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Doody's Review ServiceReviewer: John K. Larson, MD (Rush University Medical Center)
Description: This large, soft-cover book is a follow-up and companion to two previous volumes by Dr. Goodman, Managing Managed Care: A Mental Health Practitioner's Survival Guide (1992), andManaging Managed Care II: A Handbook for Mental Health Professionals, 2nd Edition (American Psychiatric Press, 1996).
Purpose: This volume is intended to be a practical workbook to guide providers in the use of the Patient Impairment Profile (PIP) system in treatment planning and to aid in communication with managed care case managers and reviewers.
Audience: The primary audience includes psychotherapists at all levels of experience who work with clients who have managed mental health benefits. Psychiatric residents and other psychotherapy trainees will also find it an extremely useful introduction to a pragmatic system of assessment and treatment planning.
Features: The book is based on Dr. Goodman's PIP system. The development of PIP arose out of a perceived need to communicate more effectively with managed care reviewers and ensure that patients and clients receive authorization for appropriate care. The system requires identification of specific impairments, a rating of each impairment's severity, treatment goals, patient objectives, specific interventions, and a discharge plan. Ongoing documentation is focused on assessment of progress using patient statements and actions. This volume contains twenty case vignettes for analysis and practice using the terminology of the PIP system. In nine chapters such topics as identifying impairments, rating severity, selecting interventions, and tracking patient progress are covered. Numerous useful tips on communicating patient needs to a third-party reviewer are sprinkled throughout.
Assessment: This volume is an extremely successful exploration of the practical application of the PIP system. It is intended as a "how to" guide and readers who desire a more thorough exploration may want to read one of the other treatises listed above.