The evolution of health care: Implications for the training and careers of psychologists.

Broskowski, Anthony

doi:10.1037/0735-7028.26.2.156

Cited by 40 publications

(42 citation statements)

References 11 publications

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“…Many populations do not have the personal or community resources to access (and/or follow through with) treatment approaches that do not include factors requiring greater medical and mental health utilization, i.e., psychosocial issues, mental health and health comorbidities, low-income and cultural issues. However, students were not aware that pressures to contain costs may promote practices that ration care (Broskowski, 1995). Concerns related to rationing care include patient being denied specialist care, reduction in services, disproportionate services among different MCOs (e.g., one plan allows for bone marrow transplants, another does not), and denial of heroic interventions that may extend life.…”

Section: Journal Of Teaching In Social Workmentioning

confidence: 96%

Preparing Students for Practice in a Managed Care Environment

Claiborne

Fortune

2005

Journal of Teaching in Social Work

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Section: Journal Of Teaching In Social Workmentioning

confidence: 96%

Preparing Students for Practice in a Managed Care Environment

Claiborne

Fortune

2005

Journal of Teaching in Social Work

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“…The topics listed in this section have received relatively sophisticated treatments within the professional mental health and psychological literature. The integration of behavioral health care and medicine has long been an area of psychological expertise—falling under the rubric of “health psychology” (Belar, 1995; Broskowski, 1995; Growth‐Mamat & Edkins, 1996; Johnston et al, 1995; Resnick & Rozensky, 1996) or “behavioral medicine” (Trout, 1996). The medical cost offset effect has been championed by behavioral health advocates as a way of demonstrating the usefulness of psychological interventions in controlling medical costs by reduction of unnecessary medical treatments and enhancement of medical outcomes.…”

Section: Professional and Industry Trendsmentioning

confidence: 99%

Managed behavioral health care: Current status, recent trends, and the role of psychology.

Bobbitt

Marques

Trout

1998

Clinical Psychology: Science and Practice

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Managed behavioral health care is a rapidly growing field that is becoming more complex, resulting in a blum'ng of traditional distinctions between different sectors of the industry. Practice guidelines and outcome research will become critical elements of future managed care approaches, and these elements will be pamt of an overall focus on improvement in the quality of care. Here a model of quality improvement that emphasizes differing levels of organization is proposed, and the role of psychology in the emerging health care system is discussed. The field of psychology has not ascended to a leadership role in the evolving health care system. Suggestions are made to move the field of psychology to assume a more significant role in the managed care system. Key words: managed health care, managed behavioral health care, industry and clinical trends in managed behavioral health care, quality improvement, prychology. [Clin Psycho1 Sci Prac 553-66, 79981Managed behavioral health care is a significant aspect of the evolving system of health care delivery in the United States-managed care. It is difficult to think of a phrase that evokes more varied responses within the health care community than the phrase "managed care." The phrase means different things to different people and unfortunately has taken on an emotive connotation. Despite the differing responses to managed care, the fact remains that the current health care system is becoming, and soon will be completely, organized around managed care principles. Managed behavioral health care will be the dominant organization of the delivery of mental health and substance abuse services by the turn of the century. In this article, we describe the series of activities, structures, and business arrangements that are now known as "managed behavioral health care."The general goal of this article is to provide a backdrop and context in which to read the articles on specific topics that follow. The articles included in this section are an important but small subset of many areas that need to be explored in depth to arrive at an understanding ofthe relationship between health care organizations and the delivery of behavioral health care services. This article is organized into four major sections, each ofwhich identifies key issues within the industry. In the first, we define and &scuss the core structural features of managed behavioral health care. All too ofien, managed care is viewed from a narrow or singular perspective. We attempt to identify the range of activities and processes that are identified with managed care. Second, we provide our own comments on emerging industry trends-both business and clinical. As we will show, there are no shortages of prognostications on this topic; however, we enter the foray and offer our own suggestions in this area. In the third section, we elaborate on one of the trends in our business-the focus on quality management and quality improvement. We provide a fiamework designed to understand quality management and quality improvement that...

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“…Social work education must teach a new array of skills that will enable social workers to practice in a variety of organizational teams, community coalitions and groups. And they will need training in innovative social work intervention strategies, such as short-term intensive therapies for counseling and support of older patients and significant others who are emotionally distraught-for example, as a result of diagnosis or bereavement (Williams, Warrick, Christianson & Netting, 1993;Devito & Hudson, 1994;Bagarozzi, 1995;Brayman, 1996;Broskowski, 1995;Terry, 1996).…”

Section: Introductionmentioning

confidence: 98%

Social Work Gerontological Practice: The Need for Faculty Development in the New Millennium

Berkman

Silverstone

Simmons

et al. 2016

Journal of Gerontological Social Work

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There is a pressing need to upgrade the gerontological knowledge and skills of practicing social workers. Geriatrics and gerontology, as specialized fields of knowledge, have not been sufficiently integrated into formal academic training programs. There are major trends in the health care environment which impact on social work education, including technological advances, a shift from inpatient to outpatient and community care settings, increasing diversity of the older population, and client and family participation in decisionmaking. These trends necessitate social work education to emphasize new content areas in gerontology and the development of new skills in clinical, case management, care coordination, and teamwork. A significant obstacle to the preparation of future social workers to deliver the complex services needed by older adults and their families is a serious shortage of social work faculty in gerontology. Sustained and broad initiatives, such as the John A. Hartford Foundation funded Geriatric Social Work Faculty Scholars Program, are needed to develop academic and practice-based faculty in gerontology. This is crucial if social work is to maintain an important service role in the new millennium.

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The evolution of health care: Implications for the training and careers of psychologists.

Abstract: This 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.

Cited by 40 publications

References 11 publications

Preparing Students for Practice in a Managed Care Environment

Preparing Students for Practice in a Managed Care Environment

Managed behavioral health care: Current status, recent trends, and the role of psychology.

Social Work Gerontological Practice: The Need for Faculty Development in the New Millennium

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