This document, the third of three volumes in the U.S. Congress Office of Technology Assessment's "Adolescent Health" series, contains chapters 15 through 19, which address issues in the delivery of health and related services to adolescents. Chapter 15 reviews research on the shortcomings of the mainstream primary health care system with…

Notes that Managed Care, in health and mental health services, is latest building block presented as necessary for development of organized human services system. Identifies health maintenance organizations (HMOs) as fastest growing element in such systems. Attempts to collate latest information as to how mental health and substance abuse care is…

Provides overview of basic knowledge and skills needed for mental health counselors to function effectively as employees or providers for managed care organizations. Skills include orientation to brief targeted psychotherapy; familiarity with mental health and substance abuse disorders; experience in working in crisis situations; an understanding…

Provides overview of case management, its history, and contemporary models. Examines challenges that case management poses for social work profession: covering up issue that health and human services delivery system is nonsystem; maintaining client-centered perspective in cost-obsessed environment; dealing with quality control; coping with…

Suggests an innovative group structure and process for integrating health care providers and elderly consumers in community health care planning, implementation, and evaluation. The Elderly Health Advocacy Group is described and its developmental processes outlined. Further demonstration for long-range impact is suggested. (Author)

Home care programs emerged as an essential component of health care for the elderly and are generally based on hospital or community models. These models coexisted in Manitoba as elsewhere, but services were uncoordinated, fragmented, restrictive, duplicative, and not universally available. In September 1974, a comprehensive home care program was…

Asserts that managing mental health and substance abuse utilization in a complex network health maintenance organization (HMO) can be accomplished through comprehensive approach. Describes prescreening of admissions and preferred provider contracts of one HMO's managed care system. Explains savings resulting from averting unnecessary admissions.…

Presents health profile of the female offender. Discusses needs in areas of gynecology, breast assessment, and health education and services related to childbearing and parenting. Describes incarcerated health care delivery system and looks to communication and education, nursing personnel, and community resources for potential solutions to…

Describes the implementation of the hospice philosophy in rural areas and provides a model of how formal helping systems and natural helping networks can work together effectively. Suggests the emergence of the hospice can reorient social workers to the basic concepts of helping. (Author/JAC)

Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

Reviews applications of counseling psychology to problems of physical health. Describes how counseling and psychoeducational models of direct service, counseling skills training, and consultation can be used to affect problems of physical health. Considers issues of psychological practice in health care settings with emphasis on ethics and service…

Presents analysis and typology of community-based care for young Hispanic mother with Acquired Immune Deficiency Syndrome (AIDS). Develops conceptual framework that examines retrospectively needs generated by AIDS over time, appropriateness of services, and assessment of interventions. Presents conclusions regarding definition and implementation…

Describes targeting policies of four Social Health Maintenance Organization sites which deliver integrated, prepaid, acute, and chronic care to Medicare beneficiaries. Analyzes complexities of operationalizing targeting systems in four different settings. Notes that selection criteria for targeting expanded benefits and their implementation affect…

ACCESS outreach identified more persons in need of service who met the Title XIX eligibility requirements. Home care emphasis provided the opportunity for increasing proportions to remain at home or return to their home from the hospital. (Author)

Explores the potential impact on demand for health services workers of the sweeping changes in industry structure currently underway. Demand is expected to grow in response to the increasing number of elderly people; growth prospects to 1995 for the industry's wage and salary workers are uncertain because of changes in both the financing and…