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Is three a crowd? Clients, clinicians, and managed care.
Am J Orthopsychiatry. 2006 Apr; 76(2):251-9.AJ

Abstract

How does therapy change when therapists work under managed care plans? To explore this question, the authors conducted in-depth, semistructured interviews with therapists. The interview texts were analyzed using a structured thematic coding system. A central theme in the interviews was a culture clash between managed care companies and these therapists. Working for managed care organizations demanded several practices that violated the therapists' standard of care and professional ethics. Also, participants reported that managed care personnel misrepresented the nature of psychotherapy to clients, thereby undermining the therapeutic work and the therapist-client relationship. If these therapists' experiences are representative, the growth of managed care has serious implications for the nature of psychotherapy, practitioners' integrity and morale, and the public image of the therapy professions.

Authors+Show Affiliations

Department of Psychology, University of Arizona, Tucson, 85721, USA. jlc5@email.arizona.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16719644

Citation

Cohen, Julie, et al. "Is Three a Crowd? Clients, Clinicians, and Managed Care." The American Journal of Orthopsychiatry, vol. 76, no. 2, 2006, pp. 251-9.
Cohen J, Marecek J, Gillham J. Is three a crowd? Clients, clinicians, and managed care. Am J Orthopsychiatry. 2006;76(2):251-9.
Cohen, J., Marecek, J., & Gillham, J. (2006). Is three a crowd? Clients, clinicians, and managed care. The American Journal of Orthopsychiatry, 76(2), 251-9.
Cohen J, Marecek J, Gillham J. Is Three a Crowd? Clients, Clinicians, and Managed Care. Am J Orthopsychiatry. 2006;76(2):251-9. PubMed PMID: 16719644.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is three a crowd? Clients, clinicians, and managed care. AU - Cohen,Julie, AU - Marecek,Jeanne, AU - Gillham,Jane, PY - 2006/5/25/pubmed PY - 2006/11/1/medline PY - 2006/5/25/entrez SP - 251 EP - 9 JF - The American journal of orthopsychiatry JO - Am J Orthopsychiatry VL - 76 IS - 2 N2 - How does therapy change when therapists work under managed care plans? To explore this question, the authors conducted in-depth, semistructured interviews with therapists. The interview texts were analyzed using a structured thematic coding system. A central theme in the interviews was a culture clash between managed care companies and these therapists. Working for managed care organizations demanded several practices that violated the therapists' standard of care and professional ethics. Also, participants reported that managed care personnel misrepresented the nature of psychotherapy to clients, thereby undermining the therapeutic work and the therapist-client relationship. If these therapists' experiences are representative, the growth of managed care has serious implications for the nature of psychotherapy, practitioners' integrity and morale, and the public image of the therapy professions. SN - 0002-9432 UR - https://www.unboundmedicine.com/medline/citation/16719644/Is_three_a_crowd_Clients_clinicians_and_managed_care_ L2 - http://content.apa.org/journals/ort/76/2/251 DB - PRIME DP - Unbound Medicine ER -