Download Psychiatric Home Care: Clinical and Economic Dimensions by Alan Menikoff PDF

By Alan Menikoff

ISBN-10: 012490940X

ISBN-13: 9780124909403

ISBN-10: 0585492182

ISBN-13: 9780585492186

During this economic-clinical evaluate of domestic care companies, the reader unearths a short financial heritage of psychiatric prone during this kingdom, numerous types of psychiatric care, an indication of the burdens borne by way of households while such prone are unavailable, and methods for constructing "managed care-friendly" providers courses. This publication addresses real-world problems with designing providers versions that meet the medical wishes of an underserved inhabitants whereas additionally beautiful to the industrial imperatives of controlled care. Key positive aspects* monetary types of domestic care in a controlled care setting* commonplace medical targets of domestic care* prompt guidance for domestic care providers* medical vignettes* family members burdens of domestic care* "New gamers" in psychiatric domestic care* controlled care-friendly check versions* Use of paraprofessionals in domestic care* Coordination of inpatient and residential care companies

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Additional info for Psychiatric Home Care: Clinical and Economic Dimensions (Practical Resources for the Mental Health Professional)

Sample text

CURRENT AND PROSPECTIVE PROVIDERS OF PSYCHIATRIC HOME CARE Major urban centers probably offer the greatest opportunities for independent practitioners to develop a private practice in clinical case management. Provider experience in NewYork City, for example, suggests that these services can complement one's office-based practice. However, because of the shifting economic platform in behavioral health care, clinical case management services increasingly will be offered through organizations with a vertical or horizontal orientation to the behavioral health care market.

Third, it confirms that the purchasers of behavioral health care, the M C O and H M O , are looking to organizational vendors of health care. Not-for-Profit Home-Health Agencies As noted above, not-for-profit nursing agencies such as the VNAs are also engaged in psychiatric home care. Although their bottom-line goals differ from those of commercial home-care firms, their core mission is also home care. In addition, like the commercial firms, the VNAs are dealing primarily with medical-surgical (med/surg) patients rather than psychiatric patients.

And some of them have. Very simply, the staff of these agencies is usually not trained in psychiatry. Nurses and nurses aides are trained in postsurgical care that historically was provided in the hospital. Only a minority of clinical staff members have concentrated on psychiatry; most are neither trained nor equipped to provide the intensive psychiatric aftercare required of patients with major psychiatric illness. There is also a more short-term orientation to these home-care organizations and a lower comfort level with chronic psychosis in patients for w h o m noncompliance is an ongoing issue.

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