In the Land of the Lotus Eaters: Letter Across the Pacific

Improving Suicide Risk Assessment in a Managed-Care Environment

This article describes the quality improvement intervention of a managed behavioral healthcare company to improve the quality of suicide risk assessments by its panel of providers. The process they developed is described. The article describes the methods used to encourage clinicians to utilize information from the patient self-report measure as part of the clinical assessment. […]

Physicians’ Perceptions of the Changing Health Care System: Comparisons by Gender and Specialties

This study was designed to investigate physicians’ perception of changes in the US health care system impacting academic medicine, quality of care, patient referrals, cost, ethical & sociopolitical aspects of medicine. 92% believed that learning to work in a managed care environment should be essential in medical education. They perceived current changes to impair their […]

Impact of Generalized Social Anxiety Disorder in Managed Care

The authors determined the costs associated with generalized social anxiety disorder in a managed care-setting. In a community cohort of HMO members, generalized social anxiety disorder was rarely diagnosed (0.5%) or treated despite being highly prevalent (8.2%) & associated with direct & indirect costs, comorbid depression, and impairment. Noncomorbid generalized social anxiety disorder was associated […]

Managed Care, Malpractice, and the Suicidal Client

This presentation discussed the practice of psychology in the age of managed care. The dilemmas which arise from the clinician’s responsibility for patient care vs. clinical decisions being made by third party payors are outlined. Recent court decisions in the United States are mentioned. It is concluded that clinicians need to understand the managed care […]

The Impact of Managed Care on Suicidal Patients

This presentation discussed the impact of managed care on suicidal patients. A survey of 9 of the largest American managed care organizations which asked questions on nine key components of care including treatment guidelines, practice protocols, inpatient treatment, & response to suicide attempts was discussed. Methodological shortcomings of this survey were reviewed. The presentation ended […]

When “Managed Care” Takes Over the Suicide Hotline

In this presentation, the author spoke about the changes that happened when a managed care firm took over the San Diego CRISIS Team. Things that did & did not change in the operation of the crisis hotline were discussed as well as what was expected under managed care & what crisis line services can provide […]