Management and Administration Skills for the Mental Health Professional (Practical Resources for the Mental Health Professional)

379 Pages·1999·20.43 MB·English

by  William O'Donohue

MANAG E M E NT AN D
ADMINISTRATION
SKILLS FOR THE
M ENTAL H EALTH
PROFESSIONAL
MANAG E M E NT AN D
ADMINISTRATION
SKILLS FOR THE
M ENTAL H EALTH
PROFESSIONAL
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I I II II I I I
M A N A G E M E N T A N D
A D M I N I S T R A T I O N
SKI LLS FOR T H E
M E N T A L H E A L T H
P R O F E S S I O N A L
Edited by
William O'Donohue
Department of Psychology
University of Nevada
Reno, Nevada 89557
Jane E. Fisher
Department of Psychology
University of Nevada
Reno, Nevada 89557
ACADEMIC PRESS
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Copyright (cid:14)9 1999.
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Academic Press
An Imprint of Elsevier
32 Jamestown Road, London NW1 7BY, UK
http://www.academicpress.com
Library of Congress Catalog Card Number: 99-06593
ISBN-13:978-0-12-524195-3
ISBN-10: 0-12-524195-X
PRINTED IN THE UNITED STATES OF AMERICA
06 IBT 9 8 7 6 5
This book is dedicated to the loving memory of
Edmund Doerflein and Mary O'Donohue
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CONTENTS
CONTRIBUTORS xvii
PREFACE xix
I Introduction
WILLIAM O'DONOHUE AND JANE E. FISHER
Management and Administrative Skills
Epistemic Problems 6
References 11
Biographies 12
I MENTAL HEALTH DELIVERY MANAGEMENT
2 Managing a Behavioral Healthcare Private Practice
NICHOLAS P. ARMENTI
Introduction 15
The Author's Experience in the Marketplace 17
vii
VIoIeoI CONTENTS
Section I: Core Premises for Management and Administrative Skills
Required in Private Practice 19
Premise I: Behavioral Healthcare Is a Business Like All Areas
of Healthcare in America 19
Premise 2: Essential Features of the Managed Care Approach
Will Provide the Framework for the Business of Behav-
ioral Healthcare 22
Premise 3: Group Practice Is the Preferred Provider Entity in
the Current and Future Marketplace 27
Premise 4: At-Risk Payment Arrangements to Provider-Driven
Service Delivery Systems Will Be the Preferred and Pre-
dominant Funding Mechanism in the Behavioral Health-
care Marketplace 30
Premise 5: Clinical Procedures That Arc Outcomes Based
and Supported by Empirical Evidence Are the Foundation
for Accountable Healthcare Services to the Consumer 32
Premise 6: Preventive Behavioral Healthcare Services Are
Critical to Assisting Consumers to Live Healthy
Lifestyles and to Conserve Healthcare Resources 44
Section II: A Selection of Management Skill Areas and Their Associat-
ed Procedures in the Behavioral Private Practice Setting 48
Introductory Remarks 48
Sources of Management Information 48
Epilogue 84
References 85
Biography 92
Management of a Mental Health Clinic
DAVID J. DRUM
Managerial Challenges 93
Today's Managerial Environment 93
Multiple Constituencies 94
Changes in the Healthcare Marketplace 95
Management Theories 97
Managing Core Processes 97
Foundational Processes 98
Staff Effectiveness Processes 102
Process Evaluation 107
Five Challenging Balancing Acts 109
Harmonizing Operating Values with Changing
Healthcare Paradigm 109
CONTENTS ix
Balancing Staff Member Desires with Funding Authority 111
Need for Efficiency and the Mandate for Quality 112
The Need for Continuous Process Improvement
and Internal Stability 114
Balancing Accountability and Autonomy 116
Maintaining the Agency's Effectiveness 116
References 117
Biography 117
University Hospital Administration
RONALD B. MARGOLIS AND C. ALEC POLLARD
Introduction 119
Organizational Models 120
Clinical Program Development 121
Academicians and Clinicians as Managers 122
Human Resources 122
Assessing the Environment for Program Development 123
Product Definition and Development 124
Budgeting 125
Information Systems 126
Marketing 126
Quality Management 127
Managed Care Negotiations 127
Integrating Academic Activity 128
Advocacy within the AHC 129
Final Comments 130
References 130
Biographies 131
5 Managing a Managed Care Organization
NICHOLASA . CUMMINGS
Introduction 133
Management versus Entrepreneurship 134
Creation of an Industry 134
Background 134
Conceptual Predecessors to Managed Behavioral
Care Delivery 136
The Vision 137
Founding the Company 138