Addictions and Native Americans
Addictions and Native Americans

Author: Laurence Armand French Ph.D.

Publisher: Bloomsbury Publishing USA

Published: 2000-01-30

Total Pages: 192

ISBN-13: 0313003106

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Substance abuse is a major health and social problem plaguing Native Americans both historically and today. After presenting the social and psychological factors that have contributed to Native American addictions and the patterns of behavior and circumstances associated with this complex and widespread problem, French discusses the treatment, intervention, and prevention issues facing therapists. He also explores the development and consequences of a new form of addiction, compulsive gambling, focusing on its relationship to substance abuse. A major contribution of this volume is its review and critique of regulatory acts documenting federal policy.

Managing Managed Care
Managing Managed Care

Author: Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care

Publisher: National Academies Press

Published: 1997-05-05

Total Pages: 395

ISBN-13: 0309523680

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Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral health--federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

Access to Health Care for American Indians and Alaska Natives
Access to Health Care for American Indians and Alaska Natives

Author: Juliet King

Publisher:

Published: 1999

Total Pages: 468

ISBN-13:

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"This study set out to explore two research questions - does access to health care differ for American Indians and Alaska Natives as compared to other economically disadvantaged groups, and if so, in what ways does it differ. In addressing these questions, the relationship between use of health services (as a measure of access to health care), and health status, individual characteristics, financial and structural resources was explored for a sample of American Indians and Alaska Natives, Blacks, Hispanics and rural residents- Based on the results, it is possible to conclude that the ability of American Indians and Alaska Natives to obtain health services does differ, but that it does so in ways that were not originally hypothesized"--Leaf 191.