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Monthly magazine provides articles and news on technology, reimbursement and treatment trends for managers and clinicians in the mental health and substance abuse fields.
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What is a network? (managed care network) (Editorial)
March 1, 1994... Remember the good old days, when a "network" was something that flooded your home with all manner of sights and sounds at the mere flick of a switch? These networks went by such simple names -- CBS, NBC, ABC -- and they asked nothing of you but...
(Irreverent) views from the CD counseling trenches. (chemical dependency) (Editorial)
March 1, 1994... Chemical dependency is a disease that has proven itself to be notoriously resistant to the Medical Model, beyond detoxification. It is true that special populations, such as those patients who carry a genuine dual diagnosis, often do require...
A business-based network for behavioral health care: is this the shape of things to come? (Cover Story)
March 1, 1994... It's an old idea being applied to a new field: Purchasing cooperatives are at the heart of most Federal and state proposals for health care reform. The by now familiar alphabet soup includes Health Alliances (HA), Accountable Health Alliances...
A managed care company's approach to networking. (American Biodyne Inc.)
March 1, 1994... The winner in national healthcare reform will be the healthcare delivery system that provides the best care to the most people, in the most cost-effective manner. With that in mind, American Biodyne, Inc. (ABI) has been evolving and changing to...
How an established CD treatment center manages change. (chemical dependency, Caron Foundation)
March 1, 1994... This year, the Caron Foundation celebrates 35 years in the treatment of chemical dependency. Yes, we were one of the first treatment centers in the country. Yes, we have an established reputation in the field. And yes, we've had to make more...
Benefits managers size up behavioral health services.
March 1, 1994... WHAT DO BENEFITS MANAGERS VALUE IN BEHAVIORAL HEALTH SERVICES? What aspects of the delivery system do they appreciate, which are overvalued, and which need improvement? Answers to these questions are of increasing importance to behavioral...
Preserving inpatient care: some modest suggestions for using it more cost-effectively.
March 1, 1994... The average length of stay in inpatient substance programs is growing shorter as admission criteria become more stringent. The movement is toward brief inpatient treatment which focuses on detox and relapse prevention, as providers and managed...
Evaluating a substance abuse treatment facility: these criteria can be useful to networking.
March 1, 1994... Along-time and prominent expert and writer in health services marketing, Philip Kotler, suggests that marketing should begin and end with current patients, their families, their employers, and their referral sources. The same can be said for...
Clinical observations on the dually diagnosed. (Addiction & Recovery Section: Dual Diagnosis)
March 1, 1994... They have been called chronic recidivists, chronic relapsers, the dually disordered, and the dually diagnosed. Their pain is obvious and their attempts at recovery often noble and desperate. However, traditional alcoholism and drug treatment,...
Pioneering dual diagnosis care at St. Antony's Medical Center. (Addiction & Recovery Section: Dual Diagnosis)
March 1, 1994... The 46-year-old man walked into a group therapy session, sat down, and introduced himself, telling the group that, in his experience as a chemical dependency patient in rehabilitation programs, he had always considered the "dualies" to be...
Dual diagnosis at Glenbeigh. (Glenbeigh Health Sources) (Addiction & Recovery Section: Dual Diagnosis)
March 1, 1994... The special challenges of working with dual diagnosed population often leave clinicians praying for good old-fashioned "text-book" alcoholics and addicts to manage. The real experts in this quagmire -- the clients -- often appear to be emerging...
Health care reform for behavioral care: where the real action will lie.
March 1, 1994... You've heard the ads on radio. An earnest, professional-sounding woman claims to be the head of a small business whose health care insurance plan is "like a family." She worries that the Clinton Administration's proposed Health Security Act...
As the strategies turn: substance abuse treatment needs strategic planning - just as it always did.
March 1, 1994... Many programs and organizations in the field of substance abuse treatment need to formulate new strategies -- but they have no framework for strategic planning. The need is acute but, like the deer caught in the headlights of a speeding...
The in's and out's of outpatient care: commentaries from treatment centers.
March 1, 1994... WHAT ARE THE MAJOR FEATURES OF YOUR OUTPATIENT PROGRAM?
AL MOONEY, MD
We feel as though one of the strengths of our outpatient programs in Statesboro and Savannah is that we are better at detoxing people than anybody else in this...
A suggestion for conceptualizing dual diagnosis: a systematic analysis to help cut through the confusion and mismanagement.
March 1, 1994... Patients suffering from dual diagnosis are difficult to treat. Surveys of relapse-prone chemical dependency patients show that over 85% of them have a coexisting personality or mental disorder. Failure to diagnose chemical dependency in...