In today's environment of managed care, practitioners face more daunting
challenges than ever: treatment authorizations are becoming more
difficult to obtain, as are referrals to other healthcare practitioners,
which are increasingly performance based.
Into this competitive environment comes Casebook for Managing Managed
Care: A Self-Study Guide for Treatment Planning, Documentation, and
Communication. Dedicated to helping mental healthcare practitioners
clearly articulate and prove the value of what they provide patients
within the managed care system, this foundational text uniquely fills a
gap in the literature by providing a user-friendly, self-contained
tutorial for the Patient Impairment Profile (PIP) documentation method.
The PIP combines impairment terminology, the impairment profile, and the
various treatment plan components to create a common language for
describing behavior-based patient dysfunction and communicating the
clinical rationale for treatment.
As a model for treatment plan development, the PIP system trains the
practitioner (or treatment team) in the "must-have" skills needed for
todays managed care environment. Here practitioners will find explicit
instructions about how to - Communicate treatment needs convincingly-
Distinguish effectively between goals, objectives, and interventions-
Track progress over time- Document treatment summaries efficiently
Using clear language and a wide array of case vignettes, the Casebook
demonstrates how using PIPS can streamline the documentation,
communication, and decision-making processes.
The Casebook continues the groundbreaking tradition of its predecessors:
Managing Managed Care: The Mental Health Practitioner's Survival Guide
(Goodman et al. 1992) and Managing Managed Care II: A Handbook for
Mental Health Professionals, Second Edition (Goodman et al. 1996). It is
uniquely valuable both as a stand-alone instructional text and as a
companion to the second edition, which introduced the Patient Impairment
Lexicon and the PIP system itself. The Casebook's updates to the
Impairment Lexicon definitions that first appeared in Managing Managed
Care II are based on the authors' ongoing psychometric evaluation and
research.
This practical text will find its way onto the bookshelves of mental
healthcare practitioners and managed care personnel alike.
Psychiatrists, clinical psychologists, clinical social workers, marriage
and family therapists, and psychiatric nurses--especially those
participating as managed care providers--and case managers and
utilization reviewers within managed care organizations, regardless of
background, will find a framework for success within these pages. The
Casebook's broad appeal also extends to both students in healthcare
disciplines and the graduate programs that train them, and to
psychiatric/behavioral healthcare organizations and facilities
(inpatient, outpatient, and residential), where it will be used for
treatment planning.
