Contents

• COMMITTEE ON QUALITY ASSURANCE AND ACCREDITATION GUIDELINES FOR MANAGED BEHAVIORAL HEALTH CARE
• Preface
• Acknowledgments
• INTRODUCTION
• DESCRIPTION OF THE STUDY
• STATEMENT OF PRINCIPLES
• TERMINOLOGY USED IN THIS REPORT
• TRENDS IN MANAGED CARE
• CHALLENGES IN DELIVERY OF BEHAVIORAL HEALTH CARE
• STRUCTURE
• ACCESS
• PROCESS
  • Accreditation Organizations
• OUTCOMES
• FINDINGS AND RECOMMENDATIONS
  • 1. STRUCTURE AND FINANCING
  • 2. ACCREDITATION
  • 3. CONSUMER INVOLVEMENT
  • 4. CULTURAL COMPETENCE
  • 5. SPECIAL POPULATIONS
  • 6. RESEARCH
  • 7. WORKPLACE
  • 8. WRAPAROUND SERVICES
  • 9. CHILDREN AND ADOLESCENTS
  • 10. CLINICAL PRACTICE GUIDELINES
  • 11. PRIMARY CARE
  • 12. ETHICAL CONCERNS
• CONCLUDING OBSERVATIONS
• REFERENCES

Support for this project was provided by the Center for Substance Abuse Treatment of the Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.