Managed care 101: An overview and implications for psychosocial rehabilitation services.

Landress, Harvey J.; Bernstein, Michael A.

doi:10.1037/h0095603

Cited by 13 publications

(4 citation statements)

References 5 publications

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“…Reimbursement strategies are another aspect of managed care in some definitions. Landress and Bernstein (1993) stated, "Managed mental health care organizations provide comprehensive inpatient and outpatient services, including alcohol and drug abuse, using a variety of reimbursement techniques" (p. 36). The Demonstration management qualified all providers and negotiated payment rates.…”

Section: Other Populations Of Children a Comparisonmentioning

confidence: 99%

A continuum of care: More is not always better.

Bickman¹

1996

American Psychologist

294

206

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This article describes an $80-million project designed to test whether a continuum of mental health and substance abuse services for children and adolescents is more cost-effective than services delivered in the more typical fragmented system. The study showed that an integrated continuum was successfully implemented that had better access, greater continuity of care, more client satisfaction, and treated children in less restrictive environments. However, the cost was higher, and clinical outcomes were no better than those at the comparison site. The article concludes that reform of mental health systems alone is unlikely to affect clinical outcomes. Cooperation is needed between mental health providers and researchers to better understand how to improve services delivered in the community.

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Section: Other Populations Of Children a Comparisonmentioning

confidence: 99%

A continuum of care: More is not always better.

Bickman¹

1996

American Psychologist

294

206

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“…Issues related to staffing levels and con sumer characteristics will likely become increasingly important as the field of psychosocial rehabilitation experiences changes in funding, specifically the pro jected increase in the use of managed care methods to control mental health costs (Landress & Bernstein, 1993). Managed care will increase pressure to serve higher numbers of consumers with greater paperwork and evaluation requirements by fewer staff members.…”

Section: Discussionmentioning

confidence: 99%

Predictors of emotional exhaustion among nonresidential staff persons.

Dietzel¹,

Coursey²

1998

Psychiatric Rehabilitation Journal

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I n t r o d u c t i o n S in ce the first discussions of this phe nomenon in professional journals (Freudenberger, 1974,1975), burnout in human services workers has received substantial attention in a great variety of fields (Kahili, 1988; Kilpatrick, 1989; Ursprung, 1986). Although there has been a dramatic increase in communitybased psychosocial rehabilitation ser vices for people with serious and persistent mental illnesses, few empiri cal studies on burnout have been conducted. To our knowledge, no ARTICLES 340This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

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“…First, to what degree will the managed behavioral health care compa nies assume responsibility for the deliv ery of rehabilitation services for persons with serious psychiatric disabilities? Despite all the preparation for managed behavioral health care in the PSR com munity, there is no firm evidence that the companies will be significantly in volving themselves in the delivery of such care (Landress & Bernstein, 1994).…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation services for persons with long term mental illness in the managed behavioral health care system: Stepchild again?

Baron¹,

Rutman²,

Hadley³

1996

Psychiatric Rehabilitation Journal

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The growth o f behavioral managed care systems in state after state has generated ongoing discussion about the framework fo r clini cal services fo r people with serious mental illness, but almost no considera tion has been given to the impact o f behavioral managed care on the deliv ery o f rehabilitation services fo r the same population. This paper raises a number o f key issues with regard to the ways rehabilitation services will be developed, funded, coordinated, and assessed in the years ahead, and it suggests the importance o f continued monitoring o f contract language with regard to the rehabilitation involvement o f behavioral managed care com panies in the social, residential, educational, and vocational realms o f com munity life.

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Managed care 101: An overview and implications for psychosocial rehabilitation services.

Abstract: This document is copyrighted by the Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

Cited by 13 publications

References 5 publications

A continuum of care: More is not always better.

A continuum of care: More is not always better.

Predictors of emotional exhaustion among nonresidential staff persons.

Rehabilitation services for persons with long term mental illness in the managed behavioral health care system: Stepchild again?

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