Implications of Managed Care for Social Work in Psychiatric Hospitals

Effective psychosocial treatments for children: A selected review

“…This is accomplished through a variety of means including the preauthorization of patients for certain services, the precertification for services of a certain length, external review of the quality and outcomes of services, sharing of costs via copayments, length of stay limitations, and aggressive discharge planning (Edinburg & Cottier, 1990). Sometimes the net effect of such efforts is to discourage the seeking of services (with a corresponding savings in cost).…”

Practice Evaluation in the Context of Managed Care: Case-Recording Methods for Quality Assurance Reviews

“…To illustrate the influence of utilization management, preapproval managed care programs increased five-fold during the 1980s (see Patterson, 1990;Tischler, 1990aTischler, , 1990b. For example, at one hospital 28% of the patients were administered under a managed care program in 1987, but by 1989 this figure had jumped to 70% (Edinburgh & Cottler, 1990). According to Dorwart (1990), 3 out of 4 patients will soon have their mental health treatment overseen by managed care, whereas 6 out of 10 persons with insurance will have policies with some form of utilization management (Gabel, Jajich-Toth, de Lissovoy et al, 1988).…”

Eavesdropping on the 50‐minute hour: Managed mental health care and confidentiality

“…The impact of managed care in mental health has increased dramatically over the past few years. The number of patients whose treatment is managed has more than doubled in some settings (e.g., Edinburgh & Cottler, 1990), with the majority of cases subject to utilization review (Tischler, 1990a).…”