Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Managing Managed Care
Am J Psychiatry 1999;156:148-148.
View Author and Article Information
Cambridge, Mass.

by Michael C. Roberts, and Linda K. Hurley. New York, Plenum, 1997, 191 pp., $37.50; $21.50 (paper).

text A A A

The authors of this useful volume state on page viii that their purposes are to

1. Inform the clinician (especially the clinical child/pediatric psychologist) about the managed care system: what types of managed care systems exist, how they work, and what the advantages and pitfalls of working within these systems are.

2. Assist the clinician in providing quality and effective services to children and their families within the managed care system.

3. Help the clinician understand how to work within the managed care system without being significantly harmed financially, legally, or professionally.

4. Help the clinician identify other ways of practicing without entering the managed care system or of restricting the percentage of their practice that is based on managed care.

5. Provide information for trainers and students about the managed care environment with special applications to the issues of children, adolescents, and families.

In seven chapters, they generally accomplish their goals. The first chapter, "Basics of Managed Care in Psychological Services for Children and Families," is a useful introduction for clinicians. The second chapter, "Problems Posed by Managed Care for Services to Children and Families," defines the substantial control that managed care exercises over the quality of care experienced by patients. Chapter 3, "Legal and Ethical Issues for the Clinician in Managed Care," is only partially successful. The section on conflicts of interest is far too brief, but perhaps this topic might be a separate book in itself. Dealing with the need for clinicians to know themselves or to have training in organizational countertransference might also require another work.

Chapter 4, "Adapting to the Managed Care Environment," is an introduction to the authors’ clinical practice methods. It could have been far more informative if these clinicians had explored the limitations of their practice. This is to some extent what chapter 5, "Limiting Negative Impact of Managed Care on a Clinical Child/Pediatric Psychology Practice," attempts to do. "Practicing Outside Managed Care," chapter 6, is an excellent how-to chapter—itself well worth the time it takes to read the book as a whole. Chapter 7, "Scientific Bases for Clinical Practice in Managed Care," can best be understood by keeping in mind that outcome studies in medicine and mental health are still in their measurement infancy. For example, how to measure "autonomy" or "authenticity" and what "consumer satisfaction" means are among the questions that need to be addressed by outcome measurement.

Despite the above questions, I recommend this book as an important introduction to managing mental health managed care. The authors ought to be commended for their pioneering effort. I look forward to the next edition as well.




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Related Content
Manual of Clinical Psychopharmacology, 7th Edition > Chapter 1.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 64.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 31.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 61.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 19.  >
Topic Collections
Psychiatric News
PubMed Articles