9780205180981

The Scientist Practitioner Research and Accountability in the Age of Managed Care

by ; ;
  • ISBN13:

    9780205180981

  • ISBN10:

    0205180981

  • Edition: 2nd
  • Format: Paperback
  • Copyright: 1999-01-15
  • Publisher: Pearson

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Summary

Involvement in practice-based research and accountability is an applied and a research necessity. This book stresses that research and practice are not separate domains but integrated. Emphasizes managed care and systems of health care delivery; shows how single-case designs fit into an overall model of science-based practice; covers current systems of assessment that allow the evaluation of elinical impact in the practice environment; and describes how program development and evaluation should fit into the skills of the modern empirical clinician. Topics include: a detailed description of managed care systems in chapter 2; includes a model of how ot succeed in managed care in chapter 4; and offers program evaluation in chapter 10. For clinical psychology practitioners who emphasize evalutation of treatment outcomes.

Table of Contents

Preface ix
About the Authors and Contributors x
The Scientist Practitioner
1(28)
Introduction
1(2)
Development of the Scientist-Practitioner Model
3(12)
A Historical Perspective on the Scientist-Practitioner Split
15(10)
Research Has Little Influence on Practice
25(1)
Where Did Practitioners Get Their Techniques?
26(1)
The Future: Clinical Practice in the Era of Managed Care
27(2)
Managed Care, the Scientist Practitioner, and the Future of Behavioral Health Care Delivery
29(22)
Introduction
29(1)
Behavioral Health Care: The Past
30(2)
The Industrialization of Health Care
32(3)
Current Behavioral Health Care Delivery Systems
35(11)
The Future
46(4)
Conclusion
50(1)
Current Research Strategies and the Role of the Practitioner
51(22)
Introduction
51(1)
Research on Panic Disorder with Agoraphobia
52(3)
The Establishment of Psychosocial Treatments with Proven Efficacy
55(13)
Alternative Models of Research
68(5)
Opportunities for Integrating the Scientist Practitioner into a System of Managed Behavioral Health Care Delivery
73(28)
Introduction
73(1)
An Integrated System of Science-Based Practice
74(17)
Practice Guidelines
91(10)
The Essentials of Time-Series Methodology
101(36)
Introduction
101(2)
Repeated Measurement and the Individual Level of Analysis
103(10)
Quality of Measurement
113(5)
Specifying the Intervention
118(2)
Establishing the Degree of Variability in Repeated Measures
120(13)
Accountability: The Continuity of Case Studies and Single Case Experimentation
133(1)
Replication
134(1)
An Attitude of Investigative Play
134(2)
Knowledge of Design Elements
136(1)
Within-Series Elements
137(39)
Introduction
137(1)
The Simple Phase-Change Element
138(5)
Using the Simple Phase Change
143(15)
Complex Phase-Change Elements
158(15)
Follow-Up
173(1)
Evaluating the Results of Within-Series Strategies
173(3)
Between-Series Elements
176(26)
Introduction
176(1)
The Alternating-Treatments Design
176(22)
The Simultaneous-Treatment Design
198(4)
Combined-Series Elements and the Integrated Use of Research Tools
202(33)
Introduction
202(1)
The Multiple Baseline
202(21)
The Crossover Design
223(1)
The Constant-Series Control
223(3)
The True Reversal
226(1)
Conclusion
227(1)
Combining Single Case Design Elements
227(5)
Stretching the Guidelines
232(2)
The Contribution of ``Case Studies''
234(1)
Research in General Practice Settings: Production and Consumption of Clinical Replication Series
235(31)
Introduction
235(1)
Clinical Replication Series
235(6)
Guidelines for Conducting Clinical Replication Series
241(5)
The Masters and Johnson Series
246(3)
Examining Failures
249(2)
Statistical Approaches for Predicting Success and Failure
251(6)
Conclusions
257(2)
Creating a Structure for Clinical Replication: Practice Research Networks
259(1)
Guidelines for Consuming Clinical Replication Data
260(6)
Program Evaluation
266(21)
Introduction
266(2)
Needs Assessment
268(2)
Program Goals and Content
270(1)
Monitoring of Program Processes
271(2)
Assessing Program Outcomes
273(2)
Assessing Costs
275(4)
Evaluation Design
279(1)
The Use of Program Evaluation Techniques
279(1)
Ethical Issues
280(7)
General Strategies in Assessment and Data Collection
287(33)
Introduction
287(1)
Assessment in the Era of Managed Care: A Population-Based Approach
288(1)
Goals of Assessment
289(12)
Guidelines for Collecting Measures
301(18)
Summary and Conclusions
319(1)
Self-Report and Physiological Measures
320(33)
William J. Korotitsch
Rosemery O. Nelson-Gray
Self-Report Measures
320(20)
Issues in the Use of Self-Report
340(3)
Physiological Measures
343(4)
Clinical Applications of Psychophysiological Measurement
347(3)
Composite Measures
350(1)
Summary
351(2)
Direct Observation and Self-Monitoring
353(34)
Susan Baird
Rosemery O. Nelson-Gray
Introduction
353(1)
Direct Observation
353(18)
Introduction to Self-Monitoring
371(1)
What and How to Self-Monitor: Behaviors and Devices
372(8)
Computers and Self-Monitoring
380(1)
Using Self-Monitoring with Clients
380(2)
Accuracy of Self-Monitoring
382(2)
The Reactivity of Self-Monitoring
384(2)
Summary
386(1)
References 387(36)
Author Index 423(10)
Subject Index 433

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