care contracts. In a step-by-step manner, this useful guide develops the framework for the crucial decisions that must be made and highlights the strategies a psychiatric practice can employ to shape the contract in its favor. It reviews standard contract provisions and the issues involved so that potential problems can be identified early in the negotiating process. The Psychiatrist's Guide to Managed Care Contracting also details the essential groundwork and preparation that should be completed before a psychiatric practice enters negotiations, including practice assessment, financial planning, marketing, and the development of administrative support. Equipped with this knowledge and advice, psychiatrists can negotiate from a position of strength and develop a favorable contract that ensures the survival and prosperity of their practice.

Ethics Primer of the American Psychiatric Association

Author : American Psychiatric Association
Publisher : American Psychiatric Pub
ISBN 13 : 1585627860
Total Pages : 116 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Ethics Primer of the American Psychiatric Association by : American Psychiatric Association

Download or read book Ethics Primer of the American Psychiatric Association written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: In questions of psychiatric ethics, simple "yes" or "no" answers are rare, yet questions arise frequently in the clinical setting. "Should I accept a patient's invitation to a party?" "Is it OK to tell a patient that I, too, have had a depression?" "Can I release sensitive information about my patient without the patient's consent?" "Can I give a psychiatric opinion about someone I've never examined?" A shortage of ethics instruction from medical school through residency has left many psychiatrists facing the increasingly complex field of ethics without a clear guide to ethical decision making and conduct until now. Informed by some of the formal proceedings of the APA Ethics Committee, Ethics Primer of the American Psychiatric Association presents today's ethical dilemmas in eleven informative chapters -- brought to life by the clinical vignettes based on actual cases seen by this primer's distinguished contributors. Boundary violations between the doctor -- patient relationship and any other relationship (e.g., social, sexual/romantic, business) Issues such as informed consent, psychopharmacology, hospitalization, and psychotherapy with children, adolescents, and families Issues such as confidentiality, competence and consent, quality of life, abuse and neglect, and use of restraints with geriatric populations Involuntary hospitalization rife with conflict and controversy where many ethical principles clash (e.g., beneficence, autonomy, informed consent) Reconciling ethical conduct (as delineated in guidelines of the AMA, APA, and Sabin) with managed care's cost containment and rationing of medical services Confidentiality, how this fundamental ethics principle can clash with the business ethics of managed care and insurance companies Gifts from patients and industry when and why they are or are not acceptable The often uncomfortable duty to report colleagues who engage in fraud or deception, from speaking privately with a colleague to referring a concern to a departmental committee, supervisor, or local APA ethics committee (and applicable legal mandates) Emergency care ethics how to ensure proper treatment for psychiatric patients who come to the emergency room with physical illnesses forensic psychiatry, including codes of ethics, boundary issues, and management of allegations of ethical misconduct When consultations and second opinions are needed Including an appendix with selected material from The Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry, this clinical guide and reference is sure to stimulate the discussion so integral to maintaining the dynamic tradition of ethics. As such, it is essential reading for every psychiatrist -- whether in training or in established clinical practice -- who aspires to a richer appreciation for the wisdom and subtleties of the guidelines and principles of medical ethics.

New Roles for Psychiatrists in Organized Systems of Care

Author : Jeremy A. Lazarus
Publisher : American Psychiatric Publishing
ISBN 13 :
Total Pages : 292 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis New Roles for Psychiatrists in Organized Systems of Care by : Jeremy A. Lazarus

Download or read book New Roles for Psychiatrists in Organized Systems of Care written by Jeremy A. Lazarus and published by American Psychiatric Publishing. This book was released on 1998 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: New Roles for Psychiatrists in Organized Systems of Care provides the reader with a comprehensive view of opportunities, challenges, and roles for psychiatrists who are working for or with new organized systems of care. A complete and frank discussion of the ethical dilemmas for psychiatrists in managed care settings is presented. Also included in this book are chapters on training and identity of the field as well as historical overviews of health care policy. Any psychiatrist working for or with organized care systems will benefit from reading this book, as it helps the reader gain a deeper understanding of the ethical challenges and solutions available. For students and residents, this book provides an overview of work and role opportunities in organized delivery systems, as well as guidance on the important ethical issues that may be encountered.

A Psychologist's Proactive Guide to Managed Mental Health Care

Author : Alan J. Kent
Publisher : Routledge
ISBN 13 : 1135679797
Total Pages : 171 pages
Book Rating : 4.1/5 (356 download)

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Book Synopsis A Psychologist's Proactive Guide to Managed Mental Health Care by : Alan J. Kent

Download or read book A Psychologist's Proactive Guide to Managed Mental Health Care written by Alan J. Kent and published by Routledge. This book was released on 1999-12 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Psychologist's 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 country's 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 Psychologist's 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.

Negotiating Managed Care

Author : Michael A. Fauman
Publisher : American Psychiatric Pub
ISBN 13 : 1585627666
Total Pages : 129 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Negotiating Managed Care by : Michael A. Fauman

Download or read book Negotiating Managed Care written by Michael A. Fauman and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many psychiatrists and other mental health professionals, the clinical review is the most burdensome and disagreeable part of managed care. In that review they are asked, by a representative of the managed care company, to justify their patient's need for care and to defend the treatment they are providing. Clinicians usually feel at a disadvantage in these discussions because they are never quite sure what information the reviewer needs to approve the patient's care. This does not have to be the case. The goal of this book is to teach psychiatrists, mental health professionals, and administrators how reviewers think and how to conceptualize, present, and document clinical care in a manner that greatly increases the likelihood that reviewers will approve their request for care. Beginning with five questions that must be answered in every managed care review, the author discusses the following key topics and many others. Presenting your case to a reviewer -- How to effectively present requests for inpatient, partial hospital, and substance abuse care and avoid common mistakes that decrease the likelihood that your request will be approved. How to answer the four clinical questions that must be addressed in every review even if they are not asked by the reviewer. Negotiating with the reviewer -- How to negotiate with a reviewer who is reluctant to approve the care you request. Writing effective notes -- How to write effective clinical notes in the patient's record that substantiate your request for care and increase the likelihood that it will be approved. Dealing with unethical reviewers -- How to identify and take action against unethical reviewers and managed care companies that are insensitive to your patient's clinical needs. Appealing denials of care -- How to appeal denials of care when you do not agree with the reviewer's decision. These and many other important issues are highlighted in brief vignettes illustrating a clinician's presentation of a patient's case and a typical reviewer's comments. This tremendously useful volume will be welcomed by every mental health care practitioner who must negotiate the current managed care landscape.

Managing Managed Care

Author : Robert Langs
Publisher : Jason Aronson Incorporated
ISBN 13 : 9780765705761
Total Pages : 144 pages
Book Rating : 4.7/5 (57 download)

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Book Synopsis Managing Managed Care by : Robert Langs

Download or read book Managing Managed Care written by Robert Langs and published by Jason Aronson Incorporated. This book was released on 2009 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first comprehensive study of the managed care therapeutic situation, its pitfalls, and its rewards. It is grounded in an in-depth understanding of the human mind and of conditions of this treatment modality and it offers hands-on recommendations to therapists of all backgrounds and experience regarding both commonly recognized and largely overlooked problems that arise under these circumstances.

Concise Guide to Managing Behavioral Health Care Within a Managed Care Environment

Author : Michael Isaiah Bennett
Publisher : American Psychiatric Pub
ISBN 13 : 1585627615
Total Pages : 103 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Concise Guide to Managing Behavioral Health Care Within a Managed Care Environment by : Michael Isaiah Bennett

Download or read book Concise Guide to Managing Behavioral Health Care Within a Managed Care Environment written by Michael Isaiah Bennett and published by American Psychiatric Pub. This book was released on 2008-08-13 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can behavioral health clinicians provide managed care in an ethical, professionally satisfying way while also dealing with managed care organizations (MCOs)? This concise yet powerful volume will jump-start clinicians in their search for effective answers. Unlike other managed care guides, which tend to view the clinician-managed care relationship as inherently adversarial, this groundbreaking pocket guide (another in American Psychiatric Publishing's Concise Guides series) views resource management as a basic function -- indeed, an ally -- of ethical clinical practice. True managed care both improves the quality of clinical care and protects community resources. It even stimulates patients to become more active managers of their own care. The author, speaking from extensive first-hand experience as both network provider and MCO administrator, asserts that clinicians must know how to manage care themselves to effectively persuade insurance companies to pay for treatment. Toward that end, the author details the practical tools clinicians need in just five chapters: Chapter 1, Managing Care Ethically, discusses basic principles and methods for making clinical decisions about behavioral health care when resources are limited and methods for communicating these decisions to patients and MCOs. Chapter 2, Managing Nonacute Care, applies the principles and methods from Chapter 1 to providing non-acute, usually outpatient, services. Chapter 3, Managing Acute Care, applies the principles and methods from Chapter 1 to providing acute crisis or inpatient services. Chapter 4, Marketing to Managed Care Organizations, details strategies for negotiating contracts to often unreceptive MCOs who consider their networks full, showing how clinicians can enhance their market value by filling MCO needs. Chapter 5, Managing Utilization Review, offers insights on overseeing the clinical work of colleagues and shaping the health care system, assuming that care managers are professionally obligated to help patients receive the care they need and deserve without intruding on the clinician's role, and that the best management manages least, taking responsibility for efficient resource utilization and ongoing system improvement. This practical guide is more than just a handbook for successfully navigating MCO procedures and market dynamics; it also shows that the outcome of truly managed care can be just as satisfying and effective as care provided with infinite resources. Invaluable to clinicians in everyday practice, this remarkable guide with its unique insights, collaborative approach, and case examples will also find a wide audience among clinical administrators in private and public MCOs who train network clinicians and utilization managers.

The Integrated Behavioral Health Continuum

Author : Laurel J. Kiser
Publisher : American Psychiatric Pub
ISBN 13 : 1585627984
Total Pages : 335 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis The Integrated Behavioral Health Continuum by : Laurel J. Kiser

Download or read book The Integrated Behavioral Health Continuum written by Laurel J. Kiser and published by American Psychiatric Pub. This book was released on 2008-11-01 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Until recently, behavioral health was defined within the strict dichotomy of inpatient and outpatient care -- a dichotomy that failed to mirror the range and complexity of human experience and clinical needs. Today's integrated system renders this dichotomy obsolete. Instead, service delivery integration processes offer an organized system of care rooted in a common vision and defined by processes intended to promote continuity and quality of care, coordination of efforts, efficiencies of operation, and seamless patient movement through an otherwise bewildering array of health care services. Unique in the literature, this volume brings together distinguished clinicians and policymakers who focus on the operational aspects of developing state-of-the-art integrated delivery systems. History and concept -- Why we need integrated health care delivery systems, including a model of service delivery integration that incorporates current barriers (e.g., ambiguous roles and responsibilities and lack of strategic alignment; how to design integrated delivery systems improving clinical outcomes, achieving fiscal and operating efficiencies, and aligning clinical and fiscal incentives) Structural foundations -- Access to the system of care for patients, payors, and employers; how to design level-of-care criteria; eight strategies that help clients move along the continuum; how to define level of care in today's managed care world; and the process of following therapeutic processes (i.e., philosophies, procedures, and practices used to create or support recovery and wellness) across the continuum Administrative and management processes -- How to reorient staff toward minimizing barriers and making the patient central to the system; documentation/information management and reimbursement (rates and rate structures, risk assumption); current research and its enormous potential to improve every aspect of care; quality assessments based on examining the driving forces behind the needs for monitoring and evaluating quality and outcomes; and the relation of behavioral health care systems, which seek to fully integrate clients and families into the fabric of their community and culture, to other systems A case vignette that highlights -- from the consumer's viewpoint -- the vital role of self-help during an episode of hospitalization and a discussion of future directions in integrated behavioral health care round out this remarkable volume. With its wealth of strategic and "nuts and bolts" information -- useful for alliances and single entities alike -- on how to harness operational forces in establishing an effective integrated behavioral health continuum, this volume will be welcomed by those who deliver direct services (psychiatric professionals) and those who administer and manage the integrated financing and delivery of quality care from public (U.S. government agencies) and private (managed care and insurance providers) sectors alike.

Personality Assessment in Managed Health Care

Author : James Neal Butcher
Publisher : Oxford University Press, USA
ISBN 13 : 0195111605
Total Pages : 263 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Personality Assessment in Managed Health Care by : James Neal Butcher

Download or read book Personality Assessment in Managed Health Care written by James Neal Butcher and published by Oxford University Press, USA. This book was released on 1997 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, 30 eminent contributors, from diverse psychological disciplines, address central issues in psychological assessment. Topics include ethical considerations in personality assessment, assessment of racial and ethnic minorities, and assessment of the elderly. The book maintains a practical, context-based approach throughout, and will appeal to both students and psychologists.

Managed Care and Mental Health Services

Author : American Psychiatric Association
Publisher : Amer Psychiatric Pub Incorporated
ISBN 13 : 9780890420157
Total Pages : 72 pages
Book Rating : 4.4/5 (21 download)

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Book Synopsis Managed Care and Mental Health Services by : American Psychiatric Association

Download or read book Managed Care and Mental Health Services written by American Psychiatric Association and published by Amer Psychiatric Pub Incorporated. This book was released on 1997 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book is a compendium of articles from Psychiatric Services and Hospital and Community Psychiatry on managed mental health care.

Managed Care Services

Author : Nancy W. Veeder
Publisher : Oxford University Press, USA
ISBN 13 : 019513429X
Total Pages : 304 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Managed Care Services by : Nancy W. Veeder

Download or read book Managed Care Services written by Nancy W. Veeder and published by Oxford University Press, USA. This book was released on 2001 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume explores policy, programmatic, and research issues in the health and behavioural health care system known as managed care. Discussions include such areas as the evolution of health care from essential social good to a commodity, cost of and access to care, parity of behavioural health services reimbursement and more.