Research on Mental Health Quality Assurance

Cohen, Lawrence H.

doi:10.1007/978-1-4684-5236-5_3

Cited by 5 publications

(2 citation statements)

References 32 publications

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“…Second, the managed mental health field must develop and establish quality of care standards. In general health care, quality is determined on the basis of three factors: structure, process, and outcome (Cohen, 1988;Donabedian, 1968). In mental health, however, it has traditionally been defined by structure and process variables, such as frequency of contact, rather than by outcome or the relationship of process and outcome (Rodriguez, 1988a).…”

Section: Quality Of Care In Prepaid Mental Health Servicesmentioning

confidence: 99%

“…In addition, the fields of mental health were unable to agree among themselves what defines appropriate treatment or positive outcome. Cohen (1988) has argued that there are significant methodological problems with an outcome-based definition of quality in mental health. This argument is most clearly stated in a recent American Psychiatric Association Office of Quality Assurance statement (1988, p. 19):…”

Section: Quality Of Care In Prepaid Mental Health Servicesmentioning

confidence: 99%

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Managed mental health care: Current status and future directions.

Berman¹,

Austad²

1991

Psychotherapy in Managed Health Care: The Optimal Use of Time &Amp; Resources.

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The minor premise of this argument often is that optimal mental health services are inherently long-term, labor intensive, and with outcome that is definable only on a case-by-case basis. Although this belief is not central to the conflict-of-interest critique, it frequently arises in debates about mental health care. It has been well noted that there is no current evidence-beyond anecdotal reports and uncontrolled, single-cell, pre-post research designs-that long-term dynamic psychotherapy is an effective intervention for significant Axis I disorders (Klerman, 1990).

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Section: Quality Of Care In Prepaid Mental Health Servicesmentioning

confidence: 99%

Section: Quality Of Care In Prepaid Mental Health Servicesmentioning

confidence: 99%

Managed mental health care: Current status and future directions.

Berman¹,

Austad²

1991

Psychotherapy in Managed Health Care: The Optimal Use of Time &Amp; Resources.

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Cultural competence and quality of care: Issues for mental health service delivery in managed care.

Abe-Kim

Takeuchi

1996

Clinical Psychology: Science and Practice

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Models of mental health service deliiery in managed care have evolved without considering the needs of ethnic minorities in any systematic manner. Consequently, these new systems may pose additional banie n t o access and treatment. In this article, the impact of the health care crisis on mental health service deiivery to ethnic minorities in terms of access, cost, and quality of care issues in managed care systems is explored. A quality-of-cam iramewodc is used for addressing the notion of cultural competence as a critical dlmsnslon of quality of care for ethnic minority populations. Research in minority mental health and quality of care is integrated in order to explore how various structures, processes, and outcomes in managod care systems (e.g., cost containment structures for controlling the supply and demand of mental hoalth sewicos, utilization management and gatekeeping processes) may impact mental health sonice delivery to ethnic minorities. Cultural competence is conceptualized as a critical componont of quality care for ethnic minority populations.

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Quality assurance monitoring in psychiatry

1989

AJP

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The implementation of quality assurance monitoring is an important response to public demands for accountability in medicine as well as a requirement for institutional accreditation by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The author examines the somewhat elusive definition of quality as it is applied to medical care. He reviews the history, terminology, and reasons for quality assurance monitoring and presents the JCAHO-defined concepts of indicators and thresholds. Several common problems associated with the implementation of quality assurance monitoring are discussed along with guidelines for the development of quality assurance indicators in psychiatry.

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Research on Mental Health Quality Assurance

Cited by 5 publications

References 32 publications

Managed mental health care: Current status and future directions.

Managed mental health care: Current status and future directions.

Cultural competence and quality of care: Issues for mental health service delivery in managed care.

Quality assurance monitoring in psychiatry

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