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Manage or Perish?
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short listed for the 2001 Baxter Award

Table of Contents

I. General Aspects.- 1. Understanding Managed Care: A Primer for the World Psychiatric Association “Congress Manage or Perish”, Geneva, Switzerland.- 2. The Future of Psychiatrists under Managed Care.- II. The U.S. Experience.- 3. For-Profit Managed Care in the USA: Growth and Decline?.- 4. The American Experience with Managed Care: How Europe Can Avoid It.- 5. Managed Care and American Psychotherapy.- 6. Private Practice and Managed Care: The American Experience.- 7. Health Economics and Services for Children with Mental Health Problems in the USA.- 8. Is Psychiatric Rehabilitation Something Special to Managed Care in the USA?.- III. The European Versions.- 9. Introduction to Plenary Session II “Managed Care in European Countries”.- 10. Managed Care in Europe.- 11. Transcultural Perspectives of the Management of Mental Health Care: Challenges in Europe and in Low-Income Countries.- 12. Managed Mental Health Care in the UK.- 13. Managed Care in Germany.- 14. Managed Mental Health Care in France.- 15. The Minimal Psychiatric Summary (M.P.S.) and the Current Organization in Mental Health Care.- 16. Minimal Psychiatric Summary: The French Way.- 17. Managed Care in Scandinavian Countries.- 18. Manage or Perish: The Situation in Switzerland.- 19. New Models of Financing: What Is the Future of Psychotherapy in Switzerland?.- 20. The Provision of Mental Health Care in the Russian Federation.- 21. Functional and Dysfunctional Aspects of the 1990 Reform of the Health-Care System: Hungary in 1998: Before Managed Care.- 22. The French Public Psychiatric Team Confronted with the Demand for New Collaboration: A Space for Rehabilitation.- 23. The German Social Insurance Program’s Role in the Rehabilitation of Mentally Ill Patients.- 24. Models of Health Care Systems in Europe: Their Consequences for Psychiatric Care.- IV. Experience in Other Countries.- 25. Managed Care and Quality Assurance Methods in Mental Health in Latin America.- 26. Almost a Revolution: Towards Managed Mental Health Care in Israel.- 27. Challenges of Managed Mental Health Care in the South-East Mediterranean Region.- 28. Cost Management of Mental Patients’ Care: Is Traditional Healing an Alternative in Developing Countries?.- V. Managed Care and Specific Mental Disorders.- 29. Quality of Life Assessment in Schizophrenia.- 30. Traditional Methodology and Outcome Assessment in Studies on the Course of Schizophrenia.- 31. Comparison of Antipsychotics in Randomized Clinical Trials: Economic and Quality of Life Outcomes.- 32. Methodological Problems of Schizophrenia Trials in Community Settings.- 33. Antidepressant Use and Clinical and Economic Outcomes in a Primary Care Psychiatry Center in Spain: A Review of a Naturalistic Study.- 34. Assessment of the Impact of Long-Term Lithium Prophylaxis on the Course of Bipolar Disorder: Methodological Problems and Empirical Data.- 35. Cost Effectiveness in the Prevention of Suicide.- 36. Economic Aspects of Anxiety Disorders.- 37. Cost and Management of Bipolar Disorders.- 38. Major Depression: Brief versus Long-Term Treatment.- VI. Methodology.- 39. From Supply and Demand to Need and Demand: Service Planning and the New Epidemiology.- 40. Outcome Measures and Cultural Factors in Managed Care: A Literature Review.- 41. Use of the EPCAT Model of Care for Standard Description of Psychiatric Services: The Experience in Spain.- 42. Total Quality Management in Mental Health: A Pilot Program.- 43. Research and Communication of Mental Health Data: Three Years on the Net.- 44. Assessing Psychotherapy Outcome: The State of the Art.- VII. Ethical Issues in Managed Care.- 45. Ethical Problems in the Practice of Psychiatrists under Managed Care.- 46. Managed Care: Will it Destroy the Doctor-Patient Relationship?.- 47. Does Managed Care Threaten the Therapeutic Relationship? or When a Third Party Comes between a Doctor and Patient.- 48. When the Therapeutic Team becomes Dysfunctional because of Managed Care.- 49. Cherish or Perish: The Values of Private Psychiatry.- 50. Ethical and Legal Dimensions of Medical Confidentiality in European Law of Human Rights.- 51. Care of People with Psychiatric Subthreshold Disorders: Ethical Challenges.- 52. Ethical Committees as a Guarantee of Observation of Human Rights in Managed Care Systems.- VIII. Managed Care and Psychiatry’s Users.- 53. Unmet Needs and Cost Containment: A Non-Linear Relationship.- 54. The Patient’s View of Managed Psychiatry.- 55. The Young Psychiatric Patients’ Rights: An Overview of the Current International Legislation.- 56. Manage or Perish, or Choosing to Live without Neuroleptic Drugs: Difficulties and Chances.- 57. What the Patients Tell Us: A Preliminary Report on the GAMIAN International Survey, with Specific Reference to the Italian Data.- 58. The Role of Advocacy in an Era of Managed Care.- 59. Alternatives to Psychiatry and Managed Care.- 60. A Cost-Effective Strategy: The Role of Support Groups in Helping Depressed Patients.- 61. Practicing Treatment with Informed Consent: The Possible Impact of the Managed Care Concept.- IX. Teaching and Research.- 62. How Could Academic Psychiatry Survive Managed Care?.- 63. Is Managed Care Good for Research and Education?.- 64. Implications of Managed Care for the Training of Psychiatrists.- 65. The Impact of Managed Care on Residency Training in the Americas.- 66. Maximizing Research Opportunities in Today’s Managed Care Environment.- 67. Unexpected Advantages in Service Design and Research from Cost-Containment Strategies.- 68. Standardized Service Assessment in Italy.- 69. The Andalusian Case Register for Schizophrenia: An Attempt to Obtain Patterns of Use of Mental Health Services for Planning Medical Care.- X. Interference of Managed Care with Social Support Networks.- 70. Support Functions of the Social Networks of Psychiatric Patients and the General Population.- 71. Reduction in Costs but Increased Family Burden: Home Care of the Mentally Ill: The Role of Family Environment.- 72. Social Networks and Health Burden on Care-Givers: A Challenge for Managed Care.

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