Codependency Counseling - PowerPoint PPT Presentation

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Codependency Counseling


Codependency Counseling – PowerPoint PPT presentation

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Title: Codependency Counseling

How HMOs Effect Mental Wellness Services
  • By the nature of their company model, a Health
    Upkeep Organization's (HMOs) desire for
    healthcare and expense efficiency jeopardizes the
    process and treatment objectives for customers
    searching for mental wellness services.
    Typically, mental well being professionals,
    operating under HMO recommendations and
    reimbursements, find themselves backed into
    ethical corners with close to not possible
    solutions and lose-lose conditions.
  • To be able to address the harmful effects HMOs
    have around the delivery of mental wellness
    solutions, one particular has to know the two
    fundamental principles that clarify the
    philosophy of managed care 1) containing fees
    and two) making certain quality of care. So that
    you can keep charges down, HMOs limit the
    quantity and kind of services offered, monitor
    solutions administered, alter the nature of
    solutions presented, use price efficient but
    questionably productive remedy recommendations,
    and financial incentives and penalties to
    influence providers, payers, and financial
  • The price containment philosophy needs mental
    overall health counselors to quickly assess the
    client's problem, establish a diagnosis, and set
    therapy targets - which under standard
    situations, takes many sessions to discover core
    complications. Even so, HMOs want determinations
    and diagnoses created inside the 1st a single or
    two sessions.
  • The treatment for the too rapidly diagnosed
    situation is typically delivered as a brief,
    short-term, hugely focused intervention that
    follows treatment suggestions and protocols that
    favor the HMO, but not necessarily the client.
    Even though such standardized treatment could be
    powerful for specific mental wellness problems,
    it fails to take in consideration the unique
    nature from the diverse clientele that seek
    mental overall health services. The use of short,
    solution-focused therapy also raises the concern
    of a counselor's competency. The American
    Counseling Association Code of Ethics demands
    that counselors practice inside their variety of
    qualifications and competency. Despite the fact
    that quite a few counselor educational programs
    at present teach brief-therapy (also named option
    focused therapy) principles and strategies, not
    all counselors practicing for HMOs possess the
    important training, knowledge, or credentials to
    make use of brief therapy.
  • The dignity and client's welfare could be the 1st
    and foremost responsibility of any counselor and
    it can be respected by means of researched
    backed, powerful treatment plans which are
    consistent for the client's wants, skills and
    scenarios, whilst respecting the client's freedom
    of selection in remedy. However, this
    responsibility is jeopardized when the counselor
    lacks the freedom to plan and implement the
    necessary remedy and he or she has to pick
    amongst implementing the correct remedy and
    losing the HMO's reimbursement -or- implementing
    the significantly less suitable treatment plans
    favored by HMOs and acquiring paid. These HMO
    recommendations also compromise the counselor's
    autonomy in figuring out what form(s) of
    intervention are suitable in line with the
    client's dilemma, and it usurps the counselor's
    clinical judgment and professionalism. Moreover,
    the counselor is forced to devote less time
    giving psychological services to their customers
    in an effort to complete improved paperwork
    demands on behalf of your HMO.
  • The client's welfare can also be jeopardized by
    way of the rationed treatment (HMO set time
    limitations) which compromises the good quality
    of services received. Time-limited therapy
    implies that only partial treatment is provided
    and this may possibly result in premature
    termination of your counseling course of action
    (in spite of the client not resolving the problem
    they requested help for). Sadly, such clinical
    restriction not simply affects the quality of
    solutions supplied, but represents an ethical and
    legal concern as well as the counselor is often
    held accountable in the event the case is taken
    to court, even though it followed HMO guidelines.
  • A further troubling issue introduced by HMOs will
    be the inability to assure the confidentiality
    with the counseling procedure. Confidentiality is
    one of the major elements that facilitate the
    counselor-client relationship, and makes it
    possible for the client to really feel secure and
    share by far the most private and intimate
    aspects of their life. Furthermore to the
    confidentiality limits imposed the ACA Code of
    Ethics (breach of confidentiality only allowed in
    circumstances exactly where the client can harm
    themselves or other folks), HMO regulations ask
    for substantial, private information and facts on
    consumers and detailed reports on their therapy.
    The threat of delivering such private info is
    that once it is shared with HMO, the counselor
    has tiny to no control more than what takes place
    to it.
  • HMOs help the medical model in understanding
    mental overall health - the client's issue must
    be a healthcare term (e.g. depression,
    anxiousness) comparable with a diagnosis made by
    a doctor, as a way to authorize mental wellness
    services. Concerns addressed in marital or
    profession counseling that represent a normal
    element in one's life are certainly not eligible
    for reimbursement. As a result, the course of
    action of setting an accurate diagnosis can also
    be influenced by the HMOs who will not reimburse
    for specific concerns. The counselor is faced
    with all the uncomfortable and unethical
    situation of upcoding or downcoding a diagnosis
    (setting a larger or decrease diagnosis than the
    precise problem) in order to authorize extra
    Grief Counseling sessions or to create certain
    the client actually receives the necessary
    treatment for the accurate challenge.
  • The minority but developing opinion is the fact
    that cutting out the middle man (the HMO) rewards
    each the client and also the practitioner. The
    direct payment choice ought to be cautiously
    regarded by each parties with practitioners
    decreasing their rates to incentivize the appeal
    of direct payment and permit the client to
    negotiate the cost of services for probably the
    most helpful therapy outcome. Via direct payment
    choices, the client can get additional therapy
    and straight negotiate the circumstances that
    make him or her really feel most comfortable.
    Third-parties should not dictate remedy protocol
    when it is not inside the very best interest with
    the client, and eliminates the freedom a mental
    well being practitioner must benefit their client.
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