The Psychiatric, Alcohol, and Drug Algorithm: A Decision Model for the Nurse Reviewer

Grossman, Joel I.

doi:10.1016/s0097-5990(16)30151-8

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…The use of psychoactive agents to treat insomnia, anxiety, depression, pain, hyperactivity, psychosomatic conditions, substance abuse, and so forth has further augmented the role of primary medicine in the behavioral arena. Modern-day nurses are increasingly responsible for treatment (Grossman, 1987).…”

Section: The Proliferation Of Professional Differentiationmentioning

confidence: 99%

Psychopharmacology: The need for psychopharmacological collaboration in managed mental health care.

Kisch¹

1991

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

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The SettingCommunity Health Care Plan (CHCP) is a staff model health maintenance organization (HMO) located in the greater New Haven area. Founded in 1972 by Dr. Isadore Falk through the American Federation of Labor and Congress of Industrial Organizations (AFL-CIO), there are currently approximately 68,000 members over a number of satellite centers. Mental health services are delivered by a multidisciplinary staff headed by the Chief of Mental Health Services, a psychologist. The mental health benefit includes up to 25 fully covered outpatient therapy sessions with no copayment (with a $2,000 limit) and up to 60 inpatient psychiatric hospitalization days and 45 substance abuse treatment days.Rapid and far-reaching changes in the field of mental health are necessitating collaborative relationships between physicians and other healthcare professionals. Three forces in particular are fostering the need to develop a model of "collaborative psychopharmaco1ogy"-advances in the use and effectiveness of psychoactive medications, the proliferation and differentiation of mental health care professionals, and the rise of alternative forms of health care delivery.

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Section: The Proliferation Of Professional Differentiationmentioning

confidence: 99%

Psychopharmacology: The need for psychopharmacological collaboration in managed mental health care.

Kisch¹

1991

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

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“…Several authors have argued that it may not be possible to develop valid utilization management criteria for psychiatry, given the uncertainties regarding many di-agnostic and treatment issues (7,10,14). Despite the crucial and controversial role of psychiatric utilization management criteria, their validity has received little scientific attention.…”

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confidence: 99%

Validity of utilization management criteria for psychiatry

1997

AJP

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Psychometric properties of a decision-support tool for the era of managed care

Glazer

Gray²

1996

The Journal of Mental Health Administration

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This article reports psychometric properties of a decision-support scale designed to quantify the decision-making process for allocating psychiatric care. The authors developed a scale to evaluate the level of care needed for patients requiring psychiatric treatment in a health maintenance organization (HMO) setting. This study examines the reliability and validity of that scale by measuring interrater agreement among utilization reviewers from the HMO and between those reviewers and the clinicians who evaluated the patients directly. Agreement (kappa) among the five clinical raters acting in a utilization review capacity on dimensions of the scale ranged from .71 to .98. Kappas for agreement between the treatment intensity proposed by the reviewer/rater and used by the treating clinician were .41, .38, .40, .35, .36, and .39, respectively. The scale is reliable in the hands of trained personnel. Although there were important differences between clinicians' ratings and those of utilization review raters, these differences do not suggest that use of the scale would limit patient access to care.

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The Psychiatric, Alcohol, and Drug Algorithm: A Decision Model for the Nurse Reviewer

Cited by 5 publications

References 11 publications

Psychopharmacology: The need for psychopharmacological collaboration in managed mental health care.

Psychopharmacology: The need for psychopharmacological collaboration in managed mental health care.

Validity of utilization management criteria for psychiatry

Psychometric properties of a decision-support tool for the era of managed care

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