Reforming Managed Care Certification of Mental Health Services

2005 ◽  
Vol 6 (2) ◽  
pp. 73-79
Author(s):  
Madeleine Y. Gomez ◽  
Mitch Hall

This article examines the issues associated with the current managed care delivery system for certification of mental health services, including pain management. Inconsistencies in dispositions having impacts upon patient care appear to be inherent in the current peer review certification system. Issues related to public assistance clients will be given particular attention. After introducing the issues, this article reviews the literature to survey what facets have been the subjects of academic research and reflection. It then presents case examples of inconsistencies, followed by recommendations for a model with checks and balances. In conclusion, creation of an independent monitor group is recommended.

2016 ◽  
Vol 13 (4) ◽  
pp. 84-86 ◽  
Author(s):  
P. Hughes ◽  
Z. Hijazi ◽  
K. Saeed

The conflict in Syria has led to an unprecedented humanitarian crisis that extends across multiple countries in the area. Mental health services were undeveloped before and now face huge strain and unmet need. The World Health Organization and others have developed a programme to build capacity in the delivery of mental health services in an integrated healthcare package to refugees and displaced people. The tool used for this is the mhGAP Intervention Guide and complementary materials. In this paper we refer to training in Turkey, Iraq and Syria where health professionals were trained to roll out this community-based integrated approach through primary healthcare. We describe field case examples that show the complexity of situations that face refugees, displaced people and those caught in active conflict. Training improved the knowledge and skills for managing mental health disorders in primary healthcare. Further work needs to be done to demonstrate greater access to and utilisation of services, client outcomes and organisational change with this approach.


Author(s):  
Maryann Waugh ◽  
Matthew Mishkind ◽  
Jay H. Shore

Telemental health is a term for health care that leverages audio and video telecommunications technologies such as video-teleconferencing, computers, mobile devices, the Internet, telephones, and broadband connectivity to provide mental health services across time and physical distance. Telemental health has the capacity to make a significant and positive impact on public mental health by its ability to not only increase access to care, but also more effectively tailor mental health services to individual or community-wide healthcare needs. This chapter describes ways that telemental health is currently being used to impact mental health promotion, prevention, and treatment, summarizes the evidence base for these applications, and highlights some practical considerations for providers and systems implementing this newer virtual care delivery system.


2000 ◽  
Vol 51 (5) ◽  
pp. 664-666 ◽  
Author(s):  
Ellen Weissman ◽  
Karen Pettigrew ◽  
Stuart Sotsky ◽  
Darrel A. Regier

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