One of the greatest achievements that the medical industry nowadays can really boasts of, is its implementation of the philosophy of Managed Care, as the best means to manage ones illness and or health.
Over the years, a significant advancement to the quality of mental health care has been seen alongside the improvements, in terms of the services rendered and the programs adapted all of which has proven beneficial to patients.
Over the years, the proposed notion that mental illness is strictly confined to the solace of facility institute has drastically been changed with the advent of co-therapies and collaborative care.
This is the main thrust in the philosophy proposed by managed care. The idea that ones, illness can be greatly addressed and cured by a group of various sciences and disciplines integrated into a program of care. A goal oriented, objective driven approach that revolutionized the way mental illness is approached upon.
Thus brings us to the main concern of this paper. That which answers the ways in which mental health care and its programs are being affected by managed care. The succeeding paragraph will attempt to establish the very core of the question.
One of the ways in which the manage care philosophy affects the mental health care service is through service integration. We all know that managed care is the sum total of the different medical disciplines that are rolled into a goal oriented, objective specific design approach, which enables all aspect of care to be provided to a specific demographic, and in this particular case – mental illness.
There are two ways in which manage care impacts mental health service, and one of which is of the disadvantage part where the collaborative service is being made available for the patient that entails a question of standardization of what should be and what ought to be (Salzer, Et. al. 2007).
This creates delineation in the availability of programs according to private or public sector. There are wide ranges of programs available in the private health care sector however people need to shed more from their pocket in order to maximize what they can get. In contrast, the public sector somehow is limited and constrained to what is only available to them.
Therefore manage care does and could not establish certain standard in this aspect. The programs suitable for a particular demographic may only be available in the private sector only hence, not all patients are qualified to it (Stroul. 1998, p.121). Utmost attention and continuity of care may not at all be as effective, where service integration is not with in the reach of certain demographics.
Medications for example, maybe limited and required patients to spend for their own in order to get refills. On the other hand, the advantages seen under manage care is through the programs that provide intermediate services to home-based clients who are in need of respite care and home-based treatment.
While this is not predominantly as effective as that of in-house, institutionalized care, continuity of service is somehow perceived as better that nothing at all for those patients who are unable to enroll themselves in pure private health care service. Monitoring can somehow still be carried out as part of this program.
The impact of financing and cost of care has greatly provided benefit to mental health service by implementing behavioral health care programs that curtails budget allocation among the identified health risk restructuring. This is made possible by the tracking of demographics and establishing categories in which different approaches are designed and implemented, and priorities are taken.
System Of care
Another way in which manage care has impacted mental health programs delivery is the decentralization of the programs, in which every state is allowed to create and their own system of care according to what they define as effective and useful to them (NMHA. 2000). This is a way of maximizing budget allocation that promotes efficiency of service to every community, while redefining the boundaries necessary to adapt in every programs.
While funding is of the great essence under managed care, reduction of expenses can be made possible trough the integration of cultural competency standards that defines the quality of care included in the proper diagnosis, intervention methods and psychopharmacology, all of which must accessible to the population.
With managed care, it may not be necessary to enroll patients to an institutionalized care if the severity of which case does not require. Therefore care may be provided at home, resulting in the same efficiency.
Comparatively, much advantage can be seen under the managed care philosophy applied to mental health service because this has improved and diversified the provision of quality care to mental health patients. It allowed the creation of certain programs that are made accessible to a wide range of affected population.
It has improved the services that people expect from their government. The only thing that needs to be done here is the constant vigilance among consumers as regards the protection of their rights.
Salzer, Mark Ph.D., Michael Blank, Ph.D., Aileen Rothbard, Ph.D., and Trevor Hadley, Ph.D.
(2007). Section 3: Status of Mental Health Services at the Millennium Chapter 11. Adult Mental Health Services in the 21st Century. National Mental Health Information Center. Retrieved online on 10 Dec. 2007 from http://mentalhealth.samhsa.gov/publications/allpubs/SMA01-3537/chapter11.asp
National Mental Health Associations. (2000). Managed Care and the Role of Mental Health
Planning and Advisory Councils. Retrieved online on 10 Dec. 2007 from http://18.104.22.168/search/cache?ei=UTF-8&p=MANAGED+CARE+AND+THE+ROLE+OF+MENTAL+HEALTH+PLAN&fr=moz2&u=www.namhpac.org/pages/resources/PDFs/ConfReport.pdf&w=managed+care+role+roles+mental+health+plan+plans&d=SWo47bXiP6gy&icp=1&.intl=us Stroul, Beth, Pires, Sheila, Armstrong, Mary and Meyers, Judith C. (1998). The Impact of Managed Care on Mental Health Services for Children and Their Families. The Future of Children Journal. Vol. 8. No. 2. pp. 119-133. http://22.214.171.124/search/cache?ei=UTF- 8&p=The+Impact+of+Managed+Care+on+Mental+Health+Services+for+Children+and+Their+Families&fr=moz2&u=www.futureofchildren.org/usr_doc/vol8no2ART8.pdf& w=impact+managed+care+mental+health+services+service+children+families+family&d=FqOTC7XiP6o6&icp=1&.intl=us