Mental Health and Social Policy: Beyond Managed Care, 6th edition
- David Mechanic |
- Donna D. McAlpine |
- David A. Rochefort |
Title overview
- Extensive Citations — All topics are supported with extensive citations of relevant scholarly research.
- Comprehensive — The text covers a greater diversity of historical, sociological, health service, political, and medical topics and other works on this subject. The information base ranges from scholarly books and articles, to government reports, to information gained from leading sources in the popular media
- Interrelationships -- Links are made across and within different chapters to show interrelationships between the domains of service delivery and policy formulation
- Policy Initiatives -- Lessons are drawn from both the successes and failures of past program and policy initiatives
- Author Diversity — Each represents different disciplines and perspectives and have deep experience in teaching, research and practice involvements in mental health policy.
- Use of plain Language — Explains complicated issues of epidemiology, services research, and public policy by means of plain language and carefully organized chapter content.
- Balanced perspective centering on fact-based inquiry — Replaces ideological debate over the purposes and performance of the mental health system.
- Foreign developments — Examines foreign developments to put the U.S. mental health system into a larger context of understanding and analysis
- Appreciates history — Helps students to appreciate history as a source of relevant experience and guidance for current decision making on mental health care issues
Overview of changes
- Entirely new chapters on Mental Health and Illness as Social Issues, and Mental Health Policy Analysis.
- Expansion of the history of mental health to include recent policy and service activities, as well as more in-depth discussion of past developments.
- Coverage of many new topics, including advances in biology and somatic treatments; advances in psychotherapy; implications of the Affordable Care Act for mental health insurance coverage and services; mental health courts; psychiatric advance directives; recent developments with the Americans With Disabilities Act (ADA); mental illness trends and treatment needs among children, the elderly, and disadvantaged populations.
- An update on the evolution of managed care practices in private and public settings
- Latest attempts by policy makers and planners to convert the concept of “recovery” into a set of practical principles for guiding improvement of the mental health system.
- Updated empirical information on the strengths and weaknesses of different approaches to community support and social integration of people with serious mental illnesses.
Table of contents
In this Section:
1. Brief Table of Contents
2. Full Table of Contents
Brief Table of Contents
Chapter 1: Mental Health and Illness as Social Issues
Chapter 2: What Is Mental Illness?
Chapter 3: Psychiatric Epidemiology: Science, Counting, and Making Sense of the Numbers
Chapter 4: The Causes of Mental Illness and Methods of Intervention
Chapter 5: Illness Behavior, the Entrance of Patients into Care, and Patterns of Service Utilization
Chapter 6: The Financing Delivery of Mental Health Services
Chapter 7: Managed Mental Health Care
Chapter 8: Dilemmas of Professional Practice
Chapter 9: A Brief History of Mental Health Policy in the United States
Chapter 10: Building an Effective Community Service System: Knowledge, Aspirations, and Social Policy
Chapter 11: Mental Illness, the Community, and the Law
Chapter 12: Mental Health Policy Analysis
Full Table of Contents
Chapter 1: Mental Health and Illness as Social Issues
The Consequences of Mental Illness
Consequences of Behavior Disorders in Childhood
Societal Burdens and Policy Dilemmas
Chapter 2: What Is Mental Illness?
The Classification of Mental Disorder
Contested Categories of Disorder
The Development of DSM-5
Schizophrenia: An Example in Psychiatric Conceptualization
Is Mental Illness a Social Judgment or a Disease?
Development Models
Conceptualizing Mental Health
Culture and the Definition of Mental Disorder
The Social Policy Connection
The Patient and Society: An Insoluble Dilemma
Chapter 3: Psychiatric Epidemiology: Science, Counting, and Making Sense of the Numbers
Development of Psychiatric Epidemiology
Analytical Quandaries
Continued Use of Symptom Indexes
Special Populations
Race, Ethnicity, and Culture
Toward a Fourth Generation of Research
Chapter 4: The Causes of Mental Illness and Methods of Intervention
Genes, Environment, and the Brain
The Psychosocial-Development Perspective
The Social-Stress Perspective
Inequality and Risk of Mental Disorders
Psychotherapeutic Approaches
Medication
Other Somatic Treatments
A Note on the Labeling Perspective
Chapter 5: Illness Behavior, the Entrance of Patients into Care, and Patterns of Service Utilization
Patterns of Service Use
Illness Behavior and Selection into Care
Special Populations
Race and Ethnicity
Primary Medical Care and the Promise of Integration
Conclusions
Chapter 6: The Financing Delivery of Mental Health Services
Mental Health Expenditures and Coverage
The Parity Struggle and Its Accomplishments
Payment Changes and Professional and Clinical Responses
Utilization of Services and Financing Patterns
The Economics of Mental Health Care
Psychiatric Care Under Prepayment Plans
The Structure of Insurance and Needed Mental Health Benefits
Impact of the Affordable Care Act
Chapter 7: Managed Mental Health Care
Basic Mechanisms of Managed Care
Types of Managed Care Organizations
Managed Care for Persons with Mental Illness
Opportunities and Special Problems in Managed Mental Health Care
Managed Care Performance
The Regulatory Debate in Managed Care
Chapter 8: Dilemmas of Professional Practice
Mental Health Professions and Their Work Patterns
Trust and the Mental Health Profession
Social Influences on Psychiatric Judgment
Personal and Social Biographies
The Sociocultural Context
Constraints of Practice Organization and Settings
Conclusion
Chapter 9: A Brief History of Mental Health Policy in the United States
A Century of State Hospital Care
The Shift to Community Care
More Attempts at National Policy Reform
Deinstitutionalization: A Deeper Look
Conclusion
Chapter 10: Building an Effective Community Service System: Knowledge, Aspirations, and Social Policy
Assessing Institutional and Community Environments
Mental Illness, Homelessness and Housing
Innovations in Employment
Ongoing Reform of Medicaid
The Role of Disability Programs
Redesigning Community Care Programs
Issues Concerning Case Management
Approaches to Integrating Services
Recognizing the Role of Families
Mental Health Policy and the Contemporary Era
Chapter 11: Mental Illness, the Community, and the Law
Involuntary Hospitalization
Psychiatric Advance Directives
Outpatient Commitment and Mental Health Courts
Criminalization of Persons with Mental Illness
A Note on Dangerousness and the Relationship between Mental Illness and Violence
The Right to Treatment
The Right to Treatment under the Americans with Disabilities Act and the Supreme Court Decision in Olmstead v. L.C.
Right to Treatment for Children under Medicaid
Right to Refuse Treatment
The Social Context of Legal Reform in Mental Health
Chapter 12: Mental Health Policy Analysis
Characteristics of the Mental Health Policy Domain
Five Approaches to Mental Health Policy Analysis
Conclusion
References
Name Index
Subject Index
Author bios
Donna D. McAlpine, PhD., is an Associate Professor of Public Health in the Division of Health Services Research & Policy at the University of Minnesota where she is the director of the MPH program in Public Health Administration and Policy. She received her doctorate in sociology from Rutgers University with a focus on medical sociology. She teaches graduate courses in community mental health and medical sociology. Her research focuses on patterns of treatment for persons with mental health and substance use problems, race and ethnic disparities in health, and survey methods. Over the past several years she has also been actively involved in partnering with community agencies in building capacity to do community-based participatory research
David A. Rochefort, Ph.D., is Arts and Sciences Distinguished Professor of Political Science at Northeastern University where he teaches courses on U.S. Health and Welfare Policy, Public Policy Analysis, Political Language, and Quantitative Techniques. At Northeastern, he has received both the Excellence-in-Teaching Award and the Practice-Oriented Education Award. In addition, he was Beverly Visiting professor, The Clarke Institute of Psychiatry, University of Toronto, and Fulbright Scholar at the University of Montreal. In 1986-87, he was an NIMH postdoctoral fellow in the Rutgers-Princeton Program in Mental Health Research. Rochefort’s previous publications on mental health include From Poorhouses to Homeless: Policy Analysis and Mental Health Care, 2nd ed. (1997) and editor of Handbook on Mental Health Policy in the United States (1989). He has served as consultant to the Rhode Island Department of Health, New Jersey Department of Human Services, Human Services Research Institute, Regional Office of Inspector General-U.S. Department of Health and Human Services, and other groups. He was also the recipient of the President’s Outstanding Service Award, Mental Health Association of Rhode Island