Healthcare is now practiced in a different financial and delivery system than it was two decades ago. Currently managed care defines what is treated, how, by whom and for what reimbursement. Mental health professionals have been greatly impacted by these changes to their practice, and yet, there is little understanding of exactly what it is and where it is going. The present volume explores these issues, prospects and opportunities from the vantage of mental health /medical professionals and managed care executives who are in the very process of implementing changes to the existing system of managed care. Behavioral healthcare will be integrated into medical practice in the future for sound clinical and economic reasons. The present volume, edited by four prominent mental health professionals provides a roadmap of the emerging directions integrated behavioral healthcare is taking and lays out the steps the mental health professional needs to take--in training, and modifying her/his clinical practice--to adapt to the new system of healthcare.
Key Features
* Leading Experts in managed care
* Nicholas Cummings, Father of behavioral managed care
* Multidisciplinary approach

Understanding the Behavioral Healthcare Crisis is a necessary book, edited and contributed to by a great variety of authors from academia, government, and industry. The book takes a bold look at what reforms are needed in healthcare and provides specific recommendations. Some of the serious concerns about the healthcare system that Cummings, O'Donohue, and their contributors address include access problems, safety problems, costs problems, the uninsured, and problems with efficacy. When students, practitioners, researchers, and policy makers finish reading this book they will have not just a greater idea of what problems still exist in healthcare, but, more importantly, a clearer idea of how to tackle them and provide much-needed reform.

Re-Visioning Psychiatry explores new theories and models from cultural psychiatry and psychology, philosophy, neuroscience and anthropology that clarify how mental health problems emerge in specific contexts and points toward future integration of these perspectives. Taken together, the contributions point to the need for fundamental shifts in psychiatric theory and practice: * Restoring phenomenology to its rightful place in research and practice * Advancing the social and cultural neuroscience of brain-person-environment systems over time and across social contexts * Understanding how self-awareness, interpersonal interactions, and larger social processes give rise to vicious circles that constitute mental health problems * Locating efforts to help and heal within the local and global social, economic, and political contexts that influence how we frame problems and imagine solutions. In advancing ecosystemic models of mental disorders, contributors challenge reductionistic models and culture-bound perspectives and highlight possibilities for a more transdisciplinary, integrated approach to research, mental health policy, and clinical practice.

This book takes as its inspiration the assumption that the atmosphere of intellectual openness, scientific inquiry, aspiration towards diversity, and freedom from political pressure that once flourished in the American Psychological Association has been eclipsed by an "ultra-liberal agenda," in which voices of dissent, controversial points of view, and minority groups are intimidated, ridiculed and censored. Chapters written by established and revered practitioners explore these important issues within the contexts of social change, the ways in which mental health services providers view themselves and their products, and various economic factors that have affected healthcare cost structure and delivery. In short, this book is intended to help consumers, practitioners, and policy makers to become better educated about a variety of recent issues and trends that have significantly changed the mental health fields.

After a period of economic success and high regard in society, clinical psychology has fallen onto hard times, assert authors Nicholas Cummings and William O'Donohue. In the 1960s, clinical psychologists with doctorates were well paid in relation to comparable professions; today, starting salaries are lower than many jobs that require only a bachelor's degree. Clinical psychology in the 1960s was preferred and valued over other fields as a profession; today it is not even on the list of top 20 fields for graduates to enter. Psychologists' opinions on social issues are disregarded by the public. What was and continues to be the reason for the decline and continuing descent of clinical psychology? The authors posit that the profession blundered and has not adapted to the profound changes that have taken place in American society over the past 40 years. Psychotherapy practice is based on a 50-minute hour, yet mental health treatment must operate at a much briefer, more efficient pace. Clinicians ignore the findings of scientific research for effective treatments and favor the overblown pronouncements of gurus who preach without substance. Clinicians failed to adapt their practice to the needs of the healthcare industry and do not recognize that psychotherapy is health profession. An anti-business bias has contributed to training programs that ignore the economic realities of running a practice. The failure to secure prescription privileges, the invention of diagnoses, and political correctness are among the other blunders that pull the profession away from its primary mission -- mental health treatment -- and contribute to the low esteem in which psychologists are held. The authors enumerate and discuss the Eleven Blunders That Cripple Psychotherapy in America and offer remedies to correct the ongoing decline of the field.

After a period of economic success and high regard in society, clinical psychology has fallen onto hard times, assert authors Nicholas Cummings and William O'Donohue. In the 1960s, clinical psychologists with doctorates were well paid in relation to comparable professions; today, starting salaries are lower than many jobs that require only a bachelor's degree. Clinical psychology in the 1960s was preferred and valued over other fields as a profession; today it is not even on the list of top 20 fields for graduates to enter. Psychologists' opinions on social issues are disregarded by the public. What was and continues to be the reason for the decline and continuing descent of clinical psychology? The authors posit that the profession blundered and has not adapted to the profound changes that have taken place in American society over the past 40 years. Psychotherapy practice is based on a 50-minute hour, yet mental health treatment must operate at a much briefer, more efficient pace. Clinicians ignore the findings of scientific research for effective treatments and favor the overblown pronouncements of gurus who preach without substance. Clinicians failed to adapt their practice to the needs of the healthcare industry and do not recognize that psychotherapy is health profession. An anti-business bias has contributed to training programs that ignore the economic realities of running a practice. The failure to secure prescription privileges, the invention of diagnoses, and political correctness are among the other blunders that pull the profession away from its primary mission -- mental health treatment -- and contribute to the low esteem in which psychologists are held. The authors enumerate and discuss the Eleven Blunders That Cripple Psychotherapy in America and offer remedies to correct the ongoing decline of the field.

This book takes as its inspiration the assumption that the atmosphere of intellectual openness, scientific inquiry, aspiration towards diversity, and freedom from political pressure that once flourished in the American Psychological Association has been eclipsed by an "ultra-liberal agenda," in which voices of dissent, controversial points of view, and minority groups are intimidated, ridiculed and censored.

Chapters written by established and revered practitioners explore these important issues within the contexts of social change, the ways in which mental health services providers view themselves and their products, and various economic factors that have affected healthcare cost structure and delivery.

In short, this book is intended to help consumers, practitioners, and policy makers to become better educated about a variety of recent issues and trends that have significantly changed the mental health fields.

Integrated care is arguably one of the most important developments in the delivery of health care over the last few years. This new approach to health care, roughly defined as the provision of behavioral or mental health care in a way that is more coordinated with the primary medical healthcare setting, has the focused goal of providing a more complete care for the patient. This book focuses on three main content areas. Firstly, the treatment of psychological problems in the context of primary medical care will be addressed in several chapters. Secondly, several chapters address co-morbid psychological factors that play a key role in the effective medical management of physical diseases, either acute or chronic. Finally, several chapters address issues relevant to the overall practice of integrated care. This book is intended to extend and bridge the existing literatures of integrated care, behavioral medicine, consultation-liaison psychiatry, medical cost offset, and healthcare economics, by providing a comprehensive and current handbook of the clinical protocols that might be applied to the practice of integrated care.

"This soundly structured book reinforces and enriches educators' skills in population-based mental health. It provides usable information on how to get administrative buy-in for implementing coordinated, proven prevention and intervention practices. Rich with Web connections and references, it can serve as a textbook, a practitioner's workbook, and as a tool kit for implementation." -Kevin P. Dwyer, Consultant, Turnaround for Children Former President, National Association of School Psychologists The road map for designing and implementing effective mental health services for all students! Studies have shown that mental wellness is a key determinant of students' academic and developmental success, but simply addressing the problems of individual students is not enough. Increasingly, schools are turning to population-based models for providing mental health services to ensure that students maintain the psychological, social, and emotional competence needed for learning. This comprehensive guidebook demonstrates how to use this approach to effectively assess mental health needs and design appropriate prevention and intervention strategies that will benefit individual students, whole classrooms, and an entire school population. Drawing from a wealth of current research and backed by evidence supporting the effectiveness of the population-based approach, this wide-ranging resource offers: Formal and informal strategies for identifying and prioritizing a school's mental health needs, as well as risk and protective factors Insights into creating and managing a nurturing school environment, promoting psychological well-being, and preventing mental health problems Suggestions for engaging parents in the process of fostering mental health Intervention strategies that address significant behavioral problems, including violence, bullying, depression, and difficulty relating to peers An integrated ten-step sequence for shifting from conventional approaches that focus only on individual problems to population-based services that support all students Transforming School Mental Health Services is the ideal resource for school mental health professionals and critical decision makers looking to optimize students' wellness and educational performance.

Recent neuroscience research makes it clear that human biology is cultural biology - we develop and live our lives in socially constructed worlds that vary widely in their structure values, and institutions. This integrative volume brings together interdisciplinary perspectives from the human, social, and biological sciences to explore culture, mind, and brain interactions and their impact on personal and societal issues. Contributors provide a fresh look at emerging concepts, models, and applications of the co-constitution of culture, mind, and brain. Chapters survey the latest theoretical and methodological insights alongside the challenges in this area, and describe how these new ideas are being applied in the sciences, humanities, arts, mental health, and everyday life. Readers will gain new appreciation of the ways in which our unique biology and cultural diversity shape behavior and experience, and our ongoing adaptation to a constantly changing world.

Integrated care is arguably one of the most important developments in the delivery of health care over the last few years. This new approach to health care, roughly defined as the provision of behavioral or mental health care in a way that is more coordinated with the primary medical healthcare setting, has the focused goal of providing a more complete care for the patient. This book focuses on three main content areas. First, the treatment of psychological problems in the context of primary medical care will be addressed in several chapters. Secondly several chapters will address co-morbid psychological factors that play a key role in the effective medical management of physical diseases, either acute or chronic. Finally, several chapters will address issues relevant to the overall practice of integrated care. This book is intended to extend and bridge the existing literatures of integrated care, behavioral medicine, consultation-liaison psychiatry, medical cost offset, and healthcare economics, by providing a comprehensive and current handbook of the clinical protocols that might be applied to the practice of integrated care.

The best health practices are a synthesis of science and art. Surgery is a case in point. Although all competent surgeons follow scientific protocols, the best surgeons are masters of the art of surgery and produce better outcomes: e.g., smaller incisions; lower mortality rates. Psychotherapists are in exactly the same position. Psychotherapy is both a science and an art. There are excellent resources that convey information about empirically supported practices - the science of psychotherapy. However, this scientific information is incomplete in two important ways. It does not cover key matters that come up in psychotherapy (e.g., building a therapeutic relationship, resistance, termination), and it often does not fully cover the "art" of implementing these techniques, the nuances, the creative ways, the problem solving strategies when difficulties arise. This book is an attempt to have high profile, expert, "master" therapists discuss the art of handling these key issues.

Written by father-daughter psychologists Nick and Janet Cummings, this text provides proven patient-responsive interventions by practitioners who together have nearly a century of hands-on practice and innovation between them. Refocused Psychotherapy responds directly to the recent decline of psychosocial services and helps to put psychotherapy back as the first line intervention in mental health. The authors teach psychotherapists how to work side by side with primary care physicians to provide efficacy, effectiveness, and efficiency-the standards psychotherapeutic intervention is held up to. Detailed case studies are followed up by discussions of diagnosis, personality type, homework, and therapeutic techniques that show readers how to form their own case conceptualizations. The authors also teach readers how to treat their patients individually and to diagnose effectively through their onion/garlic conceptualization. Finally, they provide lists of common abbreviations that are helpful to know when reading prescriptions, and lists of drugs, drug interactions, dosage, and side effects that expand readers' vocabulary and allow them to be more knowledgeable as they work with primary care physicians. These innovative and revealing techniques will help readers develop the skills necessary for cost-effective therapeutic results.

Written by father-daughter psychologists Nick and Janet Cummings, this text provides proven patient-responsive interventions by practitioners who together have nearly a century of hands-on practice and innovation between them. Refocused Psychotherapy responds directly to the recent decline of psychosocial services and helps to put psychotherapy back as the first line intervention in mental health. The authors teach psychotherapists how to work side by side with primary care physicians to provide efficacy, effectiveness, and efficiency-the standards psychotherapeutic intervention is held up to. Detailed case studies are followed up by discussions of diagnosis, personality type, homework, and therapeutic techniques that show readers how to form their own case conceptualizations. The authors also teach readers how to treat their patients individually and to diagnose effectively through their onion/garlic conceptualization. Finally, they provide lists of common abbreviations that are helpful to know when reading prescriptions, and lists of drugs, drug interactions, dosage, and side effects that expand readers' vocabulary and allow them to be more knowledgeable as they work with primary care physicians. These innovative and revealing techniques will help readers develop the skills necessary for cost-effective therapeutic results.

This interdisciplinary book offers a unique exploration of the formative effects of children's early life experiences, with an emphasis on interactions among neurodevelopmental, behavioral, and cultural dynamics. The authors draw on insights from psychobiological, clinical, and cross-cultural comparative research that maps the robustness of these developmental dynamics across species and societies. Multidisciplinary case studies focus on specific periods of development, or windows of susceptibility, during which caregiving and other cultural practices potentially have a long-lasting impact on brain and behavior. Chapters describe in detail: how social experience interacts with neurodevelopmental disorders; how epigenetic mechanisms mediate the effects of early environment; the interaction of temperament and environmental influences; the implications of early life stress or trauma for mental health and well-being; and the cultural shaping of sexual development and gender identity. The authors also explore key aspects of and common experiences associated with modern childhood, including teasing, bullying, the function of social play, emotional regulation, and management of attention disorders. The final section translates insights from this work into a fresh appraisal of child-rearing practices, clinical interventions, and global public health policy that affect the mental health and well-being of children around the world.

This interdisciplinary book offers a unique exploration of the formative effects of children's early life experiences, with an emphasis on interactions among neurodevelopmental, behavioral, and cultural dynamics. The authors draw on insights from psychobiological, clinical, and cross-cultural comparative research that maps the robustness of these developmental dynamics across species and societies. Multidisciplinary case studies focus on specific periods of development, or windows of susceptibility, during which caregiving and other cultural practices potentially have a long-lasting impact on brain and behavior. Chapters describe in detail: how social experience interacts with neurodevelopmental disorders; how epigenetic mechanisms mediate the effects of early environment; the interaction of temperament and environmental influences; the implications of early life stress or trauma for mental health and well-being; and the cultural shaping of sexual development and gender identity. The authors also explore key aspects of and common experiences associated with modern childhood, including teasing, bullying, the function of social play, emotional regulation, and management of attention disorders. The final section translates insights from this work into a fresh appraisal of child-rearing practices, clinical interventions, and global public health policy that affect the mental health and well-being of children around the world.

Re-Visioning Psychiatry explores new theories and models from cultural psychiatry and psychology, philosophy, neuroscience and anthropology that clarify how mental health problems emerge in specific contexts and points toward future integration of these perspectives. Taken together, the contributions point to the need for fundamental shifts in psychiatric theory and practice: * Restoring phenomenology to its rightful place in research and practice * Advancing the social and cultural neuroscience of brain-person-environment systems over time and across social contexts * Understanding how self-awareness, interpersonal interactions, and larger social processes give rise to vicious circles that constitute mental health problems * Locating efforts to help and heal within the local and global social, economic, and political contexts that influence how we frame problems and imagine solutions. In advancing ecosystemic models of mental disorders, contributors challenge reductionistic models and culture-bound perspectives and highlight possibilities for a more transdisciplinary, integrated approach to research, mental health policy, and clinical practice.

Title: A sermon preached Feb. 25, 1761.Author: A CummingPublisher: Gale, Sabin Americana Description: Based on Joseph Sabin's famed bibliography, Bibliotheca Americana, Sabin Americana, 1500--1926 contains a collection of books, pamphlets, serials and other works about the Americas, from the time of their discovery to the early 1900s. Sabin Americana is rich in original accounts of discovery and exploration, pioneering and westward expansion, the U.S. Civil War and other military actions, Native Americans, slavery and abolition, religious history and more.Sabin Americana offers an up-close perspective on life in the western hemisphere, encompassing the arrival of the Europeans on the shores of North America in the late 15th century to the first decades of the 20th century. Covering a span of over 400 years in North, Central and South America as well as the Caribbean, this collection highlights the society, politics, religious beliefs, culture, contemporary opinions and momentous events of the time. It provides access to documents from an assortment of genres, sermons, political tracts, newspapers, books, pamphlets, maps, legislation, literature and more.Now for the first time, these high-quality digital scans of original works are available via print-on-demand, making them readily accessible to libraries, students, independent scholars, and readers of all ages.++++The below data was compiled from various identification fields in the bibliographic record of this title. This data is provided as an additional tool in helping to insure edition identification: ++++SourceLibrary: Huntington LibraryDocumentID: SABCP04349800CollectionID: CTRG03-B399PublicationDate: 17610101SourceBibCitation: Selected Americana from Sabin's Dictionary of books relating to AmericaNotes: Collation: 58 p.: port.; 20 cm

Pete felt from an early age that he was born for the married life. He thought he had finally found the "perfect" girl. Little did he know that on his wedding day he would have, "A Change in Plans," by way of being stranded at the altar with only a note left behind by his would-be bride. In an effort to uplift his depressed state, his friends strongly encourage him to still take advantage of his honeymoon trip to Las Vegas. The empty seat on the plane where his wife should have been is occupied by a mysterious woman named Elizabeth. She reveals that she is taking the trip in order to claim her deceased father's body. Shortly after arriving at the airport, Pete unknowingly finds himself kidnapped by a local mobster, confronted by the FBI, and chased by the police all on the first day of what was to be his honeymoon. With the FBI and the mobster hot on their coattails, Pete and Elizabeth discover that they must work together in order to find their own individual redemption before it is too late.

Full Title: "Report of the Trial and Conviction of John Earls, for the Murder of His Wife, Catharine Earls, Late of Muncy Creek Township, Lycoming County, Pennsylvania; In the Court of Oyer and Terminer held at Williamsport, for Lycoming County, February Term, 1836. I"Description: "The Making of the Modern Law: Trials, 1600-1926" collection provides descriptions of the major trials from over 300 years, with official trial documents, unofficially published accounts of the trials, briefs and arguments and more. Readers can delve into sensational trials as well as those precedent-setting trials associated with key constitutional and historical issues and discover, including the Amistad Slavery case, the Dred Scott case and Scopes "monkey" trial."Trials" provides unfiltered narrative into the lives of the trial participants as well as everyday people, providing an unparalleled source for the historical study of sex, gender, class, marriage and divorce.++++The below data was compiled from various identification fields in the bibliographic record of this title. This data is provided as an additional tool in helping to insure edition identification: ++++MonographYale Law LibraryWilliamsport: Printed by the Publishers. 1836.