Using a quality-based incentive system to reward efficient behavioral health providers.
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Class action suits frequently have been used as a strategy for improving the quality of mental health care. Psychiatrists, psychologists, and professionals from related disciplines have been involved in these suits in different roles. This article presents and discusses case examples of these roles, which include the expert witness, court-appointed expert, consulting expert, monitor, special master, receiver, advocate, amicus curiae, plaintiff, and defendant. The authors caution against assuming dual roles and argue that professionals, before beginning to participate in this complex arena, should clarify their functional responsibilities, the legal basis of their involvement, and the ethics principles that will guide their actions.
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Depression is often perceived as an isolated disease, and attempts to treat patients with depression from the managed care standpoint frequently reflect this silo mentality. Disease management programs for depression cannot succeed unless these initiatives are integrated through the primary care point-of-service and the PCPs treating the patient with depression understand this broader point of view.
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