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Marriage and family therapists evaluate managed mental health care: A qualitative inquiry

This study examined the experiences of 26 marriage and family therapists working in managed mental health care. A qualitative strategy was used to explore therapists' perspectives regarding practice in a managed care environment. Using an open-ended, semi-structured, mailed questionnaire four themes emerged from the data. These are the adaptations of clinical practice, issues of treatment duration/abandonment, effects of managed care on the therapeutic relationship, and issues of diagnosis. Recommendations are drawn from the findings and discussed.

The landscape of health care in the United States is undergoing a rapid transformation. Americans spend 12%-14% of their income on health care, ...

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