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Managing Managed Care: Quality Improvement in Behavioral Health (1997)
Institute of Medicine (IOM)

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. "INDEX." Managing Managed Care: Quality Improvement in Behavioral Health. Washington, DC: The National Academies Press, 1997.

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MANAGING MANAGED CARE: QUALITY IMPROVEMENT IN BEHAVIORAL HEALTH

See also Certification and licensure

Accreditation organizations

Council on Accreditation of Services for Families and Children, 23, 204-205

Joint Commission on Accreditation of Healthcare Organizations, 32, 158, 204, 218

National Committee for Quality Assurance, 190-191, 202, 205-213

Rehabilitation Accreditation Commission, 32, 204

Utilization Review Accreditation Committee, 32, 213-214

Adverse selection, 51-52

Advocacy, consumer, 23-24

Affective disorders, 77

risk among children, 153

Agency for Health Care Policy and Research

activities, 203

recommendations for, 9, 11, 12, 14, 247, 250, 253, 254

Alcohol abuse/dependence, 77

co-occurring disorders, 176-177

detoxification, 276-277, 278

disease model, 106

drunk driving, 112

evolution of treatment system, 104-107

measures of local prevalence, 178

mortality, 157

suicide and, 78

treatment effectiveness, 84

trends in insurance coverage, 90-91

See also Substance abuse

Alcohol, Drug Abuse, and Mental Health Administration, 107, 111.

See also Substance Abuse and Mental Health Services Administration

Alcoholics Anonymous, 105, 114, 293

Alternative/innovative healing practices, 10, 248

American Managed Behavioral Healthcare Association, 141-142, 174

quality standards, 190-191

Anxiety disorders, 77, 177, 191

Auditing activities, 187-188, 245

B

Behavioral health problems among seniors, 156

co-occurring, 176-177

cost of care trends, 141

historical development of treatment system, 96, 103

negative effects of restricted access, 170

prevalence and incidence, 1, 15, 77

public perception/understanding, 20-21, 23-24, 170

risk among children, 153

service needs, 80-84

social costs, 77-78, 84

social stigma, 170

suicide and, 78

terminology, 22

underdiagnosed/underestimated, 3, 76, 78-80, 170

utilization patterns, 28

Benefits consulting, 31-32

C

Capitated payments

as barrier to access, 168, 169

definition, 46

in Medicaid, 47

prevalence, 46

role of, 46

soft, 48

Carve-in arrangements, 45, 49

Carve-outs, 45, 49, 88

Case management, 49

Center for Mental Health Services, 201-202, 247

Center for Substance Abuse Prevention, 201

Center for Substance Abuse Treatment, 85, 112-113, 201

Centers for Disease Control and Prevention, 11, 250

Certification and licensure

credentialing and privileging, 123, 187

peer review for, 186

quality of care issues, 57-58

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