Textbook of Administrative Psychiatry, Second Edition
New Concepts for a Changing Behavioral Health System
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
The delivery of psychiatric services has changed dramatically; the pace of this change has been breathtaking. The monumental changes are evident when one examines the tables of contents of the first edition of the Textbook of Administrative Psychiatry (1992) and this second edition (2001). The second edition is a completely new book, with a new editorial board and authors; it makes one feel that these books were written 50 years apart rather than only 9. The presentations on such topics as behavioral network establishment and maintenance, capitated and population-based care, outcomes, and changing roles for professionals and patients, provide both a clear picture of where we are now and a firm base for planning for the future. The complexity of the current state of affairs is also evident in that an excellent glossary to help guide the reader and the clinician-administrator through this new clinical/economic world had to be added. This book brings some clarity to the current behavioral health world, and with this knowledge one almost feels empowered rather than a victim of a mysterious and anonymous system.—Gary J. Tucker, M.D., Professor Emeritus, Department of Psychiatry and Behavioral Sciences, University of Washington
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