Behavioral Healthcare

Behavioral Healthcare is a monthly newsletter published by the Vendome Group L.L.C. in New York, N.Y. Its subject is the business aspect of behavioral healthcare and its audience is comprised of professionals working in the healthcare field.

Articles from Vol. 26, No. 6, June

Behavioral Health Monitor
LGBT Psychiatrists OrganizationThe Association of Gay and Lesbian Psychiatrists (AGLP) is a community of psychiatrists that educates and advocates on lesbian, gay, bisexual, and transgender (LGBT) mental health issues. AGLP's goals are to: (1) foster...
Can New Technologies Prevent Relapse?
"Body monitoring" technologies hold promise for helping people in recoveryRelapse following treatment for drug and alcohol addiction is common. Indeed, relapse rates for addictive diseases usually are in the range of 50 to 90%.1,2 Fortunately, research...
Can New Technologies Prevent Relapse? "Body Monitoring" Technologies Hold Promise for Helping People in Recovery
Relapse following treatment for drug and alcohol addiction is common. Indeed, relapse rates for addictive diseases usually are in the range of 50 to 90%. (1,2) Fortunately, research indicates that many of these relapses are predictable and ultimately...
Confronting Chaos
Today we view early psychiatric treatments as inhumane, but during their time they were state-of-the-artThroughout history people with severe mental illness have been characterized as bizarre, belligerent, disorganized, destructive, out of control, combative,...
Confronting Chaos: Today We View Early Psychiatric Treatments as Inhumane, but during Their Time They Were State-of-the-Art
Throughout history people with severe mental illness have been characterized as bizarre, belligerent, disorganized, destructive, out of control, combative, delusional, and irritable. Caregivers, in response, have sought to confront, control, restrain,...
EHRs HAVE FINANCIAL FUNCTIONS TOO
Electronic health records can help improve the bottom lineCompanies that implement electronic health records (EHRs) often are quick to analyze and build in clinical functionalities and data elements. However, they fail to examine how EHRs could assist...
EHRs Have Financial Functions Too: Electronic Health Records Can Help Improve the Bottom Line
Companies that implement electronic health records (EHRs) often are quick to analyze and build in clinical functionalities and data elements. However, they fail to examine how EHRs could assist them with regulatory issues, financial decision support,...
Giving Consumers the Power to Recover
True system transformation involves ceding some power to consumersThe federal government has called for a massive transformation of America's mental heahhcare system-a change to "recovery." Indeed, recovery is the current politically correct buzzword....
Giving Consumers the Power to Recover: True System Transformation Involves Ceding Some Power to Consumers
The federal government has called for a massive transformation of America's mental healthcare system--a change to "recovery." Indeed, recovery is the current politically correct buzzword. We are reading about this change across the country--such as...
Is 2006 the Year for Parity?
Maybe this will be the year that Congress passes a bill mandating full parity for behavioral health benefits. After all, several factors are in parity's favor: [ILLUSTRATION OMITTED] * The Coalition for Fairness in Mental Illness Coverage reports...
Letters
Thoughts on transforming languageDear Drs. Ashcraft and Anthony,I understand the underlying concerns addressed in your article in the April issue ("Tools for Transforming Language," p. 10). However, we do have to be careful that we do not oversimplify...
Making Changes in the Mountain State
West Virginia takes steps to restore the promise of community-based servicesIn approximately 10 to 12 years, West Virginias mental health system has deteriorated. By 1994 the state had reduced its psychiatric inpatient population by 96% over the course...
Making Changes in the Mountain State: West Virginia Takes Steps to Restore the Promise of Community-Based Services
In approximately 10 to 12 years, West Virginia's mental health system has deteriorated. By 1994 the state had reduced its psychiatric inpatient population by 96% over the course of four decades. The number of state inpatient facilities had dropped...
Making Purchasing Easier
We know that your agency's purchasing needs are changing consistently. We also realize that as the behavioral health field learns more about what works best administratively and clinically, new product and service options can make the purchasing task...
MBHOs WILL SEEK A DIVORCE FROM THE DSM
The days of focusing on diagnoses and therapies are over-the focus is now on outcomes and changing behaviors to improve overall healthAs a psychologist trained to use the slim DSM-II, a 134-page, 6-by-9-inch, mustard-colored, spiral-bound compendium,...
MBHOs Will Seek a Divorce from the DSM: The Days of Focusing on Diagnoses and Therapies Are Over-The Focus Is Now on Outcomes and Changing Behaviors to Improve Overall Health
As a psychologist trained to use the slim DSM-II, a 134-page, 6-by-9-inch, mustard-colored, spiral-bound compendium, I was intimidated by the new and expanded DSM-III in 1980. We now had five axes for making a diagnosis and many more mental disorders...
Medicare Part D: Early Experiences
On January 1, the federal government launched the new Medicare prescription drug program ("Part D") with much fanfare. Given the size of the new program, perhaps it's no surprise that there have been some bumps in the road. Some of the problems have...
Medicare Part D: Early Experiences
On January 1, the federal government launched the new Medicare prescription drug program ("Part D") with much fanfare. Given the size of the new program, perhaps it's no surprise that there have been some humps in the road. Some of the problems have...
Moving beyond Just Compliance
One agency's journey toward organizational improvementThe average behavioral healthcare executive has many things on his/her mind, including issues such as recruitment, board relations, "unfair" managed care authorization and payment rates, the latest...
Moving beyond Just Compliance: One Agency's Journey toward Organizational Improvement
The average behavioral healthcare executive has many things on his/her mind, including issues such as recruitment, board relations, "unfair" managed care authorization and payment rates, the latest service model or revenue stream, and perhaps even...
Putting Clinical Evidence to Work
IT solutions enhanced by evidence-based medicine will improve behavioral healthcareIn recent years, clinical information technology (IT) and evidence-based medicine (EBM) have played major roles in general medicine, ensuring that care processes are informed...
Putting Clinical Evidence to Work: IT Solutions Enhanced by Evidence-Based Medicine Will Improve Behavioral Healthcare
In recent years, clinical information technology (IT) and evidence-based medicine (EBM) have played major roles in general medicine, ensuring that care processes are informed by the best, most up-to-date medical evidence and that costs are predictable...
Researching a Better Future
Recent studies highlight the value of behavioral health treatment-and fair access to itSeveral important behavioral Healthcare studies made headlines during the first half of the year. Among them were the latest phases of the Clinical Antipsychotic Trials...
Researching a Better Future: Recent Studies Highlight the Value of Behavioral Health Treatment-And Fair Access to It
Several important behavioral healthcare studies made headlines during the first half of the year. Among them were the latest phases of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) and the Sequenced Treatment Alternatives...
Should the Courts Be Involved?
Experts debate whether "forced" outpatient treatment makes senseShould potentially dangerous individuals with mental illness be (breed by courts into outpatient treatment?That question is being heatedly debated today. Lawmakers and behavioral healthcare...
Should the Courts Be Involved? Experts Debate Whether "Forced" Outpatient Treatment Makes Sense
Should potentially dangerous individuals with mental illness be forced by courts into outpatient treatment? That question is being heatedly debated today. Lawmakers and behavioral healthcare providers are trying to determine whether courts can--and...
The Alphabet Soup of Hiring Foreign Physicians
Understanding immigration law can help you address staffing shortagesIn response to the worsening shortage of qualified physicians in the United States (especially mental healthcare providers such as psychiatrists), hospitals and healthcare provider...
The Alphabet Soup of Hiring Foreign Physicians: Understanding Immigration Law Can Help You Address Staffing Shortages
In response to the worsening shortage of qualified physicians in the United States (especially mental healthcare providers such as psychiatrists), hospitals and healthcare provider organizations increasingly have relied on foreign physicians to meet...
The Latest Drugs on the FDA's Radar
Expect labeling changes for the stimulantsLast year, the SSRI an tidepressants were die focus of public scrutiny.' This year, stimulant treatments for ADHD (amphetamine and methylphenidate) are under the Food and Drug Administration's (FDA) regulatory...
The Latest Drugs on the FDA's Radar: Expect Labeling Changes for the Stimulants
Last year, the SSRI antidepressants were the focus of public scrutiny. (1) This year, stimulant treatments for ADHD (amphetamine and methylphenidate) are under the Food and Drug Administration's (FDA) regulatory microscope. In January, the FDA's...
The Money Woes in Medicaid Managed Care States
Providers facing rate cuts are employing several strategiesWhile many mental health stakeholders question how Medicaid reform may affect the future of public mental health funding levels, recent federal regulatory changes already have resulted in funding...
The Money Woes in Medicaid Managed Care States: Providers Facing Rate Cuts Are Employing Several Strategies
While many mental health stakeholders question how Medicaid reform may affect the future of public mental health funding levels, recent federal regulatory changes already have resulted in funding cuts that are threatening the viability of community...
The Role of Recovery Education
Students describe how they value recovery-based educationThis is the second of two columns focusing on supported education as an important strategy in transforming mental health services. The column in the May issue described an ongoing program at META...
The Role of Recovery Education: Students Describe How They Value Recovery-Based Education
This is the second of two columns focusing on supported education as an important strategy in transforming mental health services. The column in the May issue described an ongoing program at META services in Phoenix. This issue's column describes a...
Understanding Your Revenue and Cost Drivers
A strategic plan will take your organization no where if it doesn't take into account revenue and cost drivers BY NIELS ESKELSENThe CEO of a behavioral Healthcare organization once told me that he did not like strategic planning because, "Strategic planning...
Understanding Your Revenue and Cost Drivers: A Strategic Plan Will Take Your Organization No Where If It Doesn't Take into Account Revenue and Cost Drivers
The CEO of a behavioral healthcare organization once told me that he did not like strategic planning because, "Strategic planning does not do anything for us. We make a plan, but it does not help us improve performance or accomplish our goals." As...