Ethical issues and psychiatric cost-containment strategies

Rinella, Vincent J.

doi:10.1016/0160-2527(86)90022-1

Cited by 3 publications

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“…To gain an understanding of the ethical posture that practitioners are adopting in regard to the growing influence of business practices in professional psychology, I a m in the process of developing a survey that explores potentially controversial topics including rationing, patient advo-cacy, managed care, brief therapy, the role of business methods and the profit motive, and behavioral dilemmas involved in contemporary ethical conflicts. The questions address issues in the literature (Barnett, 1992; Barton & Barton, 1984; Elpers & Abbott, 1992; Geraty, Hendren, & Flaa, 1992; Green, 1990;Rinella, 1986) as well as those raised in focus groups of psychologists. The survey questions are listed in Appendix A.…”

Section: Survey Research On Ethics Values and Attitudes Regarding Man...mentioning

confidence: 99%

Defining the issues: Survey research in ethics and managed care.

Barnhill¹

1998

Practicing in the New Mental Health Marketplace: Ethical, Legal, and Moral Issues.

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The increased involvement of business practices in psychological services is bringing about major changes in professional practice. The changes are rapid, multifaceted, pervasive, and threatening to providers and consumers, altering the very nature and structure of professional mental health treatment. For better or worse, and whether we like it or not, the massive influx of business strategies and procedures has become an increasingly significant influence on our field. How are these changes affecting practitioners? What clinical, financial, and ethical dilemmas do they face? Also, how are they responding? Changes in Psychological Services as a Result of Increased Business InvolvementThis chapter is a report of a preliminary effort to explore the nature of these changes and how they are affecting our field from the point of view of practicing psychologists. In a brief literature review I discuss the causes of these changes, as well as their larger context, and show how and why managed care has become so dominant. The impact of cost-containment strategies, and the emotional, attitudinal, and behavioral responses of mental health professionals, are then examined, in part by a survey exploring these issues. The results indicate that this new environment places practitioners in situations beyond their training which are loaded with emotional and financial pressures and that they are provided with little professional consensus about how to respond to these pressures. To formulate appropriate ethical standards to guide us through this period of profound transition in our field, we need to understand how practitioners feel about the changes and what they are doing in response to their dilemmas.

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Section: Survey Research On Ethics Values and Attitudes Regarding Man...mentioning

confidence: 99%