Managing Managed Care II: A Handbook for Mental Health Professionals

Forsideomslag
American Psychiatric Pub, 1996 - 238 sider

Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes.

Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated.

Managing Managed Care II is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.

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Udvalgte sider

Indhold

Introduction
3
The Public Demand for Practitioner Accountability
9
The Need for a CommonLanguage Treatment Terminology
17
Impairments and the Diagnosis
25
Impairments and the Justification for Treatment
37
Impairment Severity and the Appropriateness of Treatment
67
Treatment Goals and the Patient Objectives
91
Practitioner Interventions and the Treatment Plan
107
Managing the Future of Managed Care
147
Glossary
169
Impairment Lexicon
173
Severity Rating Qualifiers critical Impairments
179
Patient Objectives Reference List Critical Impairments
207
References
223
Index
227
Copyright

Patient Progress and Outcome
129

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Managing Managed Care II: A Handbook for Mental Health Professionals
Michael Goodman,Janet Brown,Pamela Deitz
Uddragsvisning - 1996

Almindelige termer og sætninger

American Psychiatric Association appropriate assessment behaviors biopsychology care for oneself carrying out daily Chapter completed self-care discharge Concomitant Medical Condition critical impairments daily personal diabetes mellitus diagnosis Disorder DSM-IV Dysphoric Mood Eating Disorder Family Dysfunction following a prescribed Hallucinations Homicidal Thought/Behavior hospital impairment list impairment severity Inadequate Healthcare Skills including steps individual psychotherapy inpatient legal responsibilities life-threatening danger managed care review Markedly interferes 30%-60 Medicare Melanie Melanie's ment modalities oneself optimal ability optimal daily functioning Patient Impairment Profile patient objectives Patient will demonstrate Patient will verbalize patient's progress performing complex/new tasks Physical Abuse plan of action practitioner interventions practitioner's prescribed treatment program prescribed treatment regimen Psychomotor Retardation Psychotic Thought/Behavior require return or exacerbate Self-Mutilation Severely interferes 61%-90 severity ratings Substance Abuse Suicidal Thought/Behavior Tantrums tasks at work/school terminology therapy Totally interferes 90 treatment goals treatment interventions treatment plan treatment setting Truancy Warning signs

Om forfatteren (1996)

Michael Goodman, M.D., was a clinical psychiatrist in private practice in Beverly Hills and Pasadena, California. Dr. Goodman has 14 years of experience as a physician adviser with the former California Professional Standards Review Organization and its current successor, California Medical Review, Inc.

Janet A. Brown, R.N., C.P.H.Q., is a consultant in quality, utilization, and risk management with psychiatric and medical-surgical, acute and ambulatory health care organizations, all of which are now positioning for managed care. Ms. Brown is the author of The Quality Management Professional's Study Guide, now in its 10th edition, and serves as an instructor for quality management professionals preparing for the certification exam. She has chaired the National Healthcare Quality Educational Foundation and is the 1995--1996 president of the National Association for Healthcare Quality.

Pamela M. Deitz, L.C.S.W., M.F.C.C., is a psychotherapist in private practice. Ms. Deitz has continued to work in both agency and hospital settings. Her role as developer and clinical director of an adolescent treatment program heightened her awareness of and interest in the impact of managed care on all clinical disciplines providing mental health services.

Bibliografiske oplysninger

TitelManaging Managed Care II: A Handbook for Mental Health Professionals
Bind 2 af Managing Managed Care II Series
ForfattereMichael Goodman, Janet Brown, Pamela Deitz
Udgaveillustreret
UdgiverAmerican Psychiatric Pub, 1996
ISBN0880487720, 9780880487726
Længde238 sider
  
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