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At least 973 records · Page 54Linked to original sources
PubMed1995

[Group psychotherapy for Turkish patients with a translator--a report with comments of the first, constituting session].

The needs of insufficiently treated Turkish patients motivated to offer a group-psychotherapy in cooperation with an interpreter. Only on a trickful way his expenses could be paid by the health insurance. While the plan for such a group was made, it was estimated just as a second-rate escape for such patients. But already during the course of the first group-session a therapeutic concept developed which overcame barriers of language and culture. So this experiment turned out to be an important step for developing suitable therapeutic structures for migrants.

Adult↗
PubMedDate not supplied

Wrong necessity.

Explore the source record for details and available documents.

Activities of Daily Living↗
PubMed1995

[Expert assessment within the scope of legal social determination of the extent of economic responsibility of insurance for analytic psychotherapy].

Expert Opinions and Social Insurance Tribunal Rulings on the Scope of Medical Insurance Cover for Analytic Psychotherapy.--In Germany at present medical insurance cover is more or less automatic for a bone-marrow transplant costing anything up to 100,000 dollars--an operation where the death of the patients is by no means infrequent. In view of this state of affairs it is hard to comprehend the refusal on the part of insurance cover reviewers to approve ongoing cover for analytic psychotherapy beyond the 240-hour limit. In the case presented here, privately financed continuation by some 180 hours demonstrated that this prolongation and intensification of therapy was in fact essential to ensure the success of the treatment.

Expert Testimony↗
PubMed1995

[Diagnosis in psychotherapy. Results of a survey of diagnostic practices of psychotherapy trained psychologists].

In a representative survey concerning the current status and future perspectives of psychological assessment procedures, psychologists trained as psychotherapists were investigated with respect to their diagnostic activity within the framework of psychotherapy. The analysis aimed both at providing insights into the practice of test application among psychotherapeutically active psychologists and at determining the extent to which their diagnostic activity is influenced by the existing debiting procedures with health insurance companies. The results did not indicate any differences in the relevant aspects of the investigation between psychotherapists who did and those who did not debit health insurance companies.

Germany↗
PubMed1994

Predicting the cost of mental health benefits.

Actuarial and economic methods are combined to predict the costs of mental health and substance abuse benefits in insurance. Costs are predicted for two employers under alternative benefit plans that contain some of the features proposed under national health reform. The cost of a given benefit differs greatly across population groups. In order to make accurate cost forecasts, data on the group's experience must be combined with research data on the impact of plan changes. Application of employers' experience and research from mental health economics can contribute to better public and private decisions, including those that are part of current health reform.

Cost Allocation↗
PubMed1993

Mental health services in the context of health insurance reform.

Health care reform offers opportunities to improve the care of persons with serious mental illness, but it also can lead to the disruption of innovative systems of care that have been developed in recent years through Medicaid and other public programs. The care of mentally ill persons must be organized to maximize possible trade-offs between inpatient and other community services in a way that will promote function and satisfactory adjustment. An indemnity approach emphasizes controls on demand; instead, better design of supply-side approaches is required, using incentives to integrate services through case management and other methods. Considerable capacity development is needed to integrate long-term care appropriately into the mainstream, but serious barriers include control of risk selection and the difficulties of fairly adjusting capitation rates for high-utilization patients. Issues in mental health care are paradigmatic of many other areas of medical care and reflect changing family and community organizations and new challenges in care and rehabilitation.

Chronic Disease↗
PubMed1993

Comparison of physical health benefits utilization. Mental and physical health claimants, 1989 and 1990.

Research has indicated an association between mental health problems and physical illness, including higher physical health benefits utilization among persons with a mental health diagnosis. We hypothesized that mental health claimants will have higher covered health benefits and be more likely to make physical health claims than physical health claimants. The data for the study included all health benefits claims for 1989 and 1990. The results indicated that mental health claimants have higher total covered benefits and higher covered benefits in a number of diagnostic categories. In addition, the findings revealed a greater likelihood to make any health claim as well as a claim for several diagnostic categories among persons with a mental health diagnosis. The study indicates the need for coordination between mental health and physical health benefits cost management.

Adolescent↗
PubMed1993

Mental health care policy in the 1990s: discrimination in health care coverage of the seriously mentally ill.

The severely mentally ill face many roadblocks, not the least of which is discrimination by the government and by insurance companies. The inadequate coverage allowed the severely mentally ill by the insurance industry, Medicare, and Medicaid is often as little as one fifth or less the coverage allowed other serious illnesses. This inequity not only contributes to the terrible stigma of mental illness, but also greatly increases patient suffering and results in needless fatalities--suicides that could have been prevented by properly reimbursed treatment. As the federal government prepares for essential health care cost reform, it is imperative that policy leaders, physicians, and mental health care advocates demand equal treatment under the law for the severely mentally ill. The Equitable Health Care for Severe Mental Illnesses Act of 1992 can provide a model for such action.

Health Policy↗