Humane Managed Care?

Foreword
Josephine Nieves

Preface
Gerald Schamess and Anita Lightburn
Part One: Policy Issues

* Social Work in a Health and Mental Health Managed Care Environment
Gary Rosenberg
* Corporate Values and Managed Mental Health Care: Who Profits and Who Benefits?
Gerald Schamess
* Mental Health Services for the Future: Managed Care, Unmanaged Care, Mismanaged Care
Jeffrey L. Geller
* Managed Care, Mental Illness, and African Americans: A Prospective Analysis of Managed Care Policy in the United States
King Davis
* Medicaid Managed Care and Urban Poor People: Implications for Social Work
Janet D. Perloff
* Managed Care: Business as Usual
Eva Havas
* Is Managed Care the Way to Go? Deciding Whether to Embark
Suzanne Gelber
* Managed Care Challenges for Children and Family Services
Cindy Brach and Leslie Scallet

Part Two: State Privatization Case Study

* Managing Organizational Change: The Massachusetts Department of Mental Health Experience in Preparing for Managed Care
Eileen Elias and Marc Navon
* Privatization and Mental Health in Massachusetts
Matthew P. Dumont
* Massachusetts State House Oversight Report: Excerpts Regarding Medicaid Implementation
Gerald Schamess and Anita Lightburn
* Mental Health and Substance Abuse Treatment in Managed Care: The Massachusetts Medicaid Experience
James J. Callahan, Donald S. Shepard, Richard H. Beinecke, Mary Jo Larson, and Doreen Cavanaugh
* The Impact of Managed Care on Massachusetts Mental Health and Substance Abuse Providers
Richard H. Beinecke, Maury Goodman, and Amy Lockhart

Part Three: Notes from the Field
A. Agency Perspectives

* The Corporatization of Mental Health Services: The Impact on Service, Training, and Values
Sue Matorin
* Managed Care and the Oppression of Psychiatrically Disturbed Adolescents: A Disturbing Example
Phebe Sessions
* Agency Mission, Social Work Practice, and Professional Training in a Managed Care Environment
Alan B. Siskind
* The Community-Centered Board Model of Managed Care for People with Developmental Disabilities
Stephen R. Hall
* All Managed Care Is Not Equal: The Relationship between Behavioral Cost and Care Management
Alisa Trugerman

B. Practice Perspectives

* Diabetes, Depression, and Despair: Clinical Case Management in a Managed Care Context
Joel Kanter and Madeline Silva
* A Successful Short-Term Treatment Case in Managed Care
Sidney H. Grossberg
* The Development of Self-Love and Managed Care—or, Reflections on Being a Tutor
Susan E. Weimer
* Managed Care as a Transference Object: A Clinical Study
Roberta Myers

C. Clients with Severe and Persistent Mental Illness

* Editor’s Commentary on "Losing Innocents" and "Notes from a Sinking Ship"
Gerald Schamess
* Losing Innocents
Amy Braverman
* Notes from a Sinking Ship
Carol Edelstein

Part Four: Challenges for the Profession

* How Social Workers Can Manage Managed Care
Rita Vandivort-Warren
* Social Work Leadership in Hospitals: Handling Obstacles and Creating Opportunities in a Changing Environment
Terry Mizrahi and Candyce S. Berger
* Confidentiality and Managed Care: Ethical and Legal Concerns
Jeanette R. Davidson and Tim Davidson
* Managed Care: Ethical Considerations
Frederic G. Reamer
* Documentation of Client Dangerousness in a Managed Care Environment
Jay Callahan
* Evolution and Trends in the Relationship between Clinical Social Work Practice and Managed Cost Organizations
Carlton E. Munson
* Our Uncharted Journey: The Clinical Social Work Federation’s Response to Managed Care
Elizabeth V. Phillips
* Psychodynamic Psychotherapy after Managed Care
Joyce Edward

Part Five: New Opportunities

* Primary Care as a Context for Mental Health Practice
Gunnar Almgren
* The Role of Multidisciplinary Community Clinics in Managed Care Systems
Cheryl Resnick and Ellen Gelhaus Tighe
* Social Work Case Management: Challenges for Social Work Education and the Profession
Suzanne Sankar and Deanna Brooks
* The Professional Affiliation Group: A Case Study in Behavioral Health Management
Jay M. Pomerantz, Benjamin Liptzin, Alfred Carter, and Michael S. Perlman
* New Opportunities for Social Work with State Medicaid Managed Care Providers
Darleen M. Vernon

Part Six: Challenges for Professional Education

* Managed Health Care: Forcing Social Work to Make Choices and Changes
King Davis
* Educating Students for Social Work in Health Care Today
Kay Davidson
* Postmodern Approaches: Education for a Managed Care Environment
Patricia Kelley
* Fieldwork Crisis: Dilemmas, Dangers, and Opportunities
Susan Donner
* The Impact of Managed Health Care Policy on Student Field Training
Deanna Brooks and Priscilla Riley
* Managed Care and Merger Mania: Strategies for Preserving Clinical Social Work Education
Joshua Miller

Part Seven: Research

* Trends in the Evaluation of Managed Mental Health Care
H. Stephen Leff and Lawrence S. Woocher
* Research Needs in Managed Behavioral Health Care
Nancy W. Veeder and Wilma Peebles-Wilkins

Epilogue: Inhumane versus Humane Managed Care
Albert R. Roberts

Index

About the Editors

About the Contributors