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From The CriticsReviewer: Steven Gryll, PhD (Northwestern University Feinberg School of Medicine)
Description: This is an edited volume that examines the impact of managed mental health organizations on various aspects of current practice. Four types of treatment interventions are discussed at length: focused integrative, brief group, family, and hypnotherapy. Chapters are also devoted to ethical and legal issues arising from treating patients within a managed care environment. A model for delineating treatment considerations is proposed.
Purpose: The purpose is to educate psychotherapists about the history and operating principles of managed care organizations so that they can adapt their service delivery system to meet the patient's needs within the fiscal guidelines of managed care organizations.
Audience: This book is written for practicing clinicians, be they psychiatrists, psychologists, or social workers. It also is a valuable resource for anyone interested in the history of managed care health service delivery and the challenges of treating patients w ho have managed insurance benefits.
Features: This book is well-organized and has extensive, up-to-date references and a well-delineated index.
Assessment: Practicing clinicians as well as others interested in the impact of the managed care revolution on healthcare service delivery will find this book quite helpful. The book offers a good history of the ascendancy of managed care organizations in mental health as well as a thoughtful discussion of many of the controversies that have emerged as a result. The use of several prominent treatment modalities (brief group, focused integrative, family, and hypnotherapy) are examined within the requirements of managed service delivery. A particular strength of the book is its discussion of legal and ethical issues related to treating patients with managed care insurance. Another significant contribution is a proposal for restructuring managed mental health care service delivery into well-delineated clinical levels of care that meet the requirements of cost containment but that provide more encompassing treatment than may currently be obtained.