Textbook of Administrative Psychiatry

The delivery of psychiatric services has changed dramatically; the pace of this change has been breathtaking. The monumental changes are evident when one examines the tables of contents of the first edition of the Textbook of Administrative Psychiatry (1992) and this second edition (2001). The second edition is a completely new book, with a new editorial board and authors; it makes one feel that these books were written 50 years apart rather than only 9. The presentations on such topics as behavioral network establishment and maintenance, capitated and population-based care, outcomes, and changing roles for professionals and patients, provide both a clear picture of where we are now and a firm base for planning for the future. The complexity of the current state of affairs is also evident in that an excellent glossary to help guide the reader and the clinician-administrator through this new clinical/economic world had to be added. This book brings some clarity to the current behavioral health world, and with this knowledge one almost feels empowered rather than a victim of a mysterious and anonymous system. Gary J. Tucker, M.D., Professor Emeritus, Department of Psychiatry and Behavioral Sciences, University of Washington

This textbook provides the practitioner and student in behavioral healthcare an overview of the evolving behavioral health system, core and new administrative psychiatry concepts, new roles for behavioral health players, how selected behavioral health systems are changing, the trend toward integrated systems, and law and ethics.

Today's practice of psychiatric administration is totally different from that in past years because of the vast changes sweeping the health care and behavioral health care sectors. Reflecting these changes, this completely revamped second edition contains all-new chapters by 68 contributors (most new to this edition).

This definitive textbook provides the practitioner and student of administration in behavioral healthcare with an up-to-date compendium focused on five central issues that represent the framework of the debate that will guide the evolution of behavioral health care during the next few years

• An overview of the evolving behavioral health system, from the rich legacy of the community mental health movement mandated by federal legislation in the 1960s to today's paradigm, which is instead driven by the marketplace phenomena of managed care, information systems, and consumer empowerment.
• Core and new administrative psychiatry concepts and new roles for behavioral health players, including organizational theories, leadership requirements, planning models, and information system solutions, as well as new models of program evaluation and quality management and innovations in training and human resource development.
• How selected behavioral health systems are changing and the trend toward integrated systems, addressing the challenge of delivery system configuration and integrated service delivery as the system evolves from cost-based fee for service to managed care settings, as well as important new roles for psychiatric administrators in behavioral health network establishment and maintenance, staffing, capitated financing, population-based care, and outcome management.
• A comprehensive overview of the current system, from hospitals (including VA and military services) to county mental health departments, child and family service agencies, and HMOs, with new roles for everyone—psychiatrists, administrators, and mental health clinicians as well as consumers and their families—in the consumer-focused health care systems of the future.
• Law and ethics, which includes prisons and civil law issues and considers the special challenge of working within a field where innovation, science, and the marketplace are running well ahead of the legal and bioethics...read more...