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Brief therapy for managed mental health companies: becoming a learning organization.

Nearly all of the services offered through managed behavioral health care companies are brief or time effective in nature. It is often the view of these companies that many of their providers have insufficient backgrounds in doing such treatment and have been trained in longer, less efficient modes of service delivery. Although this is often the case, what is frequently not recognized is that most managed behavioral health care companies themselves lack knowledge and clarity about such therapies. We address the critical need for behavioral health care companies to become learning organizations focused on research and development and internal as well as external training in time-efficient therapies. Such activities will allow for creativity and enhancement of the substance abuse and mental health care areas.

Forecasting↗

Practitioner ethics and managed care.

Mental health services provided through a managed care company cause some serious ethical concerns for providers and potentially for licensing boards. Confidentiality, record keeping, abandonment of patients, and informed consent are a few of the major issues confronting providers and the patients with whom they work. The importance of these issues for providers and the need for managed care companies and their employees to pay more attention to these ethical problems are covered in this article.

Confidentiality↗

Myths and potentials.

The struggle over health care reform in the United States pits two powerful myths against one another. The first myth, long held and strongly entrenched, promotes the illusion that the existing health care nonsystem allows broad freedom of choice and access to uniformly available, compassionate, component health providers. The second myth posits a new illusion. It suggests that competing organized care systems, under economic pressures for cost containment, will assure broad freedom of choice and access to uniformly available, compassionate, competent health providers. Both myths deny reality.

Consumer Behavior↗

Can mental illness be prevented under managed care?

Ideally, managed care should force a focus on all the issues involved in prevention and treatment. Unfortunately, the decisions in managed care are based on costs, along with the intervention techniques, as the most important criteria in choice of treatment. Medical treatment accounts for only 10 percent of health. To find a solution means working together, making the goal "healthy people in a healthy community." Programs such as the Healthy Cities initiative, not managed care, are more likely to realize this goal.

Community Mental Health Services↗

VIP interview: John D. (Jay) Rockefeller IV, United States Senator.

John D. (Jay) Rockefeller IV has proudly served the people of West Virginia for nearly 30 years. After coming to the town of Emmons in 1964 as a VISTA worker, Jay Rockefeller made the Mountain State his home. In 1966, he was elected to a two-year term in the West Virginia House of Delegates. He then served four years as Secretary of State, three years as President of West Virginia Wesleyan College, and eight years as Governor of West Virginia. In 1984, he was elected to the United States Senate and was reelected in 1990.

Competitive Medical Plans↗

Managing the mind.

Explore the source record for details and available documents.

Health Care Reform↗

Making mental health services affordable.

The prevalence of mental health problems is far more than what is perceived by the general public. The billions of dollars of lost productivity due to mental health problems and the affect of mental health on total health costs cannot be ignored.

Cost of Illness↗

How much will coverage for universal access to comprehensive behavioral healthcare really cost?

The following article summarizes and reviews four recent research reports attempting to quantify how much a universally available, nondiscriminatory behavioral healthcare benefit would actually cost--per person per year. The author suggests that the cost differences between these reports primarily reflect different assumptions related to the expected behavioral healthcare delivery system and designs for behavioral healthcare benefits. Comprehensive behavioral healthcare delivered through well-managed benefit plans is likely to cost a little more than $200 per person per year, which would be much more affordable for our country than unmanaged comprehensive behavioral healthcare, which easily could cost in excess of $300 per person per year.

Cost Sharing↗