| Autor: |
Pumariega, Andres J., Nace, David, England, Mary Jane, Diamond, John, Fallon, Theodore, Hanson, Graeme, Lourie, Ira, Marx, Larry, Solnit, Albert, Grimes, Catherine, Thurber, Deborah, Graham, Mary |
| Předmět: |
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| Zdroj: |
Journal of Child & Family Studies; Jun97, Vol. 6 Issue 2, p149-164, 16p |
| Abstrakt: |
The article presents information on the implementation of managed care principles in the organization and financing of children's mental health services in the United States. The increasing implementation of managed care principles in the organization and financing of mental health services has now entered the area of children's mental health services, especially as states seek to control the increasing costs of Medicaid programs. Managed care approaches are relatively new in mental health and those that exist have been developed with adult and private sector populations in mind. If applied to child mental health services, the usual benefits restriction approach in traditional behavioral managed care has the potential of depriving children of timely and effective intervention and prevention services. Children covered under Medicaid as a rule suffer from multiple psychosocial stressors, including poverty, discrimination, stresses from acculturation and cultural adaptation. pressures towards substance abuse, as well as the weakening of their families and support systems from the impact of these stressors. Their complex needs often require more intensive and more closely coordinated medical and mental health services, as well as services offered by multiple child services agencies such as education. |
| Databáze: |
Complementary Index |
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