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7 Cards in this Set
- Front
- Back
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MANAGED CARE ISSUES
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ALTHOUGH NOT UNETHICAL, THE MOTIVES FOR DECISON MAKING ARE PRIMARILY ECONOMIC. WHICH IN ITSELF DOES NOT IMPLIES UNETHICAL BEHAVIOR UNLESS IT SACRIFICES THE SUFICIENCY OR QUALITY OF CARE IN THE PROCESS.
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MANAGED CARE ISSUES
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FEE FOR SERVICE:THERAPIST: LONGER BETTER; MANAGED CARE: THE SHORTER, THE BETTER.
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CRITICAL ISSUES IN MANAGED CARE
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INFORMED CONSENT, CONFIDENTIALITY, ABANDONMENT, UTILIZATION OF SERVICES.
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INFORMED CONSENT
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MANAGED CARE MAY REQUEST A CLIENT'S DIAGNOSIS, RESULTS ON ANY TESTS GIVEN, A WIDE RANGE OF CLINICAL INFORMATION, TREATMENT PLAN, AND PERHAPS EVEN THE ENTIRE CLINICAL RECORD OF A CLIENT. THERAPIST IN A MANAGED CARE ARE ETHICALLY BOUND TO MAKE SURE THEIR CLIENTS UNDERSTAND ANY POLICIES OR ARRANGEMENTS WITH MANAGED CARE SYSTEMS THAT ARE PERTINENT TO TREATMENT BEFORE ENTERING INTO A THERAPEUTIC RELATIONSHIP.
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CONFIDENTIALITY
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CLIENTS SHOULD BE AWARE THAT MANAGED CARE CONTRACTS MAY REQUIRE THERAPIST TO REVEAL SENSITIVE CLIENT INFORMATION TO A THIRD PARTY WHO IS IN A POSITION TO AUTHORIZE INITIAL OR ADDITIONAL TREATMENT. WITH THIS IN MIND MANY PEOPLE WILL NOT SEEK TREATMENT, AND CLIENTS IN THERAPY MAY WITHOLD CRUCIAL INFORMATION. EXCEPTIONS TO CONFIDENTIALITY HAVE ALWAYS EXIS MANAGED CARE FAR EXCEEDS TRADITIONAL LIMITATIONS TO CONFIDENTIALITY. IT SEEMS THAT MANAGED CARE HAS REDEFINED THE CONFIDENTIALITY.
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ABANDOMENT
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THERAPIST ARE ETHICALLY AND LEGALLY OBLIGATED TO OFFER A STANDARD OF CARE TO CLIENTS, AND THEY ARE NOT TO ABANDON THEM. THIS PUTS THERAPIST WHO WORK WITH MANAGED CARE IN THE POSITION OF REFERRING CLIENTS IF CONTINUED THERAPY IS NEEDED. AS AN ALTERNATIVE TO TO ENDING TREATMENT PSYCHOLOGIST COULD OFFER PRO BONO SERVICES. PRATITIONERS ARE ULTIMATELY RESPONSIBLE TO THEIR CLIENTS IN AN HMO SYSTEM, EVEN IF THE DECISIONS ARE MADE BY THE MANAGED CARE SYSTEM.
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THE FUTURE OF MANAGED CARE SERVICES
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they are here to stay and therapist should will need to become trained or retrained in a body of knowledge and skill aplicable to time efficient and cost effective therapies.
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