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Related Experiment Videos

Managed mental health care: problems and possibilities

A Jones1, I J Norman

  • 1Department of Nursing Studies, City University, London, UK.

Journal of Psychiatric and Mental Health Nursing
|May 9, 1998
PubMed
Summary

Managed care, a development in case management, shows potential for mental health services, especially for schizophrenia patients. However, implementation faces challenges like disease variability and outcome measurement issues.

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Area of Science:

  • Mental Health Services Research
  • Healthcare Management
  • Psychiatric Care Delivery

Background:

  • Case management is an established approach in mental health care.
  • Managed care, a recent development, has limited recognition in the UK, primarily in acute hospital settings.
  • The application and effectiveness of managed care in mental health remain uncertain.

Purpose of the Study:

  • To clarify the nature of managed care.
  • To discuss the relevance of managed care to mental health care.
  • To explore the potential of managed care for individuals with schizophrenia.

Main Methods:

  • Literature review and conceptual analysis of managed care principles.
  • Discussion of applicability to mental health care systems.

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  • Identification of barriers to implementation in schizophrenia care.

    • Main Results:

    • Managed care offers a framework for organizing mental health services.
    • Schizophrenia patients, due to high incidence and resource needs, are a suitable focus for managed care.
    • Significant conceptual and practical challenges impede managed care development in mental health.

    Conclusions:

    • Managed care has potential benefits for mental health care, particularly for schizophrenia.
    • Barriers include schizophrenia's unpredictable course, difficulties in outcome measurement, and existing healthcare organizational structures.
    • Further research and strategic planning are needed for effective managed care implementation in mental health.