Gervaise et. al, (1999) point out that increasingly financial reimbursement restrictions from managed care agencies play a critical role "in the quality of patient care" (1). According to the researchers, "complicated contractual arrangements among multiple providers obstruct rather than facilitate provisions for continuity of patient care" (Gervaise, et. al, 1).
New Advances In Modern Care - Addressing Time Limited Therapy
In the short- and long-term it is likely that limits on therapy will remain. Thus new treatment models must be developed to ensure adequate care. New requirements and restrictions placed by managed care organizations necessitate change in the health care field. Much of the research available supports more training for psychologists so they learn techniques for succeeding using group therapy practices (Drotos, 1997; Kent, 2000; Joseph, 1997). Group oriented approaches enable successful time limited treatments and cost effective services that health maintenance organizations are more likely to support.
There is still ample evidence that supports longer therapy for improved recovery rates (Lego, 1998). Some studies show that 50% of patients will get better with 11 or fewer treatment sessions, while 75% are likely to show improvement after dozens of sessions (Lego, 1998). Group oriented therapy may be able to achieve success without compromising care if it focuses on helping patient functions more effectively "in all aspects of their lives" and encourage patients to take an active role in changing their environment to prevent future fallbacks (Lego, 3).
Future therapy can be improved by encouraging patients to take a more proactive approach to their recovery. This may be accomplished through education and increased training for psychotherapists to help them develop...
managed care in modern health care. Specifically it will include a brief history of managed care, along with some pros and cons about the process. Managed care is an arrangement where an insuring organization accepts the risk for providing a defined set of health services, using a defined set of providers, for a defined population, in return for a fixed or regular per capita payment" (Lammers and Geist, 1997, p.
therapy, also called "Solution-Focused Brief Therapy," uses practical strategies to help clients make significant, positive changes in their life as a result of their therapy in a relatively short period of time. Brief therapy focuses on what is going on in the client's life at the time of the therapy and does not delve into the subconscious or early childhood experiences. It contrasts markedly with psychoanalytic approaches that may
Evidence has been cited suggesting that ECT is particularly efficacious with psychotic depression. Experimental research and reviews of the literature tend to conclude that ECT is either equal or superior to antidepressant medication in the treatment of severe depression. In one study both depressed men and women were helped by ECT, but women tended to improve more with ECT than with imipramine, a tricyclic antidepressant. Men tended to improve
A study conducted by Gambarao in 2002 was conducted "to effect emotional regulation with children," (Knutson 2008:195). Enright's model of forgiveness was found to be incredibly successful in helping children forgive their injurers and move past the harmful injury which could have previous caused them to harbor resentment and affect their adult lives. However, children are not the only population to have been studied within the context of Enright's forgiveness
BP Disorder Bipolar disorder, originally called manic depressive disorder, is a severe mood disorder that vacillates between extreme "ups" (mania, hypomania) and "downs" (depression). The effects of having bipolar disorder can be observed across the patients social and occupational functioning. Often the patient is left isolated from work, friends, and family. Medications have become the first-line treatments for bipolar disorder; however, psychotherapy can offer additional benefits in the ongoing treatment of
Therapy Constructivist Perspective of Brief Therapy Understanding the basis of theories and therapy is a necessary element of the therapist's trade. Without some knowledge of why certain therapies are practiced, or where they came from, it is difficult to develop a personal theory and a personal view of how to conduct therapy. Since one of the basic concepts presently is that of brief therapy, it is necessary to see how that
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