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

The Essence of Psychotherapy traces the common thread in all psychotherapy approaches--behavioral, cognitive, psychodynamic, strategic, and humanistic--and defines this "essence" as a set of fundamental principles and ultimate objectives that must be preserved in the face of increased standardization in the field. While today's therapist is guided by protocols and manuals, psychotherapy, in practice, remains an art. Nicholas and Janet Cummings have gathered case studies of master therapists to illustrate the essential process of successful therapy and to show that, as an art, it is both teachable and verifiable.
* Illustrated with case studies
* Analyses the techniques of six master psychotherapists in their work with difficult patients

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.

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.

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.

Adjunctive treatments, in which patients are provided additional modalities that can assist in their behavior change or the maintenance of their behavior change (i.e. telehealth, psychoeducation, consumer-driven treatment planning), have a useful role in addressing problems that can't be solved by face-to-face meetings. The adjunctive therapies covered in this book are all based on improving patient's self management of their problems or the factors that exacerbate their problems.
The book is broadly organized into two sections. The first gives a broad overview of the major adjunctive modalities and the second concentrates on a systematic description of their role in the treatment of a number of special populations while providing practical suggestions for the timing and coordination for the use of the adjunctive therapies discussed in the book.