Looks at the issues facing mental health professionals in regards to managed care health networks.

This volume explores policy, programmatic, and research issues in the health and behavioural health care system known as managed care. Discussions include such areas as the evolution of health care from essential social good to a commodity, cost of and access to care, parity of behavioural health services reimbursement and more.

This text aims to provide answer to questions such as what happens when you get dropped from a managed care panel? How do you get paid? Why can't you get on a managed care panel? This book is an extended question and answer session where issues are tackled from the providers perspective.; Armed with the resources, examples and explanations provided in this book, clinicians will be positioned to make the decisions that contribute to success under managed care.

First Published in 1997. Routledge is an imprint of Taylor & Francis, an informa company.

A unique series of cases based on a fictional family selecting and using a health plan is presented and a glossary is provided which defines basic concepts frequently encountered in the managed care field.

Case managers provide an indispensable service, acting as both experts and liaisons to the wide variety of services, resources, and opportunities available to their clients. The authors use their extensive practice, classroom, and research experience to delineate clearly the steps of the case management process and to address the myriad roles case managers fill in different practice situations. By detailing the various processes and goals of case management and the different populations they help, the authors present a resource that is invaluable not only to social workers, but also to case managers in nursing centers, community mental health facilities, and criminal justice centers. The third edition of this book is updated to reflect the constantly changing nature of the helping professions. New and updated references provide readers with an array of options for pursuing specific aspects of case management. The book is attentive to the evolving needs of a variety of populations, and it now contains a new section on working with members of the military and their families. This edition also contains new information on case management within larger organizations that provide mental health services.

In Health Care Policy and Practice: A Biopsychosocial Perspective, Moniz and Gorin have updated their text to incorporate health care reform. The authors have also restructured the book to guide students through the development of the American health care system: what it is, what the policies are, and how students can influence them. The first section focuses on recent history and reforms during the Obama Administration to describe the health care system; section two examines the system’s structure and policies; and the third section explores policy analysis and advocacy, and disparities in health based on demographics and inequities in access to care. It concludes with a discussion of the impact of social factors on health and health status. The new edition incorporates the CSWE EPAS competencies; it is for social work courses in health care, health care policy, and health and mental health care policy.