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Journal of Clinical Psychology in Medical Settings

Erschienen in:

01.03.2009

The Financial Dimension of Integrated Behavioral/Primary Care

verfasst von: Nicholas A. Cummings, William T. O’Donohue, Janet L. Cummings

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 1/2009

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Abstract

There are two reasons why mental health, now more appropriately termed behavioral healthcare, is declining: (a) a lack of understanding among psychotherapists of healthcare economics, particularly the intricacies of medical cost offset, and (b) our failure as a profession to see the importance of behavioral interventions as an integral part of the healthcare system inasmuch as the nation pays for healthcare, not psychosocial care. This paper will briefly describe the rapid changes in the economics of healthcare during the past 75 years, including the post World War II enthusiastic espousal of psychotherapy by the American public which was followed by a precipitous decline as our outcomes research in behavioral care remained ignorant of financial outcomes, leaving it to the government and managed care to arbitrarily curtail escalating mental health costs. At the present time psychology is on the cusp of becoming part of the healthcare system through integrated behavioral/primary care, renewing the primacy of financial considerations such as return on investment (ROI) and medical cost offset, as well as an urgency that we avoid the mistakes that are emerging in some flawed implementations of integrated care.

Blount, A. (Ed.). (1997). Integrated primary care: The future of medical and mental health collaboration. New York: Norton.

Cummings, N. A. (1986). The dismantling of our health system: Strategies for the survival of psychological practice. American Psychologist, 41, 426–431.PubMedCrossRef

Cummings, N. A. (2007). Treatment and assessment take place in an economic setting, always. In S. O. Lilienfeld & W. T. O’Donohue (Eds.), The great ideas of clinical science (pp. 163–184). New York: Routledge (Taylor and Francis Group).

Cummings, N. A., Cummings, J. L., & Johnson, J. N. (Eds.). (1997). Behavioral health in primary care: A guide for clinical integration. Madison, CT: Psychosocial Press.

Cummings, N. A., Dorken, H., Pallak, M. S., & Henke, C. J. (1991). The impact of psychological intervention on health care costs and utilization: The Hawaii Medicaid Project. HCFA Contract Report #11-C-983344/9.

Cummings, N. A., & Fernandez, L. (1985). Exciting new opportunities for psychologists in the market place. Independent Practitioner, 5, 38–42.

Cummings, N. A., & Follette, W. T. (1968). Psychiatric services and medical utilization in a prepaid health plan setting: Part 2. Medical Care, 6, 31–41.CrossRef

Cummings, N. A., & O’Donohue, W. T. (2008). Eleven blunders that cripple psychotherapy in America: A remedial unblundering. New York: Routledge (Taylor and Francis Group).

Cummings, N. A., O’Donohue, W. T., & Ferguson, K. E. (Eds.). (2003). Behavioral health in primary care: Beyond efficacy to effectiveness. Cummings Foundation for Behavioral Health: Health utilization and cost series (Vol. 6). Reno, NV: Context Press.

Cummings, N. A., O’Donohue, W. T., & Ferguson, K. E. (Eds.). (2005). Psychological approaches to disease management. Cummings Foundation for Behavioral Health: Healthcare utilization and cost series (Vol. 8). Reno, NV: Context Press.

Cummings, N. A., O’Donohue, W. T., Hayes, S. C., & Follette, V. (Eds.). (2001). Integrated behavioral healthcare: Positioning mental health practice with medical/surgical practice. San Diego: Academic Press.

Cummings, N. A., O’Donohue, W. T., & Naylor, E. V. (2005). Psychological approaches to disease management. Reno, NV: Context Press.

Follette, W. T., & Cummings, N. A. (1967). Psychiatric services and medical utilization in a prepaid health plan setting. Medical Care, 5, 25–35.CrossRef

Fox, R. E. (2004). It’s about money: Protecting and enhancing our incomes. Independent Practitioner, 24, 158–159.

Hildebrand, J. (2008). As quoted in the business of life. Forbes, September 1, p. 120.

Hogan, M. F. (2003). New Freedom Commission Report: The President’s New Freedom Commission—recommendations to transform mental health care in America. Psychiatric Services, 54, 1467–1474.PubMedCrossRef

Jones, K. R., & Vischi, T. R. (1979). The impact of alcohol, drug abuse, and mental health treatment on medical care utilization: A review of the research literature. Medical Care, 17(suppl.), 43−131.

Kroenke, K., & Mangelsdorf, D. (1989). Common symptoms in ambulatory care: Incidence, evaluation, therapy and outcome. The American Journal of Medicine, 86, 262–286.PubMedCrossRef

Laygo, R., O’Donohue, W., Hall, S., Kaplan, A., Wood, R., Cummings, J., et al. (2003). Preliminary results from the Hawaii Integrated Healthcare Project II. In N. A. Cummings, W. T. O’Donohue, & K. E. Ferguson (Eds.) Behavioral health as primary care: Beyond efficacy to effectiveness. Cummings Foundation for Behavioral Health: Healthcare utilization and cost series (Vol. 6, pp. 111–143). Context Press Reno, NV.

Lesse, S. (1985). The future of the health sciences: Anticipating tomorrow. Northvale, NJ: Jason Aronson.

Miller, S. D. (2008). www.BaloneyWatch.com.

Mojtabal, R., & Olfson, M. (2008). National trends in psychotherapy by office-based psychiatrists. Archives of General Psychiatry, 85, 41–49.

O’Donohue, W. T., Byrd, M. R., Cummings, N. A., & Henderson, D. A. (Eds.). (2005). Behavioral integrative care: Treatments that work in the primary care setting. New York: Brunner-Routledge.

O’Donohue, W. T., Cummings, N. A., Cucciare, M. A., Runyan, C. N., & Cummings, J. L. (Eds.). (2005). Integrated behavioral health care: A guide to effective intervention. Amherst, NY: Humanity Books (Prometheus).

O’Donohue, W. S. T., & Fisher, J. E. (Eds.). (2007). Practitioners guide to evidence-based psychotherapy. New York: Springer.

Peek, C. J., & Heinrich, R. L. (1995). Building collaborative healthcare organizations: From idea to innovation. Family Systems Medicine, 13, 327–342.CrossRef

Robinson, P. J., & Reiter, J. T. (2007). Behavioral consultants and primary care: A guide to integrating services. New York: Springer.

Runyan, C. N., Fonseca, V. P., & Hunter, C. (2003). Integrating consultative behavioral healthcare into the Air Force medical system. In N. A. Cummings, W. T. O’Donohue, & K. E. Ferguson (Eds.), Behavioral health in primary care: Beyond efficacy to effectiveness. Cummings Foundation for Behavioral Health: Healthcare utilization and cost series (Vol. 6, pp. 145–163). Reno, NV: Context Press.

U.S. Department of Health and Human Services. (2008). Antipsychotic medications linked to deaths in elderly patients. DHHS News release, August 23, Author.

Wiggins, J. G., & Cummings, N. A. (1998). A national study of the experience of psychologists with psychotropic medication and psychotherapy. Professional Psychology, Research and Practice, 29, 549–552.CrossRef

Wright, R. H., & Cummings, N. A. (Eds.). (2005). Destructive trends in mental health: The well-intentioned path to harm. New York: Routledge (Taylor and Francis Group).

Titel: The Financial Dimension of Integrated Behavioral/Primary Care
verfasst von: Nicholas A. Cummings
William T. O’Donohue
Janet L. Cummings
Publikationsdatum: 01.03.2009
Verlag: Springer US
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 1/2009
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-008-9139-2

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