U.S. mental health policy: Proactive evolution in the midst of health care reform.

VandenBos, Gary R.

doi:10.1037/0003-066x.48.3.283

Cited by 21 publications

(7 citation statements)

References 26 publications

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“…However, there are a number of complex issues and decisions that would need to be made related to defining financial efficacy, choice of instruments, and outcome measurements. At the core of these issues is the issue of what defines a "cost" (see Vandenbos, 1993;Yates, 1994). Differing conceptualizations and definitions will result in potentially complementary, partial, or even conflicting cost estimates.…”

Section: Research Issues For Demonstrating the Financial Efficacy Of mentioning

confidence: 99%

Financial efficacy of clinical assessment: Rational guidelines and issues for future research

Groth‐Marnat

1999

J. Clin. Psychol.

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Whereas the financial efficacy of assessment has been well documented in industrial/organizational settings, there is no comparable literature within the field of clinical assessment. This has become a significant issue due to the increasing cost-consciousness of managed health care organizations. A rational means of increasing the financial efficacy of assessment is outlined, which includes the following: (a) focus on domains most relevant to treatment planning and outcome; (b) use formal assessment for risk management; (c) target problems most likely to result in cost savings (i.e., dissociation, somatization, panic); (d) increase the use of computer-assisted assessment; (e) use time-efficient instruments; (f) more closely link assessment, feedback, and therapy; and (g) integrate treatment planning, monitoring progress, and evaluating outcome. Issues and strategies for developing a research program include clearly defining what should be considered a cost, enumerating possible outcome variables, optimal follow-up time frame, selection of instruments, and the function of assessment.

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Section: Research Issues For Demonstrating the Financial Efficacy Of mentioning

confidence: 99%

Financial efficacy of clinical assessment: Rational guidelines and issues for future research

Groth‐Marnat

1999

J. Clin. Psychol.

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“…This will involve a deemphasis on institutional identity and an emphasis on a broader psychological specialty identity. Rehabilitation psychology will be challenged to expand to include all areas of preventive care, screening and assessment services, short-term acute-care services, rehabilitative services, and long-term care services (VandenBos, 1993).…”

Section: Changes In Rehabilitation Psychologymentioning

confidence: 99%

Untitled

Stiers

Kewman

1997

Journal of Clinical Psychology in Medical Settings

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Changes in health care will provide both opportunities and threats for rehabilitation psychologists. We must demonstrate the relevance of our clinical services to important outcomes or risk being excluded as treatment providers. With shifts to nonhospital settings, we can provide increasing clinical and administrative leadership. However, we must redefine models of treatment to include home care and "telepsychology," practice guidelines and critical paths, involvement of paraprofessionals, case management, injury prevention, and health promotion. We should be involved when datasets are established to define disability-related health policies and reimbursement and be proactive in Medicare, Medicaid, and managed care reform to develop treatment packages to decrease long-term handicap. Collaboration with consumers is critical. We must frame research questions to address current policy issues. Our skills can help improve the effectiveness of human behavior, whether it be patients with illness, consumers with disability, health care providers, health systems managers, or legislators.

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“…Unfortunately, it still is rare to find research on treatment outcomes that includes potential benefits to society such as improved economic productivity or reduced service utilization, despite early interest in this area (e.g., Cummings & Follerte, 1968, 1976; Jones & Vischi, 1979; cf. VandenBos, 1993).…”

Section: Procedures ‐→ Outcome Modelsmentioning

confidence: 99%

“…One reason for this interest has been the possible inclusion of mental health benefits in national health insurance (cf. VandenBos, 1993) when it was considered in the late 1970s and early 1990s. Several models of cost‐effectiveness and cost‐benefit analysis have emerged in the mental health literature over the past two decades.…”

Section: Cost ‐→ Outcome Modelsmentioning

confidence: 99%

Cost-effectiveness analysis, cost-benefit analysis, and beyond: Evolving models for the scientist-manager-practitioner.

Yates¹

1995

Clinical Psychology: Science and Practice

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Models are described for measuring cost-effectivenessand cost-benefit in clinical research and for optimizing cost-effectiveness and cost-benefit in dinicd practice.Three applications are provided of a model advocated by the author, cost -. procedure 4 process -outcome analysis. Traditional research often examines the degree to which treatment procedures are implemented and the extent to which those procedures affect biopsychorocid processes that may yield outcomes (procedure + process + outcome analysis). To these analyses we can add data on treatment costs for a complete model, that Is, cost + procedure -+ process -. outcome. This model can be analyzed to find the least expensive way to achieve god outcomes or the most eifective way to deliver services within budget constraints.

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U.S. mental health policy: Proactive evolution in the midst of health care reform.

Cited by 21 publications

References 26 publications

Financial efficacy of clinical assessment: Rational guidelines and issues for future research

Financial efficacy of clinical assessment: Rational guidelines and issues for future research

Untitled

Cost-effectiveness analysis, cost-benefit analysis, and beyond: Evolving models for the scientist-manager-practitioner.

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