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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