Behavioral Health Disability: Innovations in Prevention and Management

ISBN-13: 9780387098135 / Angielski / Twarda / 2010 / 299 str.

Pamela A. Warren; J. David Hubbard

Opis

The purpose of this book is to demystify the evaluation and management of common psychological disorders and psychosocial issues which impact all realms of medical and mental health practice. These types of issues are often seen as "medical quicksand" by treating professionals, employers, and insurers alike. Consequently, there is a system-wide avoidance of these disorders that significantly increase medical and disability costs. However, there is a considerable cost to individual and society as well in terms of the reduction in the quality of life of the individual and the high costs associated with chronic use of medical resources. It is essential to note the complexity of the psychiatric and psychosocial disability conundrum. This dilemma is not limited solely to short-term, minor problems but leach into the full spectrum of disability systems: private insurance, disability insurance, and federal programs for disabled persons. This book will provide innovative tools to confidently navigate the disability process by implementing, for the first time, true objective information coupled with the state-of-the-art evidence-based research. Thus, all individuals involved in the psychiatric disability process will be able to properly manage the process, optimize the treatment for an optimal outcome and avoid iatrogenic disability. In particular, the book will provide a clear evidence-based guidance for the evaluation and treatment process not only for individuals with obvious psychological problems, but for symptomatic individual with no discernable etiology or who simply never seem to get well.

Recenzje

From the reviews:

"The book is intended for professionals involved in psychiatric disability cases, including health and clinical psychologists, psychiatrists, primary care physicians, rehabilitation specialists, clinical social workers, and nurses, as well as insurance companies. ... This book does a good job of discussing many different areas fairly thoroughly and it encourages readers to conduct a thorough evaluation, especially in mental health. Easy to read and practical, it really is the book to have if you are involved in disability evaluations." (Gary B. Kaniuk, Doody's Review Service, February, 2011)

Spis treści

1. Overview of the scope of psychological and behavioral health disability

• Review of current federal figures, such as Social Security, to demonstrate the steep increase of psychological disability.

• Review of international data/empirical research to demonstrate similar trend in other countries.

1. Overview of the lack of coordination of treatment
2. Overview of lack of coordination among all professionals involved in the psychological and behavioral health disability process
3. True psychological concerns versus psycho-social concerns
4. Comorbidity and psychological concerns
5. Purpose of the book is to present multiple perspectives from different types of professionals involved in the psychological and disability process: Primary care physician, occupational medicine physician, psychologist, psychiatrist, rehabilitation professionals, such as a physical therapist and rehabilitation/vocational counselor, attorney, employer, and insurer. Each of these different perspectives will address issues specific to each professional, determination of psychological functioning specific to the identified concern, gaps into determining functioning and how to address, such as referral to another professional.

1. Primary Care Medicine and Psychological and Behavioral Health Disability

1. Epidemiological and prevalence of psychological and behavioral health concerns in primary care medicine.
2. Discussion of usual care treatment process: strengths and weaknesses
3. Determining current psychological functioning: strengths and weaknesses
4. Referral and coordination of treatment considerations: strengths and weakness in current process
5. Medicalization: The process of taking everyday occurrences and identifying them as medical concerns
6. Malingering and symptom exaggeration
7. Patient compliance issues: limitations and strategies for improved management
8. Appropriate documentation of limitations in functioning
9. Treatment outcomes: Strategies for addressing individual’s return to work

1. Occupational Medicine

1. Epidemiological and prevalence of psychological and behavioral health concerns in Occupational Medicine.
2. Discussion of usual care treatment process: strengths and weaknesses
3. Determining current psychological functioning: strengths and weaknesses
4. Referral and coordination of treatment considerations: strengths and weakness in current process
5. Medicalization: The process of taking everyday occurrences and identifying them as medical concerns
6. Symptom exaggeration and malingering
7. Patient compliance issues: limitations and strategies for improved management
8. Appropriate documentation of limitations in functioning
9. Treatment outcomes: Strategies for addressing individual’s return to work

1. Psychology

1. Epidemiological and prevalence of psychological and behavioral health concerns in Clinical Psychology.
2. Discussion of usual care treatment process: strengths and weaknesses
3. Determining current psychological functioning: strengths and weaknesses
4. Appropriate psychological testing (This will be a separate chapter because of complexity of the multiple factors involved.) Estimated pages: 40
5. Symptom exaggeration and Malingering
6. Referral and coordination of treatment considerations: strengths and weakness in current process
7. Medicalization: The process of taking everyday occurrences and identifying them as medical concerns
8. Patient compliance issues: limitations and strategies for improved management
9. Appropriate documentation of limitations in functioning
10. Treatment outcomes: Strategies for addressing individual’s return to work

1. Psychiatry

1. Epidemiological and prevalence of psychological and behavioral health concerns in Psychiatry.
2. Discussion of usual care treatment process: strengths and weaknesses
3. Determining current psychiatric functioning: strengths and weaknesses
4. Psychological testing

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5. Symptom exaggeration and Malingering
6. Referral and coordination of treatment considerations: strengths and weakness in current process
7. Medicalization: The process of taking everyday occurrences and identifying them as medical concerns
8. Appropriate documentation of limitations in functioning
9. Treatment outcomes: Strategies for addressing individual’s return to work

1. Rehabilitation

1. Epidemiological and prevalence of psychological and behavioral health concerns in Psychiatry.
2. Discussion of usual care treatment process: strengths and weaknesses
3. Determining current psychiatric functioning: strengths and weaknesses
4. Rehabilitation assessment and testing
5. Symptom exaggeration and Malingering
6. Referral and coordination of treatment considerations: strengths and weakness in current process
7. Medicalization: The process of taking everyday occurrences and identifying them as medical concerns
8. Patient compliance issues: limitations and strategies for improved management
9. Appropriate documentation of limitations in functioning
10. Treatment outcomes: Strategies for addressing individual’s return to work

1. Legal Perspective

1. Plaintiff versus defense perspective on psychological and behavioral health disability
2. State legislative considerations
3. Federal considerations: FMLA and ADA
4. HIPAA limitations with disability
5. Legal perspective in defining appropriate outcome

1. Employer Perspective

1. Maintaining a productive workplace
2. Workplace absence policy: Strengths and weakness in current employer policies
3. Problematic workplace behaviors that serve as catalysts for filing for a psychological disability claim
4. Obtaining required documentation: strengths and weaknesses in current process
5. Gaps in communication with treating professionals
6. Appropriate workplace accommodations
7. Helping the employee stay at work

1. The insurer and psychological/behavioral health disability

1. Insurer perspective
2. Case management perspective
3. Current issues in providing insurance coverage for psychological, behavioral health, and co-morbid claims
4. Current identified drivers of psychological disability claims
5. Strategies for effective management

 

1. Future Directions

1. Summarization/recap
2. Recommendations for initiating immediate change in the process
3. Implications for long-term change
4. Implications for future research

O autorze

Pamela Warren, Ph.D. is a licensed clinical psychologist specializing in occupational health psychology. She serves in the Department of Counseling Psychology at the University of Illinois School of Education and in the Department of Psychiatry at the University of Illinois School of Medicine. She maintains a clinical practice and provides professional consultation to medical and mental health professionals, employers, insurers, governmental agencies, and case managers on management and prevention of psychological disability. Dr. Warren

Blurb

Behavioral Health Disability Innovations in Prevention and Management Pamela A. Warren It’s a frequent occurrence: a sick worker is treated for physical symptoms, but receives little care for the accompanying psychological problems. The employee is put on ineffective medication, is suspected of malingering, and never fully recovers. The authors of the Behavioral Health Disability attribute this no-win situation to systemic misunderstandings between medical and mental health providers, employers, and insurers—often despite earnest efforts toward integrative care. In its place, they set out a practical, evidence-based framework not only for more accurate evaluation and more effective treatment of conditions, but also better collaboration across specialties, with the legal and insurance systems, and with the workplace, resulting in fewer mental health disability claims, fewer “maintenance” prescriptions, lower costs, and ultimately better outcomes for clients. This book: • Represents the viewpoints of multiple treating professionals—primary care, occupational medicine, psychology, psychiatry, and rehabilitation medicine—as well as legal, employer, and insurer perspectives. • Identifies strengths and weaknesses in standard assessment, treatment, or policy for each specialty. • Examines referral, documentation, and compliance issues. • Describes the medicalization of psychosocial concerns, and how it can be avoided. • Includes strategies for addressing the individual’s return to work. • Offers recommendations for immediate and long-term improvements in disability case management. The Behavioral Health Disability provides groundbreaking guidance for the spectrum of professionals involved in psychiatric disability cases, among them health and clinical psychologists, psychiatrists, primary care physicians and rehabilitation specialists, clinical social workers, nurses, and insurance companies.