Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

This book presents Campinha-Bacote's model of cultural competence for the delivery of culturally resposive healthcare services. Specifically, it describes the model's constructs of cultural awareness, cultural knowledge, cultural skill, cultural encounters & cultural desire. It also presents an instrument, based on this model, to measure the level of cultural competence among healthcare professionals.

This is definitely a book whose time has come. One of the brilliant aspects of the EMDR therapy approach is that it makes it clinically possible to cut through social issues, and yet maintain its cultural consonance. From multiple contributions around the world, each chapter brings significant insights into how EMDR therapy can be culturally attuned and yet efficacious in preserving the individuality of each client. Highly recommended for those therapists who work in multi-cultural settings. -Esly Regina Carvalho, Ph.D., Trainer of Trainers, EMDR Institute/EMDR Iberoam rica and President TraumaClinic do Brasil/TraumaClinic Edições, Brasilia, Brazil. Underscoring the importance of cultural competence, this groundbreaking book focuses on using EMDR therapy with specific populations, particularly those groups typically stigmatized, oppressed, or otherwise marginalized in society. Drawing on social psychology research and theory as well as social justice and social work principles, it delivers general protocols for EMDR intervention for recovery from the internalized effects of cultural mistreatment. Employing best-practice methods for cultural competence as EMDR therapy is introduced to new cultures worldwide, the editor and esteemed EMDR clinician-authors relay their experiences, insights, guidance, and lessons learned through trial and error while adapting EMDR interventions for cross-cultural competency and therapeutic effectiveness The text defines cultural competence and validates the need for a multi-culturally aware approach to psychotherapy that embraces authentic socialidentities and attends to the impact of socially based trauma. Chapters address using EMDR therapy to heal the trans-generational impact of Anti-Semitism,working with the LGBT population, treating an immigrant woman suffering from social anxiety, healing individuals with intellectual disabilities, thetraumatizing effects of racial prejudice, harmful cultural messages about physical appearance, EMDR therapy attuned to specific cultural populations andsocially based identities, and many other scenarios. The text is replete with step-by-step treatment guidelines to help clients recover from traumatic lifeevents, dos and don‚Äôts, and common adaptive and maladaptive cultural beliefs. Key Features: Defines cultural competence and validates the need for a multi-culturally aware approach to psychotherapy Offers innovative protocols and strategies for treating socially based trauma within the EMDR model Presents best practice methods for cultural competence Includes step-by-step treatment guidelines and dos and don'ts Written by highly esteemed EMDR clinician-authors

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.