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Managed care and mental health: The silencing of a profession
Author(s) -
Wooley Susan C.
Publication year - 1993
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(199312)14:4<387::aid-eat2260140402>3.0.co;2-9
Subject(s) - mental health , public relations , psychology , managed care , health care , psychotherapist , mental health care , nursing , political science , medicine , law
Rapid change in the organization and financing of health care has created a bewildering and threatening climate for psychotherapists. Fearful of exclusion from preferred provider and health maintenance organizations, and aware that patient advocacy is interpreted as antagonism to these organizations' goals, many therapists have fallen silent, acquiescing to practices they do not support. Crystallization of these practices into policy and law is now imminent. It is crucial that therapists reclaim their authority, speaking out on behalf of current and future patients as well as the concealed constituency of historically disenfranchised persons for whom psychotherapy has provided a voice. © 1993 by John Wiley & Sons, Inc.