ISSUES IN MANAGED CARE MENTAL HEALTH SERVICES

CONTROVERSIAL EXPERIENCE FROM THE US AND GREAT BRITAIN

 

 

 

NCPA President John C. Goodman: Solving the Problems of Managed Care
Not long ago, American health care was easily the best in the world. Today, we face a quality crisis.
http://www.ncpa.org/pub/ba254

Psychiatrists Outside of Managed Care Value Autonomy in Treatment Decisions. Psychiatrists who have "opted out" say their choice is in part a protest against managed care. But it is also a matter of exercising the physician’s autonomy to practice as he or she believes is best. "I’ve never known a colleague who opted out who failed. But I have known some who practiced in managed care and left medicine altogether because they were demoralized."
http://pn.psychiatryonline.org/cgi/content/full/39/6/13         

A Psychiatrist speaks out: http://pw2.netcom.com/~mvp1/soloproviders1.htm

                                                                                                            
With the courtesy of BBC: Great Britain Mental health patient's bed.

Eleven Unethical Managed Care Practices. With emphasis on mental health care (Anti-Managed Care Site from the United States of America)  Disregarding personal and medical privacy, Using false advertising, Using deceptive language, Violating traditional scientific ethics, Practicing outside of a professional's area of competence, Creating and intensifying conflicts of interest, Keeping secrets about financial conflicts of interest... http://www.thenationalcoalition.org/eleven.html

Resisting From Within. Paper presented  by Dr. Pinheiro at the Private Practice Committee Meeting in Toronto on 6/1/98. http://pw2.netcom.com/~mvp1/mcoproviders.htm

National Health System in GB: Waiting lists - why we are waiting: http://www.nhsexposed.com/patients/waiting/index.shtml

Psychiatry Online: Managed Care Has Not Solved Health Insurance Cost Problems. Costs of health care continue to rise, along with employee complaints. Health benefit managers fear that the financial gains from the managed care revolution have been exhausted. http://pn.psychiatryonline.org/cgi/content/full/36/18/14-a

Of Two Minds - The Growing Disorder in American Psychiatry This book suggests a diagnosis for the ailing condition of American psychiatry. With the recent emergence of ‘managed care’, insurance companies have been able to dictate the nature of the treatment given to patients. They have favoured pharmacology over psychotherapy, because it seems cheaper.  http://bjp.rcpsych.org/cgi/content/full/180/1/89

Howard B. Roback, Ph.D., Mary Shelton, M.S. EFFECTS OF CONFIDENTIALITY LIMITATIONS ON THE PSYCHOTHERAPEUTIC PROCESS: This review article examines the impact of confidentiality limitations on the psychotherapeutic process. Findings from analogue studies with nonpatients indicate that perceived confidentiality limitations will deter people from seeking therapy and will inhibit self-disclosures once they are in treatment. http://jppr.psychiatryonline.org/cgi/content/abstract/4/3/185

"Young failed on Mental Health." Mental health problems in children and adolescents are on the rise, the British Medical Association has warned, and services are ill-equipped to cope. http://news.bbc.co.uk/2/hi/health/5095708.stm

Entrez Medline: Problems with managed psychiatric care without a psychiatrist-manager
Seven critical cases in which patients at major psychiatric risk received less than adequate managed care are presented. In all seven cases, the patient's care was managed by a non-psychiatrist...
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1810858&dopt=Abstract
 


Ofer Zur, Ph.D. is an example of a new breed of psychotherapist who is fighting managed care.

John Grohol, Psy.D.  WHY MANAGED CARE HURTS YOU  What's the big deal about this? Try getting psychotherapy services from your HMO or insurance company and you'll soon realize what the "big deal" is. http://psychcentral.com/managed.htm

Cost savings achieved by the state through capitation offer a powerful incentive for the contractor to enhance profits by restricting mental health services to a population that already is underserved. As managed care becomes the norm, families, consumers and professionals must work together so that mental health care of tomorrow is better and more humane.
http://www.psychservices.psychiatryonline.org/cgi/content/full/49/7/961

What If You Didn't Have to Worry About Health Care? The National Psychologist. A socially responsible, democratic health care system must be inherently anti-Darwinian http://www.healthpsych.com/articles/shearer1.htm

Mental Health Ressources: The Problem(s) with Managed Care  Managed care is taking over as the predominant method of financing mental health care in the United States. Is this the solution to spiraling healthcare costs? http://mentalhealth.about.com/library/weekly/aa112497.htm

Elderly people are being neglected and poorly treated by England's health system, inspectors say. One of the worst areas, the report found, was mental health care, where older people found services deteriorating as they passed the age of 65.  http://news.bbc.co.uk/2/hi/health/4848646.stm

The Cost of Care Versus the Value of Life As a therapist, what do you do if a managed care company denies care for a suicidal patient? US-Report: http://mentalhealth.about.com/library/weekly/aa071999.htm

"HOW MANAGED CARE WRECKS OUR LIVES" A personal odyssey from the United States of America
http://www.transitions-counseling.com/how_managed_care_wrecks_our_lives.htm


 

 Nein zur Zweiklassenmedizin - Non à la médecine à deux vitesses

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