Healthcare economics is a topic of increasing importance due to the substantial changes that are expected to radically alter the way Americans obtain and finance healthcare. Understanding Healthcare Economics, 2nd Edition provides an evidence-based framework to help practitioners comprehend the changes already underway in our nation's healthcare system. It presents important economic facts and explains the economic concepts needed to understand the implications of these facts. It also summarizes the results of recent empirical studies on access, cost, and quality problems in today's healthcare system. The material is presented in two sections. Section 1 focuses on the healthcare access, cost and quality issues that create pressures for change in health policy. The first edition was completed just as the Patient Protection and Affordable Care Act (PPACA) was debated and passed. This new edition updates the information about access, cost, and quality issues. It also discusses the pressure for change that led to the passage of the PPACA, evidence that shaped the construction of the act, evidence on the impacts of the PPACA, and evidence on the pressures for future changes. Section 2 focuses on changes that are underway including: changes in the Medicare payment system; new types of healthcare delivery organizations such as ACOs and patient-centered medical homes. It also discusses the current efforts to help patients build health such as wellness programs and disease management programs. And finally, health information technology will be discussed. The new edition will maintain the current structure; however each chapter will be updated to discuss post-PPACA evidence on each type of type. In addition to the updates previously mentioned, the authors will present a series of data explorations to several chapters. Most of the new data explorations present summarized statistical information based on de-identified data from one hospital electronic data system. These data explorations serve two purposes. First, they illustrate the impacts of the pressures for change - and some of the changes - on healthcare providers. For example, the data illustrates the financial impact of pre-PPACA uncompensated care. Second, explanation of the data will require explanations of standard coding systems that are used nationwide (DRGs, CPT, ICD) codes. Other data explorations provide detail about other sources of data useful for health policy analysis, and for healthcare providers and insurers.

This handbook is a comprehensive, authoritative and up-to-date source on prevention technologies specifically for integrated care settings. It covers general issues related to prevention including the practical issues of financing, and staffing, and a general introduction to the advantages of prevention efforts. It covers a range of behavioral health disorders using an approach that is most relevant to the practitioner: it provides basic definitions, and describes the specific roles of both the primary care provider (PCP) and the behavioral care provider (BCP) as well as specific resources presented in a stepped care model. Stepped care has been used sucessfully in medical settings. Adapted to behavioral health settings, It allows the clinician and the patient to choose treatments that are tailored to specific levels of intensity. This handbook is an interdisciplinary resource useful for classes in integrated care as well as for clinicians employed in in these settings.

This book addresses the ways in which clinical psychologists ought to conceptualize and respond to the prejudice and oppression that their clients experience. Thus, the link between prejudice and oppression to psychopathology is explored. Basic scientific information about prejudice is reviewed, and the current status of the major minority groups is explored. Chapters examine the role of prejudice and oppression in institutional structures such as the Diagnostic and Statistical Manual of Mental Disorders and professional organizations. The discussion addresses ways to assess these phenomena in individual cases and how to intervene in psychotherapy. The book ventures to evaluate the status of the profession of psychology with respect to prejudice, stigmatization, and oppression by critically examining evidence that the profession has responded adequately to these social problems. These issues are hard to talk about and are not well talked about in the field. This book is a push in the right direction.

This practice-building resource examines the psychology behind non-adherence and the importance of building commitment to treatment as the foundation of successful therapy. Coverage starts by illustrating the complex phenomena of non-adherence at different stages of intervention-including mechanisms and situations that may prevent even initial engagement. From there, experts from diverse specialties offer interest-promoting strategies tailored to specific conditions (diabetes, anxiety, depression) and populations (children, dually diagnosed patients), informed by the current knowledge base on treatment effectiveness and recent technological advances. And the editors make patient-centered recommendations for the health and mental health professions to make therapy more accessible and open. Among the topics covered: * Meeting patients where they are: using a stage approach to facilitate engagement. * & nbsp; Use of mindfulness in promoting treatment engagement. * DBT and treatment engagement in the context of highly suicidal complex clients. * Behavioral Problems in children: ADHD and ODD. * Engagement of patients in the self-management of pain. * Engaging trauma survivors in treatment. A breakthrough in the behavioral health delivery services literature, Practical Strategies and Tools to Promote Tre atment Engagement offers real-world tools, guidelines, and expertise to health psychologists, primary care physicians and nurses, clinical psychologists, and clinical social workers. It is a vivid reminder that patients need not only what's good for them, but also what works for them.

This timely volume examines the potential of integrated care in providing effective, accessible behavioral healthcare for Latino clients. The integrated care model is discussed in practical terms, with guidelines for the addressing the needs of Latinos in a coordinated, patient-focused setting. Specific points of attention include common behavioral and medical/mental health conditions (e.g., depression, chronic pain, tobacco use), special considerations in working with Puerto Rican and Cuban clients, and recommendations for working with children. These important issues are considered against the backdrop of opportunities and challenges inherent in integrated care and its implementation, in addition to the relevance of evidence-based interventions for this large and diverse population. Among the topics covered: Latino trends and health policy: from walking on eggshells to commitment Integrated health care for Latino immigrants and refugees: what do they need? Using a translator in integrated care settings Enhancing and improving treatment engagement with Hispanic patients Integrated depression care among Latinos Chronic disease management and integrated care among Hispanic populations Health psychologists, social workers, family physicians, and clinical psychologists will find Enhancing Behavioral Health in Latino Populations an important resource for their professional development, as well as part of the ongoing movement toward reduced disparities and more inclusive and culturally attuned care.

This innovative volume presents a cogent case for quality improvement (QI) in behavioral healthcare as ethical practice, solid science, and good business. Divided between foundational concepts, key QI tools and methods, and emerging applications, it offers guidelines for raising care standards while addressing ongoing issues of treatment validity, staffing and training, costs and funding, and integration with medical systems. Expert contributors review the implications and potential of QI in diverse areas such as treatment of entrenched mental disorders, in correctional facilities, and within the professional context of the American Psychological Association. The insights, examples, and strategies featured will increase in value as behavioral health becomes more prominent in integrated care and vital to large-scale health goals. Included in the coverage: Behavioral health conditions: direct treatment costs and indirect social costs.< Quality improvement and clinical psychological science. * Process mapping to improve quality in behavioral health service delivery. * Checklists for quality improvement and evaluation in behavioral health. * Creating a quality improvement system for an integrated care program: the why, what, and how to measure. * Feedback Informed Treatment (FIT): improving the outcome of psychotherapy one person at a time. Quality Improvement i n Behavioral Healthcare gives health psychologists, public health professionals, and health administrators a real-world framework for maintaining quality services in a rapidly evolving health landscape.

This rigorous survey offers a comprehensive rethinking of the assessment and treatment of sexual offenders for a bold challenge to practitioners. It critiques what we understand about offenders and the mechanisms of offending behaviors, and examines how this knowledge can best be used to reduce offending and relapses. To this end, experts weigh the efficacy of common assessment methods and interventions, the value of prevention programs, and the validity of the DSM's classifications of paraphilias. This strengths/weaknesses approach gives professional readers a guide to the current state as well as the future of research, practice, and policy affecting this complex and controversial field. Included in the coverage: Strengths of actuarial risk assessment. Risk formulation: the new frontier in risk assessment and management. Dynamic risk factors and offender rehabilitation: a comparison of the Good Lives Model and the Risk-Need-Responsivity Model. The best intentions: flaws in sexually violent predator laws. Desistance from crime: toward an integrated conceptualization for intervention. From a victim/offender duality to a public health perspective. A call to clear thought and accurate action, Treatment of Sex Offenders will generate discussion and interest among forensic psychologists, psychiatrists, clinical psychologists, and social workers.

This timely volume examines the potential of integrated care in providing effective, accessible behavioral healthcare for Latino clients. The integrated care model is discussed in practical terms, with guidelines for the addressing the needs of Latinos in a coordinated, patient-focused setting. Specific points of attention include common behavioral and medical/mental health conditions (e.g., depression, chronic pain, tobacco use), special considerations in working with Puerto Rican and Cuban clients, and recommendations for working with children. These important issues are considered against the backdrop of opportunities and challenges inherent in integrated care and its implementation, in addition to the relevance of evidence-based interventions for this large and diverse population. Among the topics covered: Latino trends and health policy: from walking on eggshells to commitment Integrated health care for Latino immigrants and refugees: what do they need? Using a translator in integrated care settings Enhancing and improving treatment engagement with Hispanic patients Integrated depression care among Latinos Chronic disease management and integrated care among Hispanic populations Health psychologists, social workers, family physicians, and clinical psychologists will find Enhancing Behavioral Health in Latino Populations an important resource for their professional development, as well as part of the ongoing movement toward reduced disparities and more inclusive and culturally attuned care.

This timely analysis spotlights the concepts and possibilities of the Patient-Centered Medical Home for bringing mental health and other specialties into primary care. Overview chapters present the Patient-Centered Medical Home model, emphasizing how such systems are organized to solve widespread problems with accessibility, affordability, efficiency, and safety. Practitioner roles, boundaries, and opportunities plus applications are clarified, as well as staffing, financial, and technological challenges. And the section on applications describe care models for special populations, such as comprehensive services to the seriously mentally ill and behavioral services to patients with chronic health conditions. Included in the coverage: Integrated care and specialty behavioral health care in the patient-centered medical home. Training the behavioral health workforce for the patient-centered medical home. The importance of stepped care protocols for the redesign of behavioral health care in patient-centered medical homes. Depression management in the medical home. Treating obesity in a primary care setting. Integrating behavioral health in the pediatric medical home. For health and clinical psychologists, primary care and family physicians, and public health professionals, Integrated Primary and Behavioral Care represents the potential for an exciting new frontier in primary care reform.

This rigorous survey offers a comprehensive rethinking of the assessment and treatment of sexual offenders for a bold challenge to practitioners. It critiques what we understand about offenders and the mechanisms of offending behaviors, and examines how this knowledge can best be used to reduce offending and relapses. To this end, experts weigh the efficacy of common assessment methods and interventions, the value of prevention programs, and the validity of the DSM's classifications of paraphilias. This strengths/weaknesses approach gives professional readers a guide to the current state as well as the future of research, practice, and policy affecting this complex and controversial field. Included in the coverage: Strengths of actuarial risk assessment. Risk formulation: the new frontier in risk assessment and management. Dynamic risk factors and offender rehabilitation: a comparison of the Good Lives Model and the Risk-Need-Responsivity Model. The best intentions: flaws in sexually violent predator laws. Desistance from crime: toward an integrated conceptualization for intervention. From a victim/offender duality to a public health perspective. A call to clear thought and accurate action, Treatment of Sex Offenders will generate discussion and interest among forensic psychologists, psychiatrists, clinical psychologists, and social workers.

This timely analysis spotlights the concepts and possibilities of the Patient-Centered Medical Home for bringing mental health and other specialties into primary care. Overview chapters present the Patient-Centered Medical Home model, emphasizing how such systems are organized to solve widespread problems with accessibility, affordability, efficiency, and safety. Practitioner roles, boundaries, and opportunities plus applications are clarified, as well as staffing, financial, and technological challenges. And the section on applications describe care models for special populations, such as comprehensive services to the seriously mentally ill and behavioral services to patients with chronic health conditions. Included in the coverage: Integrated care and specialty behavioral health care in the patient-centered medical home. Training the behavioral health workforce for the patient-centered medical home. The importance of stepped care protocols for the redesign of behavioral health care in patient-centered medical homes. Depression management in the medical home. Treating obesity in a primary care setting. Integrating behavioral health in the pediatric medical home. For health and clinical psychologists, primary care and family physicians, and public health professionals, Integrated Primary and Behavioral Care represents the potential for an exciting new frontier in primary care reform.

The motivation for this volume is simple. For a variety of reasons, clinical psychologists have long shown considerable interest in the philosophy of science. When logical positivism gained currency in the 1930s, psychologists were among the most avid readers of what these philosophers had to say about science. Part of the critique of Skinner's radical behaviorism and thus behavior therapy was that it relied on, and thus was logically dependent on, the truth of logical positivism-a claim decisively refuted both historically and logically by L.D. Smith (1986) in his important Behaviorism and Logical Positivism: A Reassessment of the Alliance.

Stepped care provides the least intrusive intervention to individuals seeking treatment by providing a range of treatment intensities. In the past two decades, computers and the internet have provided a new and efficient medium that lends well to adding steps in a stepped-care model. While there is ample evidence to support the positive effects of bibliotherapy or self-help books, computer-aided therapy (also known as e-health) has the potential to take these effects even further. This volume will be of interest to practitioners and organizations attempting to serve rural and underserved communities. The book focuses on evidence-based treatment, making it consistent with quality improvement initiatives.

The motivation for this volume is simple. For a variety of reasons, clinical psychologists have long shown considerable interest in the philosophy of science. When logical positivism gained currency in the 1930s, psychologists were among the most avid readers of what these philosophers had to say about science. Part of the critique of Skinner s radical behaviorism and thus behavior therapy was that it relied on, and thus was logically dependent on, the truth of logical positivism a claim decisively refuted both historically and logically by L.D. Smith (1986) in his important Behaviorism and Logical Positivism: A Reassessment of the Alliance. "

This bookresolves a key problem that all evaluators need to attend to:, i.e., what constructs ought to be measured?, all the while giving them practical ways of doing this. It also presents data showing family court judges like the model, and it does this fairly briefly but in a way that is nicely embedded in the research literature."

This book is to help clinical psychologists, clinical social workers, psychiatrists and counselors achieve the maximum in service to their clients.

Designed to bring ready answers from scientific data to real life practice, The guide is an accessible, authoritative reference for today 's clinician. There are solid guidelines for what to rule out, what works, what doesn t work and what can be improved for a wide range of mental health problems. It is organized alphabetically for quick reference and distills vast amounts of proven knowledge and strategies into a user friendly, hands-on reference.

Stepped care provides the least intrusive intervention to individuals seeking treatment by providing a range of treatment intensities. In the past two decades, computers and the internet have provided a new and efficient medium that lends well to adding steps in a stepped-care model. While there is ample evidence to support the positive effects of bibliotherapy or self-help books, computer-aided therapy (also known as e-health) has the potential to take these effects even further. This volume will be of interest to practitioners and organizations attempting to serve rural and underserved communities. The book focuses on evidence-based treatment, making it consistent with quality improvement initiatives.

Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: 1) produce healthier patients; 2) produce medical savings; 3) produce higher patient satisfaction; 4) leverage the primary care physician s time so that they can be more productive; and 5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.

Yet there are few resources to assist all those that are interested in moving toward integrated care. This has been a major impediment to more widespread adoption of integrated care. The two co-editors of this proposed volume have produced some of the key books in this area: Dr. James (along with co-editor Ray Folen) has recently produced The Primary Care Consultant which is a good resource that helps define the unfortunately usually misunderstood and neglected consultation liaison function of the integrated care behavioral provider. Dr. O Donohue has co-written a book A Primer of Integrative Behavioral Care (Prometheus Press, in press) that is designed to serve as a general introduction to integrated case; as well as co-edited some more specific titles on medical cost offset, integrated care and substance abuse, and Behavioral Integrative Care (2005, Brunner Routledge). Please see our enclosed vitas for more information.

What these books fail to do is to provide very concrete practice guidelines and other associated practical tools for the practicing integrative care behavioral health professional. This book is designed to fill this important gap. All chapters will be designed to provide useful materials to understand this quite different mode of practice. None of the chapters will be academically oriented, although all information will be evidenced based. As such it will reach a wide audience and have no direct competitors. We believe because of the editors profile in this area, the excellent reputations of the chapter authors, and the practicality of this book it will sell very well."

In our time, sexual harassment has been revealed as a pervasive problem with far-reaching management, legal, and personal implications. While treatment is often mandated through the courts, arbitration, or employers, Relapse Prevention for Sexual Harassers is the first volume specifically devoted to describing effective interventions. Theoretically and empirically based, this clinical manual conceptualizes sexual harassment as a form of sexual abuse, and presents a treatment program based on the tested principles of relapse prevention. Using a stepped care approach, it describes how misinformation about sexual harassment impacts the harasser, and describes how to work with cognitive distortions, seeming irrelevant decisions, high-risk situations and lifestyle balance and myth acceptance and details specific interventions for these problems.
Geared for the mental health clinician, and a useful resource for the human resources professional, this manual emphasizes skills and techniques as well as providing abundant examples from case transcripts. The interventions it presents can be also be applied to a range of psychological problems.

Healthcare economics is a topic of increasing importance due to the substantial changes that are expected to radically alter the way Americans obtain and finance healthcare. Understanding Healthcare Economics, 2nd Edition provides an evidence-based framework to help practitioners comprehend the changes already underway in our nation's healthcare system. It presents important economic facts and explains the economic concepts needed to understand the implications of these facts. It also summarizes the results of recent empirical studies on access, cost, and quality problems in today's healthcare system. The material is presented in two sections. Section 1 focuses on the healthcare access, cost and quality issues that create pressures for change in health policy. The first edition was completed just as the Patient Protection and Affordable Care Act (PPACA) was debated and passed. This new edition updates the information about access, cost, and quality issues. It also discusses the pressure for change that led to the passage of the PPACA, evidence that shaped the construction of the act, evidence on the impacts of the PPACA, and evidence on the pressures for future changes. Section 2 focuses on changes that are underway including: changes in the Medicare payment system; new types of healthcare delivery organizations such as ACOs and patient-centered medical homes. It also discusses the current efforts to help patients build health such as wellness programs and disease management programs. And finally, health information technology will be discussed. The new edition will maintain the current structure; however each chapter will be updated to discuss post-PPACA evidence on each type of type. In addition to the updates previously mentioned, the authors will present a series of data explorations to several chapters. Most of the new data explorations present summarized statistical information based on de-identified data from one hospital electronic data system. These data explorations serve two purposes. First, they illustrate the impacts of the pressures for change - and some of the changes - on healthcare providers. For example, the data illustrates the financial impact of pre-PPACA uncompensated care. Second, explanation of the data will require explanations of standard coding systems that are used nationwide (DRGs, CPT, ICD) codes. Other data explorations provide detail about other sources of data useful for health policy analysis, and for healthcare providers and insurers.

This book pays tribute to Scott O. Lilienfeld of Emory University, a leading scholar in the field of clinical science who has made important contributions to a wide range of central topics including definition of the field, cognitive biases and critical thinking, memory, personality and personality disorders, projective testing and its problems, cultural sensitivity and issues like microaggressions, forensic psychology and neuroscience, among others. His writings are known for their clarity, their astute critical frame, their fairness, and their intellectual courage in the face of controversy. This anthology serves as a thorough introduction to the scientific evolution of clinical psychology, collecting contributions from leading authorities in each of these domains to comment on past and future insights made possible by Scott Lilienfeld's work.

This handbook is a comprehensive, authoritative and up-to-date source on prevention technologies specifically for integrated care settings. It covers general issues related to prevention including the practical issues of financing, and staffing, and a general introduction to the advantages of prevention efforts. It covers a range of behavioral health disorders using an approach that is most relevant to the practitioner: it provides basic definitions, and describes the specific roles of both the primary care provider (PCP) and the behavioral care provider (BCP) as well as specific resources presented in a stepped care model. Stepped care has been used sucessfully in medical settings. Adapted to behavioral health settings, It allows the clinician and the patient to choose treatments that are tailored to specific levels of intensity. This handbook is an interdisciplinary resource useful for classes in integrated care as well as for clinicians employed in in these settings.

This book will fill an important gap in literature covering the clinical health psychology applications affecting the military and veteran health care systems. The authors draw on a wealth of experience related to treatment of service members and veterans, implementation of innovative research programs within military settings, and analysis of health economics issues. Section I examines key economic challenges facing civilian, military and Veteran healthcare providers. Section II discusses innovative clinical health psychology applications in military hospitals and clinics from around the country, including comprehensive literature reviews and presenting novel clinical applications in military hospitals. This book is relevant for clinicians, policymakers and administrators working with military and veteran patients.

This book provides a comprehensive overview of first, second, and third wave behavior therapies, comparing and contrasting their relative strengths and weaknesses. Recent discussion and research has focused intently on third wave behavior therapies, in particular Dialectical Behavior Therapy and Acceptance and Commitment Therapy (ACT). This is in contrast with first wave behavior therapies (what today might be called applied behavior analysis or clinical behavior therapy) and second wave behavior therapies brought about by the "cognitive revolution". The editors aim to provide a fuller understanding of this psychotherapeutic paradigm, tracking how behavior therapies have evolved through history and various paradigm shifts in the field. To this end, the book is organized into five sections covering: Introduction to the three waves of behavior therapy Assessment and measurement strategies Comparative issues and controversies Applications of the three waves of behavior therapy to 7 major disorders: anxiety, depression, obesity, psychosis, substance abuse, ADHD, and chronic pain Implications of and future directions for behavior therapies This volume provides a useful perspective on the evolution of cognitive behavior therapy that will inform the study and practice of a variety of mental health professionals.