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Textbook of Administrative Psychiatry, Second Edition

New Concepts for a Changing Behavioral Health System

Edited by John A. Talbott, M.D., and Robert E. Hales, M.D., M.B.A.

  • ISBN 978-0-88048-745-0
  • Item #8745


Today’s practice of psychiatric administration is totally different from that in past years because of the vast changes sweeping the health care and behavioral health care sectors. Reflecting these changes, this completely revamped second edition contains all-new chapters by 68 contributors (most new to this edition).

This definitive textbook provides the practitioner and student of administration in behavioral healthcare with an up-to-date compendium focused on five central issues that represent the framework of the debate that will guide the evolution of behavioral health care during the next few years

  • An overview of the evolving behavioral health system, from the rich legacy of the community mental health movement mandated by federal legislation in the 1960s to today’s paradigm, which is instead driven by the marketplace phenomena of managed care, information systems, and consumer empowerment.
  • Core and new administrative psychiatry concepts and new roles for behavioral health players, including organizational theories, leadership requirements, planning models, and information system solutions, as well as new models of program evaluation and quality management and innovations in training and human resource development.
  • How selected behavioral health systems are changing and the trend toward integrated systems, addressing the challenge of delivery system configuration and integrated service delivery as the system evolves from cost-based fee for service to managed care settings, as well as important new roles for psychiatric administrators in behavioral health network establishment and maintenance, staffing, capitated financing, population-based care, and outcome management.
  • A comprehensive overview of the current system, from hospitals (including VA and military services) to county mental health departments, child and family service agencies, and HMOs, with new roles for everyone—psychiatrists, administrators, and mental health clinicians as well as consumers and their families—in the consumer-focused health care systems of the future.
  • Law and ethics, which includes prisons and civil law issues and considers the special challenge of working within a field where innovation, science, and the marketplace are running well ahead of the legal and bioethics communities.

Offering an in-depth study of areas never before covered, this extensively referenced volume concludes with a discussion of future issues in administrative psychiatry, as the “disruptive technologies” that forced the restructuring of banking, automobile manufacturing, consumer electronics, and other industries start to have an impact on health care.

Broad in appeal as well as scope, this unique reference will find a worldwide audience—from administrators facing the challenges of designing and administering a cost-efficient, effective care system to trainees studying for certification, and nearly everyone in between: from social workers to medical directors, staff psychiatrists, nurses, and middle managers of private and public psychiatric hospitals and behavioral health managed care organizations.


SECTION I: Overview of the Evolving Behavioral Health System
Chapter 1. The Private Sector: History, Current Status, and Future Implications
Chapter 2. The Evolving Behavioral Health System: The Public Sector: Past, Present, and Future
SECTION II: Core Administrative Psychiatry Concepts
Chapter 3. Organizational Theory
Chapter 4. Leadership
Chapter 5. Planning: Organizational Responses to Uncertainty in Unstable and Complex Environments
Chapter 6. Continuous Quality Improvement: Principles of Implementation in Behavioral Healthcare
Chapter 7. Training in Administrative Psychiatry: Current Challenges
Chapter 8. The Medical Director’s Role in Organized Care Delivery Systems
SECTION III: New Administrative Psychiatry Concepts
Chapter 9. Behavioral Health Network Establishment
Chapter 10. Behavioral Health Network Maintenance
Chapter 11. Staffing Behavioral Health Systems
Chapter 12. Capitated Financing and Population-Based Care
Chapter 13. Behavioral Health Outcomes: Patient and System
Chapter 14. Health Information and Confidentiality
SECTION IV: New Concepts for a Changing Behavioral Health System
Chapter 15. Changing Roles in Primary Behavioral Healthcare
Chapter 16. Changing Roles for Psychiatrists
Chapter 17. Changing Roles of Mental Health Professionals
Chapter 18. Changing Careers
Chapter 19. Changing Roles for Primary Consumers in Community Psychiatry
Chapter 20. Changing Family Roles
SECTION V: How Selected Behavioral Health Systems Are Changing: Toward Integrated Systems
Chapter 21. Private Psychiatric Hospitals
Chapter 22. Managed Behavioral Healthcare Organizations
Chapter 23. Psychiatric Services in the Veterans Health Administration
Chapter 24. Psychiatric Services in the Military
Chapter 25. State and County Agencies
Chapter 26. Health Maintenance Organizations
Chapter 27. Physician-Hospital Organizations
Chapter 28. Behavioral Group Practice
Chapter 29. Children’s Services
SECTION VI: Law and Ethics
Chapter 30. Administrative Psychiatry: Practice and Legal Regulation
Chapter 31. Criminal Law
Chapter 32. American Prisons
Chapter 33. Ethics
Conclusion: Future Issues for Administrative Psychiatry

Talbott and Hales Textbook of Administrative Psychiatry, Second Edition, succeeds in unexpected ways. More than simply a cogent presentation of sound practice in psychiatric administration, the book provides specific direction to navigate ‘the new world’ that will define the field in the 21st century. Rather than a textbook, the book presents more as a roadmap. The unstated challenge—this is not a terrain that you want to venture into without a guide—this book is that guide.—Saul Feldman, Chairman and CEO, United Behavioral Health

Drs. Talbott and Hales have assembled an all-star cast of psychiatric, behavioral, and administrative contributors to the changing role of psychiatry in the evolving behavioral health system. The book admirably attempts to integrate the latest scientific underpinnings of the field with the economic, legal, ethical, and technological changes that permeate all aspects of behavioral health. It is a valuable resource for all health care professionals responsible for behavioral health.—Eugene B. Feigelson, M.D., Senior Vice-President for Biomedical Education and Research, Dean College of Medicine at SUNY Downstate Medical Center, New York, New York

Thus, the advent of the long awaited second edition of the APPI Textbook (Talbott and Hales, 2001) is welcome, and represents an outstanding and definitive contribution to the literature in the field of administrative psychiatry. To call the volume a second edition understates the magnitude of the transformation that has taken place, not just to create an even better book, but to keep pace with the dramatic changes that have characterized the health care landscape in the past decade.—Christopher G. Fichter, M.D. Psychiatrist Administrator, 1/1/2002

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